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Pereira AG, Costa NA, Amancio SCP, Okoshi MP, Zornoff LAM, Azevedo PS, Minicucci MF, de Paiva SAR, Polegato BF. Effect of Thiamine on Clinical Outcomes in Septic Shock Patients: A Randomized, Double-Blinded Pilot Study. Am J Respir Crit Care Med 2023; 208:616-618. [PMID: 37053464 DOI: 10.1164/rccm.202208-1583le] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2022] [Accepted: 04/13/2023] [Indexed: 04/15/2023] Open
Affiliation(s)
- Amanda G Pereira
- Department of Internal Medicine, Botucatu Medical School, São Paulo State University (UNESP), Botucatu, Brazil; and
| | - Nara A Costa
- Faculty of Nutrition, Federal University of Goiás (UFG), Goiânia, Brazil
| | - Stéfanie C P Amancio
- Department of Internal Medicine, Botucatu Medical School, São Paulo State University (UNESP), Botucatu, Brazil; and
| | - Marina P Okoshi
- Department of Internal Medicine, Botucatu Medical School, São Paulo State University (UNESP), Botucatu, Brazil; and
| | - Leonardo A M Zornoff
- Department of Internal Medicine, Botucatu Medical School, São Paulo State University (UNESP), Botucatu, Brazil; and
| | - Paula S Azevedo
- Department of Internal Medicine, Botucatu Medical School, São Paulo State University (UNESP), Botucatu, Brazil; and
| | - Marcos F Minicucci
- Department of Internal Medicine, Botucatu Medical School, São Paulo State University (UNESP), Botucatu, Brazil; and
| | - Sérgio A R de Paiva
- Department of Internal Medicine, Botucatu Medical School, São Paulo State University (UNESP), Botucatu, Brazil; and
| | - Bertha F Polegato
- Department of Internal Medicine, Botucatu Medical School, São Paulo State University (UNESP), Botucatu, Brazil; and
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2
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Fujimori ASS, Ribeiro APD, Pereira AG, Dias-Audibert FL, Tonon CR, dos Santos PP, Dantas D, Zanati SG, Catharino RR, Zornoff LAM, Azevedo PS, de Paiva SAR, Okoshi MP, Lima EO, Polegato BF. Effects of Pera Orange Juice and Moro Orange Juice in Healthy Rats: A Metabolomic Approach. Metabolites 2023; 13:902. [PMID: 37623846 PMCID: PMC10456557 DOI: 10.3390/metabo13080902] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2023] [Revised: 07/18/2023] [Accepted: 07/25/2023] [Indexed: 08/26/2023] Open
Abstract
Cardiovascular disease is a leading cause of death worldwide. Heart failure is a cardiovascular disease with high prevalence, morbidity, and mortality. Several natural compounds have been studied for attenuating pathological cardiac remodeling. Orange juice has been associated with cardiovascular disease prevention by attenuating oxidative stress. However, most studies have evaluated isolated phytochemicals rather than whole orange juice and usually under pathological conditions. In this study, we evaluated plasma metabolomics in healthy rats receiving Pera or Moro orange juice to identify possible metabolic pathways and their effects on the heart. METHODS Sixty male Wistar rats were allocated into 3 groups: control (C), Pera orange juice (PO), and Moro orange juice (MO). PO and MO groups received Pera orange juice or Moro orange juice, respectively, and C received water with maltodextrin (100 g/L). Echocardiogram and euthanasia were performed after 4 weeks. Plasma metabolomic analysis was performed by high-resolution mass spectrometry. Type I collagen was evaluated in picrosirius red-stained slides and matrix metalloproteinase (MMP)-2 activity by zymography. MMP-9, tissue inhibitor of metalloproteinase (TIMP)-2, TIMP-4, type I collagen, and TNF-α protein expression were evaluated by Western blotting. RESULTS We differentially identified three metabolites in PO (N-docosahexaenoyl-phenylalanine, diglyceride, and phosphatidylethanolamine) and six in MO (N-formylmaleamic acid, N2-acetyl-L-ornithine, casegravol isovalerate, abscisic alcohol 11-glucoside, cyclic phosphatidic acid, and torvoside C), compared to controls, which are recognized for their possible roles in cardiac remodeling, such as extracellular matrix regulation, inflammation, oxidative stress, and membrane integrity. Cardiac function, collagen level, MMP-2 activity, and MMP-9, TIMP-2, TIMP-4, type I collagen, and TNF-α protein expression did not differ between groups. CONCLUSION Ingestion of Pera and Moro orange juice induces changes in plasma metabolites related to the regulation of extracellular matrix, inflammation, oxidative stress, and membrane integrity in healthy rats. Moro orange juice induces a larger number of differentially expressed metabolites than Pera orange juice. Alterations in plasma metabolomics induced by both orange juice are not associated with modifications in cardiac extracellular matrix components. Our results allow us to postulate that orange juice may have beneficial effects on pathological cardiac remodeling.
