Department of Cardiovascular Medicine, Saga University, 5‑1‑1 Nabeshima, Saga, 849‑8501, Japan.
Department of Health Development and Medicine, Osaka University Graduate School of Medicine, Osaka, Japan.
Sci Rep. 2022 Apr 28;12(1):6923. doi: 10.1038/s41598-022-10641-x.
Myocardial infarction is still a life-threatening disease, even though its prognosis has been improved through the development of percutaneous coronary intervention and pharmacotherapy. In addition, heart failure due to remodeling after myocardial infarction requires lifelong management. The aim of this study was to develop a novel treatment suppressing the myocardial damage done by myocardial infarction. We focused on inhibition of soluble epoxide hydrolase to prolong the activation of epoxyeicosatrienoic acids, which have vasodilatory and anti-inflammatory properties. We successfully made a new vaccine to inactivate soluble epoxide hydrolase, and we have evaluated the effect of the vaccine in a rat myocardial infarction model. In the vaccinated group, the ischemic area was significantly reduced, and cardiac function was significantly preserved. Vaccine treatment clearly increased microvessels in the border area and suppressed fibrosis secondary to myocardial infarction. This soluble epoxide hydrolase vaccine is a novel treatment for improving cardiac function following myocardial infarction.
心肌梗死仍然是一种危及生命的疾病,尽管通过经皮冠状动脉介入治疗和药物治疗的发展,其预后已经得到改善。此外,心肌梗死后重构导致的心力衰竭需要终身管理。本研究旨在开发一种新型的治疗方法,以抑制心肌梗死引起的心肌损伤。我们专注于抑制可溶性环氧化物水解酶以延长具有血管扩张和抗炎作用的环氧二十碳三烯酸的激活。我们成功地制造了一种新的疫苗来使可溶性环氧化物水解酶失活,并在大鼠心肌梗死模型中评估了该疫苗的效果。在接种疫苗的组中,缺血面积显著减少,心脏功能得到显著保存。疫苗治疗明显增加了边缘区域的微血管,并抑制了心肌梗死后的纤维化。这种可溶性环氧化物水解酶疫苗是改善心肌梗死后心功能的一种新的治疗方法。