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Zagalo L, Pereira G, Casal D, Gonçalves LL, Zagalo C, Oliveira MJ, Oliveira P, Brito JAA. Impact of infrasound exposure and streptozotocin-induced glucose intolerance on bone composition in Wistar rats. BMC Res Notes 2024; 17:128. [PMID: 38711110 DOI: 10.1186/s13104-024-06784-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/29/2024] [Accepted: 04/22/2024] [Indexed: 05/08/2024] Open
Abstract
The elemental composition of chemical elements can vary between healthy and diseased tissues, providing essential insights into metabolic processes in physiological and diseased states. This study aimed to evaluate the calcium (Ca) and phosphorus (P) levels in the bones of rats with/without streptozotocin-induced diabetes and/or exposure to infrasound. X-ray fluorescence spectroscopy was used to determine the concentrations of Ca and P in Wistar rat tibiae samples.The results showed a significant decrease in bone P concentration in streptozotocin-induced diabetic rats compared to untreated animals. Similarly, the Ca/P ratio was higher in the streptozotocin-induced diabetic group. No significant differences were observed in bone Ca concentration between the studied groups or between animals exposed and not exposed to infrasound.Moreover, streptozotocin-induced diabetic rats had lower bone P concentration but unaltered bone Ca concentration compared to untreated rats. Infrasound exposure did not impact bone Ca or P levels. The reduced bone P concentration may be associated with an increased risk of bone fractures in diabetes.
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Affiliation(s)
- Luísa Zagalo
- Center for Interdisciplinary Research Egas Moniz (CiiEM), Monte da Caparica, Portugal
| | - Gonçalo Pereira
- Center for Interdisciplinary Research Egas Moniz (CiiEM), Monte da Caparica, Portugal
| | - Diogo Casal
- Plastic Surgery Consultant - Central, Lisbon University Hospital Centre, Lisbon, Portugal
| | - Luísa L Gonçalves
- Center for Interdisciplinary Research Egas Moniz (CiiEM), Monte da Caparica, Portugal
| | - Carlos Zagalo
- Center for Interdisciplinary Research Egas Moniz (CiiEM), Monte da Caparica, Portugal
| | - Maria João Oliveira
- Department of Anatomy and UMIB - Unit for Multidisciplinary Research in Biomedicine, ICBAS - School of Medicine and Biomedical Sciences, University of Porto, Porto, Portugal
- ITR - Laboratory for Integrative and Translational Research in Population Health, Porto, Portugal
- CINTESIS@RISE, University of Porto, Porto, Portugal
| | - Pedro Oliveira
- Center for Interdisciplinary Research Egas Moniz (CiiEM), Monte da Caparica, Portugal
- Anatomy Institute, School of Medicine, University of Lisbon, Lisbon, Portugal
| | - José A A Brito
- Center for Interdisciplinary Research Egas Moniz (CiiEM), Monte da Caparica, Portugal.
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2
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Vahl JM, Keppeler JVA, Krahe D, Bahrke-Rein K, Reiter R, Hoffmann TK, Goldberg-Bockhorn E. [Infrasound - implications for human medicine]. HNO 2022; 70:921-930. [PMID: 36239759 DOI: 10.1007/s00106-022-01237-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/12/2022] [Indexed: 11/30/2022]
Abstract
Infrasound describes ubiquitous, low-frequency sound (< 20 Hz) in the environment with a long wavelength below the median hearing threshold, which can nevertheless be heard and tactilely perceived, depending on the sound pressure level and frequency spectrum. In nature, infrasound emissions usually occur only in the low-threshold range. Nevertheless, after strong and chronic exposure to usually artificially generated infrasound emissions, various effects on the ear and the body, sometimes questionably critical to health, can be observed. Correct measurement and assessment of infrasound sources is complex and controversial. Established guidelines are scarce. Innovative research areas include infrasound monitoring for evaluation of natural events and infrasound applications in medicine. In the future, it is hoped that new insights will be gained from infrasound research and that a more extensive classification in occupational medicine will be possible.