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Affiliation(s)
- Anderson S. S. Fujimori
- Internal Medicine Department, Botucatu Medical School, São Paulo State University (UNESP), Botucatu 18618-687, Brazil; (A.S.S.F.); (A.P.D.R.); (A.G.P.); (C.R.T.); (P.P.d.S.); (D.D.); (S.G.Z.); (L.A.M.Z.); (P.S.A.); (S.A.R.d.P.); (M.P.O.); (E.O.L.)
| | - Ana P. D. Ribeiro
- Internal Medicine Department, Botucatu Medical School, São Paulo State University (UNESP), Botucatu 18618-687, Brazil; (A.S.S.F.); (A.P.D.R.); (A.G.P.); (C.R.T.); (P.P.d.S.); (D.D.); (S.G.Z.); (L.A.M.Z.); (P.S.A.); (S.A.R.d.P.); (M.P.O.); (E.O.L.)
| | - Amanda G. Pereira
- Internal Medicine Department, Botucatu Medical School, São Paulo State University (UNESP), Botucatu 18618-687, Brazil; (A.S.S.F.); (A.P.D.R.); (A.G.P.); (C.R.T.); (P.P.d.S.); (D.D.); (S.G.Z.); (L.A.M.Z.); (P.S.A.); (S.A.R.d.P.); (M.P.O.); (E.O.L.)
| | - Flávia L. Dias-Audibert
- Innovare Biomarkers Laboratory, School of Pharmaceutical Sciences, University of Campinas, Campinas 13083-970, Brazil; (F.L.D.-A.); (R.R.C.)
| | - Carolina R. Tonon
- Internal Medicine Department, Botucatu Medical School, São Paulo State University (UNESP), Botucatu 18618-687, Brazil; (A.S.S.F.); (A.P.D.R.); (A.G.P.); (C.R.T.); (P.P.d.S.); (D.D.); (S.G.Z.); (L.A.M.Z.); (P.S.A.); (S.A.R.d.P.); (M.P.O.); (E.O.L.)
| | - Priscila P. dos Santos
- Internal Medicine Department, Botucatu Medical School, São Paulo State University (UNESP), Botucatu 18618-687, Brazil; (A.S.S.F.); (A.P.D.R.); (A.G.P.); (C.R.T.); (P.P.d.S.); (D.D.); (S.G.Z.); (L.A.M.Z.); (P.S.A.); (S.A.R.d.P.); (M.P.O.); (E.O.L.)
| | - Danielle Dantas
- Internal Medicine Department, Botucatu Medical School, São Paulo State University (UNESP), Botucatu 18618-687, Brazil; (A.S.S.F.); (A.P.D.R.); (A.G.P.); (C.R.T.); (P.P.d.S.); (D.D.); (S.G.Z.); (L.A.M.Z.); (P.S.A.); (S.A.R.d.P.); (M.P.O.); (E.O.L.)
| | - Silmeia G. Zanati
- Internal Medicine Department, Botucatu Medical School, São Paulo State University (UNESP), Botucatu 18618-687, Brazil; (A.S.S.F.); (A.P.D.R.); (A.G.P.); (C.R.T.); (P.P.d.S.); (D.D.); (S.G.Z.); (L.A.M.Z.); (P.S.A.); (S.A.R.d.P.); (M.P.O.); (E.O.L.)
| | - Rodrigo R. Catharino
- Innovare Biomarkers Laboratory, School of Pharmaceutical Sciences, University of Campinas, Campinas 13083-970, Brazil; (F.L.D.-A.); (R.R.C.)
| | - Leonardo A. M. Zornoff
- Internal Medicine Department, Botucatu Medical School, São Paulo State University (UNESP), Botucatu 18618-687, Brazil; (A.S.S.F.); (A.P.D.R.); (A.G.P.); (C.R.T.); (P.P.d.S.); (D.D.); (S.G.Z.); (L.A.M.Z.); (P.S.A.); (S.A.R.d.P.); (M.P.O.); (E.O.L.)
| | - Paula S. Azevedo
- Internal Medicine Department, Botucatu Medical School, São Paulo State University (UNESP), Botucatu 18618-687, Brazil; (A.S.S.F.); (A.P.D.R.); (A.G.P.); (C.R.T.); (P.P.d.S.); (D.D.); (S.G.Z.); (L.A.M.Z.); (P.S.A.); (S.A.R.d.P.); (M.P.O.); (E.O.L.)
| | - Sergio A. R. de Paiva
- Internal Medicine Department, Botucatu Medical School, São Paulo State University (UNESP), Botucatu 18618-687, Brazil; (A.S.S.F.); (A.P.D.R.); (A.G.P.); (C.R.T.); (P.P.d.S.); (D.D.); (S.G.Z.); (L.A.M.Z.); (P.S.A.); (S.A.R.d.P.); (M.P.O.); (E.O.L.)
| | - Marina P. Okoshi
- Internal Medicine Department, Botucatu Medical School, São Paulo State University (UNESP), Botucatu 18618-687, Brazil; (A.S.S.F.); (A.P.D.R.); (A.G.P.); (C.R.T.); (P.P.d.S.); (D.D.); (S.G.Z.); (L.A.M.Z.); (P.S.A.); (S.A.R.d.P.); (M.P.O.); (E.O.L.)
| | - Estela O. Lima
- Internal Medicine Department, Botucatu Medical School, São Paulo State University (UNESP), Botucatu 18618-687, Brazil; (A.S.S.F.); (A.P.D.R.); (A.G.P.); (C.R.T.); (P.P.d.S.); (D.D.); (S.G.Z.); (L.A.M.Z.); (P.S.A.); (S.A.R.d.P.); (M.P.O.); (E.O.L.)
| | - Bertha F. Polegato
- Internal Medicine Department, Botucatu Medical School, São Paulo State University (UNESP), Botucatu 18618-687, Brazil; (A.S.S.F.); (A.P.D.R.); (A.G.P.); (C.R.T.); (P.P.d.S.); (D.D.); (S.G.Z.); (L.A.M.Z.); (P.S.A.); (S.A.R.d.P.); (M.P.O.); (E.O.L.)
