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急性心肌梗死后下丘脑催产素神经元驱动的心脏保护作用的结果。

Outcomes of hypothalamic oxytocin neuron-driven cardioprotection after acute myocardial infarction.

机构信息

Department of Biomedical Engineering, George Washington University, Suite 5000 Science and Engineering Hall, 800 22nd Street NW, Washington, DC, 20052, USA.

Department of Anatomy, Biochemistry and Physiology, University of Hawaii, 651 Ilalo St, Honolulu, HI, BSB 211 96813, USA.

出版信息

Basic Res Cardiol. 2023 Oct 6;118(1):43. doi: 10.1007/s00395-023-01013-1.

Abstract

Altered autonomic balance is a hallmark of numerous cardiovascular diseases, including myocardial infarction (MI). Although device-based vagal stimulation is cardioprotective during chronic disease, a non-invasive approach to selectively stimulate the cardiac parasympathetic system immediately after an infarction does not exist and is desperately needed. Cardiac vagal neurons (CVNs) in the brainstem receive powerful excitation from a population of neurons in the paraventricular nucleus (PVN) of the hypothalamus that co-release oxytocin (OXT) and glutamate to excite CVNs. We tested if chemogenetic activation of PVN-OXT neurons following MI would be cardioprotective. The PVN of neonatal rats was transfected with vectors to selectively express DREADDs within OXT neurons. At 6 weeks of age, an MI was induced and DREADDs were activated with clozapine-N-oxide. Seven days following MI, patch-clamp electrophysiology confirmed the augmented excitatory neurotransmission from PVN-OXT neurons to downstream nuclei critical for parasympathetic activity with treatment (43.7 ± 10 vs 86.9 ± 9 pA; MI vs. treatment), resulting in stark improvements in survival (85% vs. 95%; MI vs. treatment), inflammation, fibrosis assessed by trichrome blue staining, mitochondrial function assessed by Seahorse assays, and reduced incidence of arrhythmias (50% vs. 10% cumulative incidence of ventricular fibrillation; MI vs. treatment). Myocardial transcriptomic analysis provided molecular insight into potential cardioprotective mechanisms, which revealed the preservation of beneficial signaling pathways, including muscarinic receptor activation, in treated animals. These comprehensive results demonstrate that the PVN-OXT network could be a promising therapeutic target to quickly activate beneficial parasympathetic-mediated cellular pathways within the heart during the early stages of infarction.

摘要

自主平衡改变是许多心血管疾病的标志,包括心肌梗死(MI)。虽然基于设备的迷走神经刺激在慢性疾病期间具有心脏保护作用,但不存在并且迫切需要一种非侵入性方法来选择性地刺激梗死后立即的心脏副交感神经系统。脑干中的心脏迷走神经(CVN)从下丘脑室旁核(PVN)中的一群神经元接收强大的兴奋,该神经元共同释放催产素(OXT)和谷氨酸来兴奋 CVN。我们测试了 MI 后 PVN-OXT 神经元的化学遗传激活是否具有心脏保护作用。新生大鼠的 PVN 用载体转染,以选择性地在 OXT 神经元内表达 DREADD。在 6 周龄时,诱导 MI,并使用氯氮平-N-氧化物激活 DREADD。MI 后 7 天,膜片钳电生理学证实了 PVN-OXT 神经元对下游核的兴奋性神经传递增强,这些核对副交感神经活动至关重要,治疗后(43.7±10 对 86.9±9 pA;MI 对治疗),导致存活率(85%对 95%;MI 对治疗)、炎症、三蓝染色评估的纤维化、海兔分析评估的线粒体功能以及心律失常发生率(50%对 10%心室颤动累积发生率;MI 对治疗)的明显改善。心肌转录组分析提供了潜在心脏保护机制的分子见解,这表明在治疗动物中保留了有益的信号通路,包括毒蕈碱受体激活。这些综合结果表明,PVN-OXT 网络可能是一种很有前途的治疗靶点,可以在梗死早期快速激活心脏内有益的副交感神经介导的细胞途径。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d82/10558415/eebdc470f473/395_2023_1013_Fig1_HTML.jpg

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