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Affiliation(s)
- J M Vahl
- Klinik für Hals‑, Nasen‑, Ohrenheilkunde und Kopf-Hals-Chirurgie, Universitätsklinikum Ulm, Frauensteige 12, 89075, Ulm, Deutschland.
| | - J V A Keppeler
- Klinik für Hals‑, Nasen‑, Ohrenheilkunde und Kopf-Hals-Chirurgie, Universitätsklinikum Ulm, Frauensteige 12, 89075, Ulm, Deutschland
| | - D Krahe
- Fakultät für Elektrotechnik, Informations- und Medientechnik, Bergische Universität Wuppertal, Wuppertal, Deutschland
| | - K Bahrke-Rein
- Fachgebiet Systemzuverlässigkeit, Adaptronik und Maschinenakustik, Technische Universität Darmstadt, Darmstadt, Deutschland
| | - R Reiter
- Sektion Phoniatrie und Pädaudiologie, Universitätsklinikum Ulm, Ulm, Deutschland
| | - T K Hoffmann
- Klinik für Hals‑, Nasen‑, Ohrenheilkunde und Kopf-Hals-Chirurgie, Universitätsklinikum Ulm, Frauensteige 12, 89075, Ulm, Deutschland
| | - E Goldberg-Bockhorn
- Klinik für Hals‑, Nasen‑, Ohrenheilkunde und Kopf-Hals-Chirurgie, Universitätsklinikum Ulm, Frauensteige 12, 89075, Ulm, Deutschland
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3
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Cavacas MA, Doroteia C, Leonardo AM, Proença L, Tavares V. Industrial noise: A new stimulus for dental pulp aging? Qualitative and quantitative analysis in Wistar rat teeth–A pilot study. FRONTIERS IN ORAL HEALTH 2022; 3:859664. [PMID: 36186540 PMCID: PMC9521033 DOI: 10.3389/froh.2022.859664] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2022] [Accepted: 08/04/2022] [Indexed: 11/28/2022] Open
Abstract
Morphological changes induced by industrial noise have been experimentally observed in several organs. This study aims to characterize the effect of industrial noise on the pulp cell density of Wistar rats from a histological point of view, through qualitative and quantitative analysis. The histologic sections were observed over the optical microscope and photographed using 10x and 40x magnifications and analyzed using an image processing software. They refer to a group of animals exposed to industrial noise for 3 months and for 7 months (EG) and another group of animals kept in silence for control (CG) during the same periods. There was a significant decrease in pulp cell density in teeth of the animals exposed for 3 months when compared to control teeth group (p = 0.01). However, in the group exposed for 7 months, no statistically significant differences were found (p = 0.66). Even so, we found an evident relationship between exposure to industrial noise and teeth morphological changes. The observed changes are similar to the modifications found on aged teeth. Therefore, this study places industrial noise as an aggressive stimulus that can cause a reaction of the pulp-dentin complex with morphological changes compatible with premature aging of the tooth.