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3
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Batista AA, Lazzarin T, Pereira FW, Baccaro A, Rocha OM, Narimatsu KL, Souza JT, Modesto PN, Zanati Bazan SG, Tanni SE, Okoshi MP, Polegato BF, Paiva SA, Zornoff L, Minicucci MF, Azevedo PS. Serum Vitamin D Levels, Disease Activity Score-28 for Rheumatoid Arthritis with C-Reactive Protein (DAS28-CRP), and Cardiac Remodeling Determined by Ventricular Dimensions and Left Atrium Diameter in Patients with Rheumatoid Arthritis: A Prospective Observational Study. Med Sci Monit 2023; 29:e938989. [PMID: 36609557 PMCID: PMC9832721 DOI: 10.12659/msm.938989] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022] Open
Abstract
BACKGROUND Rheumatoid arthritis (RA) can cause extra-articular manifestations, and the myocardium can be a target. This study aimed to describe structural and functional cardiac echocardiographic variables in RA patients and to evaluate whether vitamin D (VD) levels and inflammation markers, evaluated by Disease Activity Score-28 for Rheumatoid Arthritis with C-reactive protein (DAS28-CRP), are associated with cardiac remodeling (CR) in this population. MATERIAL AND METHODS This prospective observational study evaluated 90 patients with RA in Botucatu University Hospital wards from 2014 to 2017. Clinical data were recorded, including demographic information, comorbidities, length of disease, and treatment type. Serum VD and C-reactive protein levels were measured, and the DAS28-CRP was calculated. A transthoracic echocardiography study was performed. The outcome evaluated was CR. This parameter was assessed by left ventricular geometric patterns and left atrium diameter. RESULTS We evaluated 90 RA patients. The mean age was 52.9±10.8 years, and 17.8% were male. The length of the disease was 96 (60-180) months. Serum VD levels were 30.7±10.4 ng/mL and the DAS28 was 2.7±0.9. Regarding the CR parameters, 56.7% had altered left ventricular geometric patterns and 25.8% had enlargement of left atrium diameter. Even in multivariate analysis, the left ventricular geometric patterns were not associated with the VD levels and the inflammation marker used. However, sufficient VD levels protect from left atrium enlargement (OR: 0.905; IC 95%: 0.843-0.973; P=0.007). CONCLUSIONS Low serum vitamin D values, but not inflammation, are associated with CR in patients with RA.
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Affiliation(s)
- Andrea A.P. Batista
- Department of Internal Medicine, São Paulo State University (UNESP), Botucatu Medical School, Botucatu, SP, Brazil
| | - Taline Lazzarin
- Department of Internal Medicine, São Paulo State University (UNESP), Botucatu Medical School, Botucatu, SP, Brazil
| | - Filipe W.L. Pereira
- Department of Internal Medicine, São Paulo State University (UNESP), Botucatu Medical School, Botucatu, SP, Brazil
| | - Antonio Baccaro
- Department of Internal Medicine, São Paulo State University (UNESP), Botucatu Medical School, Botucatu, SP, Brazil
| | - Oswaldo M. Rocha
- Department of Internal Medicine, São Paulo State University (UNESP), Botucatu Medical School, Botucatu, SP, Brazil
| | - Karina L. Narimatsu
- Department of Internal Medicine, São Paulo State University (UNESP), Botucatu Medical School,, Botucatu, SP, Brazil
| | - Juli T. Souza
- Department of Internal Medicine, São Paulo State University (UNESP), Botucatu Medical School, Botucatu, SP, Brazil
| | - Pamela N. Modesto
- Department of Internal Medicine, São Paulo State University (UNESP), Botucatu Medical School,, Botucatu, SP, Brazil
| | - Silméia Garcia Zanati Bazan
- Department of Internal Medicine, São Paulo State University (UNESP), Botucatu Medical School, Botucatu, SP, Brazil
| | - Suzana E. Tanni
- Department of Internal Medicine, São Paulo State University (UNESP), Botucatu Medical School, Botucatu, SP, Brazil
| | - Marina P. Okoshi
- Department of Internal Medicine, São Paulo State University (UNESP), Botucatu Medical School, Botucatu, SP, Brazil
| | - Bertha F. Polegato
- Department of Internal Medicine, São Paulo State University (UNESP), Botucatu Medical School,, Botucatu, SP, Brazil
| | - Sergio A.R. Paiva
- Department of Internal Medicine, São Paulo State University (UNESP), Botucatu Medical School, Botucatu, SP, Brazil
| | - Leonardo Zornoff
- Department of Internal Medicine, São Paulo State University (UNESP), Botucatu Medical School, Botucatu, SP, Brazil
| | - Marcos F. Minicucci
- Department of Internal Medicine, São Paulo State University (UNESP), Botucatu Medical School, Botucatu, SP, Brazil
| | - Paula S. Azevedo
- Department of Internal Medicine, São Paulo State University (UNESP), Botucatu Medical School, Botucatu, SP, Brazil
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4
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Garcia LR, Garzesi AM, Affonso PHDV, Tonon CR, Felicio ML, Brito FS, Martins AS, Campos NLKL, Okoshi MP, Paiva SAR, Minicucci MF, Polegato BF, Zornoff LAM. Thiamine as an outcome predictor in postoperative CABG patients. Eur Heart J 2022. [DOI: 10.1093/eurheartj/ehac544.1244] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Introduction
Coronary artery bypass graft surgery (CABG) is one of the most performed cardiovascular procedures worldwide. Despite good outcomes, CABG induces systemic inflammation, increases oxidative stress and increases catabolism. As thiamine act as a cofactor in glucose metabolism and glutathione synthesis, its deficiency could have a high prevalence in critically ill patients.
Purpose
To assess the association between plasma thiamine concentrations and clinical outcomes and 30-day mortality in patients undergoing non-emergency CABG.
Methods
Prospective and observational study that included consecutive patients older than 18 years undergoing CABG that assigned the consent form. Plasma thiamine concentrations were determined before and 24 hours after the procedure by the high-performance liquid chromatography method. The clinical outcomes evaluated were perioperative acute myocardial infarction, heart failure, cardiogenic shock, arrhythmias, stroke and acute kidney injury. Mortality was evaluated on the 30th day after CABG.