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Affiliation(s)
- Maria Alzira Cavacas
- Centro de Investigação Interdisciplinar Egas Moniz (CiiEM), Almada, Portugal
- Anatomy Department, Instituto Universitário Egas Moniz, Almada, Portugal
- Histology and Embryology Department, Instituto Universitário Egas Moniz, Almada, Portugal
- *Correspondence: Maria Alzira Cavacas
| | - Carolina Doroteia
- Histology and Embryology Department, Instituto Universitário Egas Moniz, Almada, Portugal
| | | | - Luís Proença
- Centro de Investigação Interdisciplinar Egas Moniz (CiiEM), Almada, Portugal
- Quantitative Methods for Health Research, Centro de Investigação Interdisciplinar Egas Moniz (CiiEM), Egas Moniz, Almada, Portugal
| | - Vítor Tavares
- Centro de Investigação Interdisciplinar Egas Moniz (CiiEM), Almada, Portugal
- Anatomy Department, Instituto Universitário Egas Moniz, Almada, Portugal
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4
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Frenis K, Kuntic M, Hahad O, Bayo Jimenez MT, Oelze M, Daub S, Steven S, Münzel T, Daiber A. Redox Switches in Noise-Induced Cardiovascular and Neuronal Dysregulation. Front Mol Biosci 2021; 8:784910. [PMID: 34869603 PMCID: PMC8637611 DOI: 10.3389/fmolb.2021.784910] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2021] [Accepted: 10/28/2021] [Indexed: 12/12/2022] Open
Abstract
Environmental exposures represent a significant health hazard, which cumulatively may be responsible for up to 2/3 of all chronic non-communicable disease and associated mortality (Global Burden of Disease Study and The Lancet Commission on Pollution and Health), which has given rise to a new concept of the exposome: the sum of environmental factors in every individual’s experience. Noise is part of the exposome and is increasingly being investigated as a health risk factor impacting neurological, cardiometabolic, endocrine, and immune health. Beyond the well-characterized effects of high-intensity noise on cochlear damage, noise is relatively well-studied in the cardiovascular field, where evidence is emerging from both human and translational experiments that noise from traffic-related sources could represent a risk factor for hypertension, ischemic heart disease, diabetes, and atherosclerosis. In the present review, we comprehensively discuss the current state of knowledge in the field of noise research. We give a brief survey of the literature documenting experiments in noise exposure in both humans and animals with a focus on cardiovascular disease. We also discuss the mechanisms that have been uncovered in recent years that describe how exposure to noise affects physiological homeostasis, leading to aberrant redox signaling resulting in metabolic and immune consequences, both of which have considerable impact on cardiovascular health. Additionally, we discuss the molecular pathways of redox involvement in the stress responses to noise and how they manifest in disruptions of the circadian rhythm, inflammatory signaling, gut microbiome composition, epigenetic landscape and vessel function.
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Affiliation(s)
- Katie Frenis
- Department of Cardiology, Molecular Cardiology, University Medical Center, Mainz, Germany.,Boston Children's Hospital and Harvard Medical School, Boston, MA, United States
| | - Marin Kuntic
- Department of Cardiology, Molecular Cardiology, University Medical Center, Mainz, Germany
| | - Omar Hahad
- Department of Cardiology, Molecular Cardiology, University Medical Center, Mainz, Germany.,German Center for Cardiovascular Research (DZHK), Partner Site Rhine-Main, Mainz, Germany
| | | | - Matthias Oelze
- Department of Cardiology, Molecular Cardiology, University Medical Center, Mainz, Germany
| | - Steffen Daub
- Department of Cardiology, Molecular Cardiology, University Medical Center, Mainz, Germany
| | - Sebastian Steven
- Department of Cardiology, Molecular Cardiology, University Medical Center, Mainz, Germany
| | - Thomas Münzel
- Department of Cardiology, Molecular Cardiology, University Medical Center, Mainz, Germany.,German Center for Cardiovascular Research (DZHK), Partner Site Rhine-Main, Mainz, Germany
| | - Andreas Daiber
- Department of Cardiology, Molecular Cardiology, University Medical Center, Mainz, Germany.,German Center for Cardiovascular Research (DZHK), Partner Site Rhine-Main, Mainz, Germany
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Abstract
Epidemiological studies have found that transportation noise increases the risk of cardiovascular morbidity and mortality, with high-quality evidence for ischaemic heart disease. According to the WHO, ≥1.6 million healthy life-years are lost annually from traffic-related noise in Western Europe. Traffic noise at night causes fragmentation and shortening of sleep, elevation of stress hormone levels, and increased oxidative stress in the vasculature and the brain. These factors can promote vascular dysfunction, inflammation and hypertension, thereby elevating the risk of cardiovascular disease. In this Review, we focus on the indirect, non-auditory cardiovascular health effects of transportation noise. We provide an updated overview of epidemiological research on the effects of transportation noise on cardiovascular risk factors and disease, discuss the mechanistic insights from the latest clinical and experimental studies, and propose new risk markers to address noise-induced cardiovascular effects in the general population. We also explain, in detail, the potential effects of noise on alterations of gene networks, epigenetic pathways, gut microbiota, circadian rhythm, signal transduction along the neuronal-cardiovascular axis, oxidative stress, inflammation and metabolism. Lastly, we describe current and future noise-mitigation strategies and evaluate the status of the existing evidence on noise as a cardiovascular risk factor.
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Pereira GM, Santos M, Pereira SS, Borrecho G, Tortosa F, Brito J, Freitas D, de Carvalho AO, Águas A, Oliveira MJ, Oliveira P. High-intensity infrasound effects on glucose metabolism in rats. Sci Rep 2021; 11:17273. [PMID: 34446814 PMCID: PMC8390459 DOI: 10.1038/s41598-021-96796-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2021] [Accepted: 08/17/2021] [Indexed: 11/09/2022] Open
Abstract
Recent focus has been given on the effects of high-intensity infrasound (HII) exposure, and whether it induces changes in pancreatic morphology and glucose metabolism is still unknown. As such, we have studied the impact of HII exposure on glucose tolerance, insulin sensitivity, pancreatic islet morphology, muscle GLUT4 and plasma insulin and corticosterone levels. Normal and glucose intolerant wild-type Wistar rats were randomly divided in two groups: one group not exposed to HII and the other continuously exposed to HII. Animals were sacrificed at three timepoints of exposure (1, 6 or 12 weeks). An intraperitoneal glucose tolerance test was performed, blood samples were collected and the pancreas and the quadriceps femoris muscle were excised. Circulating insulin and corticosterone levels were determined and pancreatic and muscular tissue were routinely processed for histochemistry and immunohistochemistry with an anti-GLUT4 antibody. Animals exposed to HII had higher corticosterone levels than animals not exposed. No differences were found on insulin concerning HII exposure or glucose intolerance. Glucose intolerant animals had pancreatic islet fibrosis and no differences were found in GLUT4 ratio concerning HII exposure. In conclusion, we found that continuous exposure to HII increases stress hormone levels without inducing glucose intolerance in rats.
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Affiliation(s)
- Gonçalo Martins Pereira
- Center for Interdisciplinary Research Egas Moniz (CiiEM), Quinta da Granja, Monte da Caparica, 2829-511, Caparica, Portugal.
| | - Madalena Santos
- Department of Anatomy and UMIB-ITR (Unit for Multidisciplinary Research in Biomedicine - Laboratory for Integrative and Translational Research in Population Health), ICBAS (Instituto de Ciências Biomédicas Abel Salazar), Universidade Do Porto, Porto, Portugal
| | - Sofia S Pereira
- Department of Anatomy and UMIB-ITR (Unit for Multidisciplinary Research in Biomedicine - Laboratory for Integrative and Translational Research in Population Health), ICBAS (Instituto de Ciências Biomédicas Abel Salazar), Universidade Do Porto, Porto, Portugal
| | - Gonçalo Borrecho
- Center for Interdisciplinary Research Egas Moniz (CiiEM), Quinta da Granja, Monte da Caparica, 2829-511, Caparica, Portugal
| | - Francisco Tortosa
- Center for Interdisciplinary Research Egas Moniz (CiiEM), Quinta da Granja, Monte da Caparica, 2829-511, Caparica, Portugal
| | - José Brito
- Center for Interdisciplinary Research Egas Moniz (CiiEM), Quinta da Granja, Monte da Caparica, 2829-511, Caparica, Portugal
| | - Diamantino Freitas
- Laboratory of Acoustics, Faculty of Engineering (FEUP), University of Porto, Porto, Portugal
| | | | - Artur Águas
- Department of Anatomy and UMIB-ITR (Unit for Multidisciplinary Research in Biomedicine - Laboratory for Integrative and Translational Research in Population Health), ICBAS (Instituto de Ciências Biomédicas Abel Salazar), Universidade Do Porto, Porto, Portugal
| | - Maria João Oliveira
- Department of Anatomy and UMIB-ITR (Unit for Multidisciplinary Research in Biomedicine - Laboratory for Integrative and Translational Research in Population Health), ICBAS (Instituto de Ciências Biomédicas Abel Salazar), Universidade Do Porto, Porto, Portugal
| | - Pedro Oliveira
- Center for Interdisciplinary Research Egas Moniz (CiiEM), Quinta da Granja, Monte da Caparica, 2829-511, Caparica, Portugal
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Vahl JM, von Witzleben A, Reiter R, Theodoraki MN, Wigand M, Hoffmann TK, Goldberg-Bockhorn E. Infrasound a new weapon in cancer therapy? Explore (NY) 2021; 18:366-370. [PMID: 33745848 DOI: 10.1016/j.explore.2021.03.001] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2020] [Revised: 02/25/2021] [Accepted: 03/07/2021] [Indexed: 12/12/2022]
Abstract