Results
The study included 131 patients submitted to CABG. The mean age was 61±9.1 years, 73.3% were men, and the mean EuroScore II value was 1.78±1.3%. Before CABG, plasmatic thiamine concentration was 33±15ng/ml, and 15% of the patients had thiamine deficiency. After CABG, plasmatic thiamine concentration was 20±8ng/ml. All patients diminished plasmatic thiamine concentration after CABG. Mortality was 16% and 24% of patients presented acute kidney injury. Combined outcomes, which included the presence of acute myocardial infarction, heart failure, cardiogenic shock, arrhythmias, stroke, acute kidney injury or death, was present in 52% of the patients. Percentage of thiamine variation between before and after CABG was not associated with mortality (34±14 vs 41±10%; p=0.063); however, it was associated with acute kidney injury (40±14 vs 34±13%; p=0.027) and combined outcomes (37±13 vs 33±14%; p=0.035).
Conclusion
Percentage of thiamine variation from before to after CABG was associated with acute kidney injury and combined outcomes in these patients.
Funding Acknowledgement
Type of funding sources: None.
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Affiliation(s)
- L R Garcia
- UNESP, Medical School , Botucatu , Brazil
| | | | | | - C R Tonon
- UNESP, Medical School , Botucatu , Brazil
| | | | - F S Brito
- UNESP, Medical School , Botucatu , Brazil
| | | | | | - M P Okoshi
- UNESP, Medical School , Botucatu , Brazil
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5
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Damatto FC, Paschoareli GL, Rosa CM, Gomes MJ, Pagan LU, Damatto RL, Rodrigues EA, Pontes TH, Reyes DRA, Cezar MDM, Oliveira LRS, Zornoff LAM, Rego ABGC, Okoshi MP, Okoshi K. Influence of the SGLT2 inhibitor empagliflozin on post myocardial infarction rat hearts. Eur Heart J 2022. [DOI: 10.1093/eurheartj/ehac544.1115] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Studies have shown that inhibition of the sodium glucose transporter protein 2 (SGLT2) reduces cardiovascular death in patients with heart failure and reduced ejection fraction. However, the mechanisms involved in the benefits of SGLT2 inhibitors are poorly understood.
Objective
To evaluate the effects of empagliflozin (EMP) on normal and post-myocardial infarction (MI) rat hearts.
Methods
Male Wistar rats (n=80) were assigned into four groups: Sham; Sham treated with EMP (Sham-EMP); myocardial infarction (MI); and MI treated with EMP (MI-EMP). EMP added to rat chow (5 mg/kg/day) was initiated 10 days after MI induction and maintained for 12 weeks. Echocardiogram was performed at the end of the experimental period. Markers of oxidative stress, energy metabolism, and respiratory complex activity were analyzed in left ventricular myocardium. Statistical analysis: ANOVA.
Results
Histological evaluation showed that EMP did not change infarct size. Cardiac structural and functional parameters did not differ between MI-EMP and MI groups. Myocardial oxidative stress, evaluated by lipid hydroperoxide concentration, was lower in MI-EMP than MI group (Sham 143±26; Sham-EMP 123±20; MI 183±29; MI-EMP 137±11 nmol/g tissue). Glutathione peroxidase was lower in the infarcted groups and did not differ between MI-EMP and MI (Sham 37.6±6.14; Sham-EMP 40.8±10.1; MI 27.7±6.61; MI-EMP 26.5±6.80 μmol/g tissue). Activity of the energy metabolism enzymes lactate dehydrogenase (Sham 45.2±6.65; Sham-EMP 41.1±9.33; MI 58.4±14.4; MI-EMP 55.7±10.1 nmol/mg protein) and citrate synthase (Sham 30.4±4.25; Sham-EMP 37.2±4.85; MI 45.8±8.47; MI-EMP 46.5±9.95 nmol/mg protein) was higher, and β-hydroxyacyl-CoA dehydrogenase (Sham 24.0±3.12; Sham-EMP 20.4±4.84; MI 16.9±4.81; MI-EMP 14.4±4.58 nmol/mg protein) lower in the infarcted groups with no differences between MI-EMP and MI. Respiratory complexes I and II, and ATP synthase did not differ between the infarcted groups.
Conclusion
Empagliflozin reduces myocardial oxidative stress independent of changes in antioxidant enzymes activity, energy metabolism, and respiratory complex activity in the myocardium of infarcted rats.
Funding Acknowledgement
Type of funding sources: Foundation. Main funding source(s): Fapesp, CNPq
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Affiliation(s)
- F C Damatto
- São Paulo State University (Unesp), Botucatu Medical School , Botucatu , Brazil
| | - G L Paschoareli
- São Paulo State University (Unesp), Botucatu Medical School , Botucatu , Brazil
| | - C M Rosa
- São Paulo State University (Unesp), Botucatu Medical School , Botucatu , Brazil
| | - M J Gomes
- São Paulo State University (Unesp), Botucatu Medical School , Botucatu , Brazil
| | - L U Pagan
- São Paulo State University (Unesp), Botucatu Medical School , Botucatu , Brazil
| | - R L Damatto
- Faculty of Social and Agrarian Sciences of Itapeva, Physical Education , Itapeva , Brazil
| | - E A Rodrigues
- São Paulo State University (Unesp), Botucatu Medical School , Botucatu , Brazil
| | - T H Pontes
- São Paulo State University (Unesp), Botucatu Medical School , Botucatu , Brazil
| | - D R A Reyes
- São Paulo State University (Unesp), Botucatu Medical School , Botucatu , Brazil
| | - M D M Cezar
- Faculty of Social and Agrarian Sciences of Itapeva, Physical Education , Itapeva , Brazil
| | - L R S Oliveira
- São Paulo State University (Unesp), Botucatu Medical School , Botucatu , Brazil
| | - L A M Zornoff
- São Paulo State University (Unesp), Botucatu Medical School , Botucatu , Brazil
| | - A B G C Rego
- São Paulo State University (Unesp), Botucatu Medical School , Botucatu , Brazil
| | - M P Okoshi
- São Paulo State University (Unesp), Botucatu Medical School , Botucatu , Brazil
| | - K Okoshi
- São Paulo State University (Unesp), Botucatu Medical School , Botucatu , Brazil
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Rodrigues E, Souza LM, Pontes THD, Gomes MJ, Pagan LU, Murata GM, Damatto FC, Rego ABGC, Lima ARR, Reyes DRA, Zornoff LAM, Okoshi K, Okoshi MP. Effects of resistance exercise in the cardiac remodeling of myocardial infarction rats. Eur Heart J 2022. [DOI: 10.1093/eurheartj/ehac544.2444] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Introduction
Exercise is an important therapeutic strategy for heart failure (HF). However, the myocardial effects of resistance exercise during HF are not completely understood. In this study, we investigated the influence of resistance exercise on cardiac remodeling and molecular myocardial changes of rats with myocardial infarction (MI)-induced HF.
Methods
Three months after MI induction or simulated surgery, Wistar rats were divided into three groups: Sham (n=14); MI (n=9); and MI subjected to resistance exercise (MI-R, n=13). Exercised rats trained 3 times a week during 12 weeks performing four climbs in a ladder with progressive loads. Cardiac structure and left ventricular function were assessed by echocardiogram. Myocyte diameters were measured in histological sections. Energy metabolism, lipid hydroperoxide, antioxidant enzymes activity, malondialdehyde, and protein carbonylation were evaluated by spectrophotometry. NADPH oxidase subunits (Nox2, Nox4, p22phox and p47phox) gene expression was assessed by RT-PCR. Statistical analysis: ANOVA and Tukey test or Dunn's test.
Results
Mortality did not differ between MI-R and MI groups. MI-R and MI presented dilated left atrium and left ventricle with systolic and diastolic dysfunction. Exercise improved maximum carrying load with no changes in cardiac structure or left ventricle function. Myocyte diameter was lower in MI than Sham and MI-R. Lactate dehydrogenase and creatine kinase activities were lower in MI than Sham. Activity of citrate synthase and catalase was lower in MI and MI-R than Sham. Lipid hydroperoxide concentration was lower in MI-R than MI. Nox2 and p22phox gene expression was higher in MI-R than Sham. Gene expression of Nox4 was higher in both infarcted groups and gene expression of p47phox was lower in MI than Sham.
Conclusion
Resistance exercise is safe and well tolerated by infarcted rats. Exercise increases maximum carrying load and reduces myocardial oxidative stress with no changes in cardiac structure or left ventricle function of infarcted rats.
Funding Acknowledgement
Type of funding sources: Public Institution(s). Main funding source(s): CNPq - National Council for Scientific and Technological Development
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Affiliation(s)
| | - L M Souza
- UNESP, Medical School , Botucatu , Brazil
| | | | - M J Gomes
- Brigham and Women'S Hospital, Harvard Medical School , Boston , United States of America
| | - L U Pagan
- UNESP, Medical School , Botucatu , Brazil
| | - G M Murata
- University of Sao Paulo, Nefrology , Sao Paulo , Brazil
| | | | | | - A R R Lima
- UNESP, Medical School , Botucatu , Brazil
| | | | | | - K Okoshi
- UNESP, Medical School , Botucatu , Brazil
| | - M P Okoshi
- UNESP, Medical School , Botucatu , Brazil
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7
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Souza LM, Brandao BB, Pagan LU, Gatto M, Rodrigues EA, Borim PA, Murata GM, Zornoff LAM, Okoshi K, Okoshi MP. Sodium glucose co-transporter 2 inhibition prevents muscle energy metabolism changes in infarcted rats. Eur Heart J 2022. [DOI: 10.1093/eurheartj/ehac544.1046] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Introduction
Skeletal muscle energy metabolism is commonly altered in heart failure patients, with a metabolic shift from oxidative to glycolytic muscle fiber. These changes contribute to reduced functional capacity. Sodium glucose co-transporter type 2 (SGLT2) inhibitors improve cardiovascular outcomes in both diabetic and non-diabetic patients, as well as those with and without heart failure. However, the effects of SGLT2 inhibitors on skeletal muscle during heart failure have not been established. The aim of this study was to assess the metabolic effect of empagliflozin (EMPA) on skeletal muscle of rats with myocardial infarction (MI)-induced heart failure.
Methods
One week after MI induction or simulated surgery, male Wistar rats were divided into four groups: Sham (n=10), Sham+Empa (n=12), MI (n=10), and MI+Empa (n=09). EMPA was added to rat chow (5 mg/kg/day). Rats were supplied with ad libitum water and chow for 12 weeks. Infarct size was measured by histological analysis. Metabolic enzyme activity in the soleus muscle was assessed by spectrophotometry. Statistical analysis: ANOVA and Tukey, and Student's t tests.
Results
Only rats with infarction size greater than 35% of total left ventricle area were included in this study. Infarction size did not differ between infarcted groups (MI 41.8±4.2; MI+Empa 40.7±5.7 of total left ventricle area). In the MI soleus muscle, metabolic enzyme activity of glucose-6-phosphate-dehydrogenase, citrate synthase and beta-hydroxy-acyl-dehydrogenase was higher than the Sham group. These changes were not observed in the MI+Empa group. MI+Empa had lower hexokinase, phosfructokinase, and pyruvate kinase activity (glycolytic metabolism enzymes), and lower citrate synthase and glucose-6-phosphate-dehydrogenase activity than MI.
Conclusion
Chronic treatment with SGLT2 inhibitor empagliflozin prevents metabolic abnormalities in skeletal muscle in infarcted rats.