BACKGROUND Researchers take different positions when describing the effects of infrasound on the human body. Although several studies investigated the likely harmful effects of infrasound exposure from wind turbines a significant connection has not been found yet. There is evidence that infrasound interacts with cell metabolism and may disrupt cell membrane integrity. OBJECTIVES The suggested impairment of the cells' ultrastructure by infrasound leads to the question of whether infrasound can be therapeutically used, for instance in cancer therapy. This review provides the current state of the literature. METHOD Current literature on infrasound in cancer therapy including all studies with the search terms 'cancer' and 'infrasound' were identified and reviewed until the year 2020. RESULTS The present state of research reveals promising effects of targeted infrasound in cancer therapy. Infrasound directly affects the tumor cells' ultrastructure and seems to sensitize several types of cancer to chemotherapy, presumably due to membrane permeabilization. The application of infrasound on tumor cells without other therapeutic agents demonstrates different effects that probably depend on the type of cells, the applied frequency and sound pressure level as well as the time of exposure. CONCLUSIONS The mechanism of infrasound on cancer cells is not completely understood yet, hence, further studies have to be conducted to clarify the ultrastructural and metabolic changes inside the tumor cells. The development of suitable infrasound generators for the application in a clinical setting would be an important course of action.
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Affiliation(s)
- J M Vahl
- Department of Otorhinolaryngology, Head and Neck Surgery, Ulm University Medical Center, 89075 Ulm, Germany.
| | - A von Witzleben
- Department of Otorhinolaryngology, Head and Neck Surgery, Ulm University Medical Center, 89075 Ulm, Germany
| | - R Reiter
- Department of Phoniatrics and Pedaudiology, Ulm University Medical Center, 89075 Ulm, Germany
| | - M N Theodoraki
- Department of Otorhinolaryngology, Head and Neck Surgery, Ulm University Medical Center, 89075 Ulm, Germany
| | - M Wigand
- Department of Otorhinolaryngology, Head and Neck Surgery, Ulm University Medical Center, 89075 Ulm, Germany
| | - T K Hoffmann
- Department of Otorhinolaryngology, Head and Neck Surgery, Ulm University Medical Center, 89075 Ulm, Germany
| | - E Goldberg-Bockhorn
- Department of Otorhinolaryngology, Head and Neck Surgery, Ulm University Medical Center, 89075 Ulm, Germany
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Martins Pereira G, Pereira SS, Santos M, Brito J, Freitas D, Oliveira de Carvalho A, Águas A, Oliveira MJ, Oliveira P. Effects of high-intensity infrasound on liver lipid content of rats. Heliyon 2020; 6:e04383. [PMID: 32671268 PMCID: PMC7338782 DOI: 10.1016/j.heliyon.2020.e04383] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2020] [Revised: 06/11/2020] [Accepted: 06/29/2020] [Indexed: 02/01/2023] Open
Abstract
Previous experimental studies show that exposure to noise with high and audible frequencies causes multiple metabolic alterations, such as increased liver glycogen and triglycerides. However, the effect of exposure to sound with lower frequencies, such as high-intensity infrasound (frequency <20 Hz and sound pressure level >90 dB), on the liver lipid content is still unclear. As such, we aimed to study the effect of exposure to high-intensity infrasound of both normal and glucose intolerant rats on the liver lipid content. For this study, 79 wild-type male Wistar rats were randomly divided into two groups: G1, no treatment, and G2, induced glucose intolerance. Each of these two groups was randomly divided in two subgroups: s (animals kept in silence) and i (animals continuously exposed to high-intensity infrasound noise). At three noise-exposure time-points (1, 6 and 12 weeks) the rats were sacrificed, the liver was excised and hepatic lipids extracted. Data analysis was performed using a two-way ANOVA (p = 0.05). No significant effects due to interactions between the several factors exist on the liver lipid content (p=0.077). Moreover, no significant effects due to infrasound exposure (p=0.407) or glucose tolerance status (p=0.938) were observed. Our study shows that continuous exposure to high-intensity infrasound has no influence on the lipid content of the liver of both normal and glucose intolerant animals. This finding reinforces the need for further experimental studies on the physiological effects of infrasound due to its possible hazardous effects on human health.