Funding Acknowledgement
Type of funding sources: Public Institution(s). Main funding source(s): CAPES, CNPq, FAPESP
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Affiliation(s)
- L M Souza
- State University Paulista Julio de Mesquita Filho (UNESP) , Botucatu , Brazil
| | - B B Brandao
- Joslin Diabetes Centre , Boston , United States of America
| | - L U Pagan
- State University Paulista Julio de Mesquita Filho (UNESP) , Botucatu , Brazil
| | - M Gatto
- State University Paulista Julio de Mesquita Filho (UNESP) , Botucatu , Brazil
| | - E A Rodrigues
- State University Paulista Julio de Mesquita Filho (UNESP) , Botucatu , Brazil
| | - P A Borim
- State University Paulista Julio de Mesquita Filho (UNESP) , Botucatu , Brazil
| | - G M Murata
- University of Sao Paulo , Sao Paulo , Brazil
| | - L A M Zornoff
- State University Paulista Julio de Mesquita Filho (UNESP) , Botucatu , Brazil
| | - K Okoshi
- State University Paulista Julio de Mesquita Filho (UNESP) , Botucatu , Brazil
| | - M P Okoshi
- State University Paulista Julio de Mesquita Filho (UNESP) , Botucatu , Brazil
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8
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Rodrigues EA, Rosa CM, Campos DHS, Murata GM, Damatto FC, Souza LM, Rego ABGC, Oliveira LRS, Borim PA, Gatto M, Okoshi K, Okoshi MP. Influence of long-term sodium-glucose cotransporter 2 inhibition on cardiac remodeling in rats with type 1 diabetes mellitus. Eur Heart J 2022. [DOI: 10.1093/eurheartj/ehac544.2417] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
Sodium-glucose cotransporter 2 (SGLT2) inhibitors have beneficial effects on the cardiovascular system in diabetes mellitus (DM) patients. However, as most clinical trials were performed in type 2 DM, the effects of SGLT2 inhibitors in patients with type 1 DM still need further clarification. In this study, we evaluated the effects of long-term treatment with the SGLT2 inhibitor dapagliflozin on cardiac remodeling, myocardial function, and energy metabolism in rats with type 1 DM.
Methods
Male Wistar rats were divided into three groups: control (C, n=15); DM (n=15); and DM treated with dapagliflozin (DM+DAPA, n=15) for 30 weeks. DM was induced by streptozotocin; DAPA was added to the rat chow (5 mg/kg/day). Cardiac performance was evaluated by echocardiogram and myocardial function in isolated left ventricular (LV) papillary muscle preparations. Myocardial energy metabolism enzyme activities were evaluated by spectrophotometry. Statistical analyzes: ANOVA and Tukey or Kruskal-Wallis and Dunn.
Results
DM+DAPA had lower glycemia than DM [C 112 (108–116); DM 531 (522–535)*; DM+DAPA 267 (179–339) mg/dL; p<0.05 vs C and DM+DAPA]. Echocardiogram showed that DM and DM+DAPA had left atrium and left ventricle dilatation with systolic and diastolic dysfunction; in DM+DAPA, the changes were attenuated in relation to DM. Developed tension and +dT/dt were higher in DM+DAPA than DM in basal condition. After inotropic stimulation with post-pause contraction, extracellular calcium concentration elevation, and isoproterenol addition to the nutrient solution, +dT/dt and –dT/dt were higher in DM+DAPA than DM. Hexokinase, phosphofructokinase, and pyruvate kinase activity was lower in DM than the C. Phosphofructokinase and pyruvate kinase activity was higher in DM+DAPA than DM.
Conclusion
Long-term dapagliflozin treatment attenuates cardiac remodeling and myocardial dysfunction and preserves hexokinase, phosphofructokinase and pyruvate kinase activity in rats with type 1 diabetes mellitus.
Funding Acknowledgement
Type of funding sources: Public Institution(s). Main funding source(s): CNPq - National Council for Scientific and Technological Developmentdoctor
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Affiliation(s)
| | - C M Rosa
- UNESP, Medical School , Botucatu , Brazil
| | | | - G M Murata
- University of Sao Paulo, Nefrology , Sao Paulo , Brazil
| | | | - L M Souza
- UNESP, Medical School , Botucatu , Brazil
| | | | | | - P A Borim
- UNESP, Medical School , Botucatu , Brazil
| | - M Gatto
- UNESP, Medical School , Botucatu , Brazil
| | - K Okoshi
- UNESP, Medical School , Botucatu , Brazil
| | - M P Okoshi
- UNESP, Medical School , Botucatu , Brazil
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9
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Tanni SE, Tonon CR, Gatto M, Mota GAF, Okoshi MP. Post-COVID-19 syndrome: Cardiovascular manifestations. Int J Cardiol 2022; 369:80-81. [PMID: 36058345 PMCID: PMC9434909 DOI: 10.1016/j.ijcard.2022.08.054] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/17/2022] [Accepted: 08/25/2022] [Indexed: 11/18/2022]
Affiliation(s)
- Suzana E Tanni
- Botucatu Medical school, Internal Medicine Department, Sao Paulo State University, UNESP, Botucatu, SP, Brazil
| | - Carolina R Tonon
- Botucatu Medical school, Internal Medicine Department, Sao Paulo State University, UNESP, Botucatu, SP, Brazil
| | - Mariana Gatto
- Botucatu Medical school, Internal Medicine Department, Sao Paulo State University, UNESP, Botucatu, SP, Brazil
| | - Gustavo A F Mota
- Botucatu Medical school, Internal Medicine Department, Sao Paulo State University, UNESP, Botucatu, SP, Brazil
| | - Marina P Okoshi
- Botucatu Medical school, Internal Medicine Department, Sao Paulo State University, UNESP, Botucatu, SP, Brazil.
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10
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Pagan LU, Gatto M, Martinez PF, Okoshi K, Okoshi MP. Biomarcadores em Doenças Cardiovasculares: O Papel da Fetuína-A. Arq Bras Cardiol 2022; 118:22-23. [PMID: 35195204 PMCID: PMC8959047 DOI: 10.36660/abc.20210980] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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11
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Weber GM, Zhang HG, L'Yi S, Bonzel CL, Hong C, Avillach P, Gutiérrez-Sacristán A, Palmer NP, Tan ALM, Wang X, Yuan W, Gehlenborg N, Alloni A, Amendola DF, Bellasi A, Bellazzi R, Beraghi M, Bucalo M, Chiovato L, Cho K, Dagliati A, Estiri H, Follett RW, García Barrio N, Hanauer DA, Henderson DW, Ho YL, Holmes JH, Hutch MR, Kavuluru R, Kirchoff K, Klann JG, Krishnamurthy AK, Le TT, Liu M, Loh NHW, Lozano-Zahonero S, Luo Y, Maidlow S, Makoudjou A, Malovini A, Martins MR, Moal B, Morris M, Mowery DL, Murphy SN, Neuraz A, Ngiam KY, Okoshi MP, Omenn GS, Patel LP, Pedrera Jiménez M, Prudente RA, Samayamuthu MJ, Sanz Vidorreta FJ, Schriver ER, Schubert P, Serrano Balazote P, Tan BW, Tanni SE, Tibollo V, Visweswaran S, Wagholikar KB, Xia Z, Zöller D, Kohane IS, Cai T, South AM, Brat GA. Authorship Correction: International Changes in COVID-19 Clinical Trajectories Across 315 Hospitals and 6 Countries: Retrospective Cohort Study. J Med Internet Res 2021; 23:e34625. [PMID: 34889759 PMCID: PMC8672293 DOI: 10.2196/34625] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2021] [Accepted: 11/10/2021] [Indexed: 11/15/2022] Open
Affiliation(s)
- Griffin M Weber
- Department of Biomedical Informatics, Harvard Medical School, Boston, MA, United States
| | - Harrison G Zhang
- Department of Biomedical Informatics, Harvard Medical School, Boston, MA, United States
| | - Sehi L'Yi
- Department of Biomedical Informatics, Harvard Medical School, Boston, MA, United States
| | - Clara-Lea Bonzel
- Department of Biomedical Informatics, Harvard Medical School, Boston, MA, United States
| | - Chuan Hong
- Department of Biomedical Informatics, Harvard Medical School, Boston, MA, United States
| | - Paul Avillach
- Department of Biomedical Informatics, Harvard Medical School, Boston, MA, United States
| | | | - Nathan P Palmer
- Department of Biomedical Informatics, Harvard Medical School, Boston, MA, United States
| | - Amelia Li Min Tan
- Department of Biomedical Informatics, Harvard Medical School, Boston, MA, United States
| | - Xuan Wang
- Department of Biomedical Informatics, Harvard Medical School, Boston, MA, United States
| | - William Yuan
- Department of Biomedical Informatics, Harvard Medical School, Boston, MA, United States
| | - Nils Gehlenborg
- Department of Biomedical Informatics, Harvard Medical School, Boston, MA, United States
| | - Anna Alloni
- BIOMERIS (BIOMedical Research Informatics Solutions), Pavia, Italy
| | - Danilo F Amendola
- Clinical Research Unit, Botucatu Medical School, São Paulo State University, Botucatu, Brazil
| | - Antonio Bellasi
- Division of Nephrology, Department of Medicine, Ente Ospedaliero Cantonale, Lugano, Switzerland
| | - Riccardo Bellazzi
- Department of Electrical, Computer and Biomedical Engineering, University of Pavia, Pavia, Italy
| | - Michele Beraghi
- Information Technology Department, Azienda Socio-Sanitaria Territoriale di Pavia, Pavia, Italy
| | - Mauro Bucalo
- BIOMERIS (BIOMedical Research Informatics Solutions), Pavia, Italy
| | - Luca Chiovato
- Unit of Internal Medicine and Endocrinology, Istituti Clinici Scientifici Maugeri SpA SB IRCCS, Pavia, Italy
| | - Kelly Cho
- Massachusetts Veterans Epidemiology Research and Information Center, Veterans Affairs Boston Healthcare System, Boston, MA, United States
| | - Arianna Dagliati
- Department of Electrical Computer and Biomedical Engineering, University of Pavia, Pavia, Italy
| | - Hossein Estiri
- Department of Medicine, Massachusetts General Hospital, Boston, MA, United States
| | - Robert W Follett
- Department of Medicine, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA, United States
| | | | - David A Hanauer
- Department of Learning Health Sciences, University of Michigan Medical School, Ann Arbor, MI, United States
| | - Darren W Henderson
- Department of Biomedical Informatics, University of Kentucky, Lexington, KY, United States
| | - Yuk-Lam Ho
- Massachusetts Veterans Epidemiology Research and Information Center, Veterans Affairs Boston Healthcare System, Boston, MA, United States
| | - John H Holmes
- Department of Biostatistics, Epidemiology, and Informatics, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, United States.,Institute for Biomedical Informatics, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, United States
| | - Meghan R Hutch
- Department of Preventive Medicine, Northwestern University, Chicago, IL, United States
| | - Ramakanth Kavuluru
- Institute for Biomedical Informatics, University of Kentucky, Lexington, KY, United States
| | - Katie Kirchoff
- Medical University of South Carolina, Charleston, SC, United States
| | - Jeffrey G Klann
- Department of Medicine, Massachusetts General Hospital, Boston, MA, United States
| | - Ashok K Krishnamurthy
- Department of Computer Science, Renaissance Computing Institute, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States
| | - Trang T Le
- Department of Biostatistics, Epidemiology, and Informatics, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, United States
| | - Molei Liu
- Department of Biostatistics, Harvard T.H. Chan School of Public Health, Boston, MA, United States
| | - Ne Hooi Will Loh