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Affiliation(s)
- Gonçalo Martins Pereira
- Center for Interdisciplinary Research Egas Moniz (CiiEM), Monte da Caparica, Portugal
- Corresponding author.
| | - Sofia S. Pereira
- Unidade Multidisciplinar de Investigação Biomédica – UMIB, Universidade do Porto – UP, Porto, Portugal
| | - Madalena Santos
- Unidade Multidisciplinar de Investigação Biomédica – UMIB, Universidade do Porto – UP, Porto, Portugal
| | - José Brito
- Center for Interdisciplinary Research Egas Moniz (CiiEM), Monte da Caparica, Portugal
| | - Diamantino Freitas
- Laboratory of Acoustics, Faculty of Engineering (FEUP), University of Porto, Porto, Portugal
| | | | - Artur Águas
- Unidade Multidisciplinar de Investigação Biomédica – UMIB, Universidade do Porto – UP, Porto, Portugal
| | - Maria João Oliveira
- Unidade Multidisciplinar de Investigação Biomédica – UMIB, Universidade do Porto – UP, Porto, Portugal
| | - Pedro Oliveira
- Center for Interdisciplinary Research Egas Moniz (CiiEM), Monte da Caparica, Portugal
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Atrial fibrosis and decreased connexin 43 in rat hearts after exposure to high-intensity infrasound. Exp Mol Pathol 2020; 114:104409. [PMID: 32088192 DOI: 10.1016/j.yexmp.2020.104409] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2019] [Revised: 01/02/2020] [Accepted: 02/19/2020] [Indexed: 11/22/2022]
Abstract
BACKGROUND Noise is an important environmental risk factor. Industrial environments are rich in high-intensity infrasound (hi-IFS), which we have found to induce myocardial and coronary perivascular fibrosis in rats. The effects of exposure to IFS on the ventricles have been studied, but not on the atria. We hypothesized that rats exposed to hi-IFS develop atrial remodeling involving fibrosis and connexin 43, which we sought to evaluate. MATERIAL AND METHODS Seventy-two Wistar rats, half exposed to hi-IFS (120 dB, <20 Hz) during a maximum period of 12 weeks and half age-matched controls, were studied. Atrial fibrosis was analyzed by Chromotrope-aniline blue staining. The immunohistochemical evaluation of Cx43 was performed using the polyclonal antibody connexin-43 m diluted 1:1000 at 4 °C overnight. Digitized images were obtained with an optical microscope using 400× magnifications. The measurements were performed using image J software. A two-way ANOVA model was used to compare the groups. RESULTS The mean values of the ratio "atrial fibrosis / cardiomyocytes" increased to a maximum of 0.1095 ± 0,04 and 0.5408 ± 0,01, and of the ratio "CX43 / cardiomyocytes" decreased to 0.0834 ± 0,03 and 0.0966 ± 0,03, respectively in IFS-exposed rats and controls. IFS-exposed rats exhibited a significantly higher ratio of fibrosis (p < .001) and lower ratio of Cx43 (p = .009). CONCLUSION High-intensity infrasound exposure leads to an increase in atrial interstitial fibrosis and a decrease in connexin 43 in rat hearts. This finding reinforces the need for further experimental and clinical studies concerning the effects of exposure to infrasound.
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