- Department of Anaesthesia, National University Health System, Singapore, Singapore
| | - Sara Lozano-Zahonero
- Institute of Medical Biometry and Statistics, Faculty of Medicine and Medical Center, University of Freiburg, Freiburg, Germany
| | - Yuan Luo
- Department of Preventive Medicine, Northwestern University, Chicago, IL, United States
| | - Sarah Maidlow
- Michigan Institute for Clinical & Health Research Informatics, University of Michigan, Ann Arbor, MI, United States
| | - Adeline Makoudjou
- Institute of Medical Biometry and Statistics, Faculty of Medicine and Medical Center, University of Freiburg, Freiburg, Germany
| | - Alberto Malovini
- Laboratory of Informatics and Systems Engineering for Clinical Research, Istituti Clinici Scientifici Maugeri SpA SB IRCCS, Pavia, Italy
| | | | - Bertrand Moal
- Informatique et archivistique médicales unit, Bordeaux University Hospital, Bordeaux, France
| | - Michele Morris
- Department of Biomedical Informatics, University of Pittsburgh, Pittsburgh, PA, United States
| | - Danielle L Mowery
- Department of Biostatistics, Epidemiology, and Informatics, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, United States
| | - Shawn N Murphy
- Department of Neurology, Massachusetts General Hospital, Boston, MA, United States
| | - Antoine Neuraz
- Department of Biomedical Informatics, Hôpital Necker-Enfants Malade, Assistance Publique Hôpitaux de Paris, University of Paris, Paris, France
| | - Kee Yuan Ngiam
- Department of Biomedical Informatics, Institute for Digital Medicine, National University Health System, Singapore, Singapore
| | - Marina P Okoshi
- Internal Medicine Department, Botucatu Medical School, São Paulo State University, Botucatu, Brazil
| | - Gilbert S Omenn
- Department of Computational Medicine & Bioinformatics, Internal Medicine, Human Genetics, and Public Health, University of Michigan, Ann Arbor, MI, United States
| | - Lav P Patel
- Division of Medical Informatics, Department of Internal Medicine, University of Kansas Medical Center, Kansas City, KS, United States
| | | | - Robson A Prudente
- Internal Medicine Department, Botucatu Medical School, São Paulo State University, Botucatu, Brazil
| | | | - Fernando J Sanz Vidorreta
- Department of Medicine, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA, United States
| | - Emily R Schriver
- Data Analytics Center, University of Pennsylvania Health System, Philadelphia, PA, United States
| | - Petra Schubert
- Massachusetts Veterans Epidemiology Research and Information Center, Veterans Affairs Boston Healthcare System, Boston, MA, United States
| | | | - Byorn Wl Tan
- Department of Medicine, National University Health System, Singapore, Singapore
| | - Suzana E Tanni
- Internal Medicine Department, Botucatu Medical School, São Paulo State University, Botucatu, Brazil
| | - Valentina Tibollo
- Laboratory of Informatics and Systems Engineering for Clinical Research, Istituti Clinici Scientifici Maugeri SpA SB IRCCS, Pavia, Italy
| | - Shyam Visweswaran
- Department of Biomedical Informatics, University of Pittsburgh, Pittsburgh, PA, United States
| | | | - Zongqi Xia
- Department of Neurology, University of Pittsburgh, Pittsburgh, PA, United States
| | - Daniela Zöller
- Institute of Medical Biometry and Statistics, Faculty of Medicine and Medical Center, University of Freiburg, Freiburg, Germany
| | -
- see Authors' Contributions,
| | - Isaac S Kohane
- Department of Biomedical Informatics, Harvard Medical School, Boston, MA, United States
| | - Tianxi Cai
- Department of Biomedical Informatics, Harvard Medical School, Boston, MA, United States
| | - Andrew M South
- Section of Nephrology, Department of Pediatrics, Brenner Children's Hospital, Wake Forest School of Medicine, Winston Salem, NC, United States
| | - Gabriel A Brat
- Department of Biomedical Informatics, Harvard Medical School, Boston, MA, United States
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12
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Costa NA, Minicucci MF, Pereira AG, de Paiva SAR, Okoshi MP, Polegato BF, Zornoff LAM, Villas Boas PJF, Atherton PJ, Phillips BE, Banerjee J, Gordon AL, Azevedo PS. Current perspectives on defining and mitigating frailty in relation to critical illness. Clin Nutr 2021; 40:5430-5437. [PMID: 34653819 DOI: 10.1016/j.clnu.2021.09.017] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2021] [Revised: 08/22/2021] [Accepted: 09/09/2021] [Indexed: 01/10/2023]
Abstract
Up to half of ICU survivors, many of whom were premorbidly well, will have residual functional and/or cognitive impairment and be vulnerable to future health problems. Frailty describes vulnerability to poor resolution of homeostasis after a stressor event but it is not clear whether the vulnerability seen after ICU correlates with clinical measures of frailty. In clinical practice, the scales most commonly used in critically ill patients are based on the assessment of severity and survival. Identification and monitoring of frailty in the ICU may be an alternative or complimentary approach, particularly if it helps explain vulnerability during the recovery and rehabilitation period. The purpose of this review is to discuss the use of tools to assess frailty status in the critically ill, and consider their importance in clinical practice. Amongst these, we consider biomarkers with potential to identify patients at greater or lesser risk of developing post-ICU vulnerability.
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Affiliation(s)
- N A Costa
- Faculty of Nutrition, Univ Federal de Goiás (UFG), Goiânia, Brazil.
| | - M F Minicucci
- Department of Internal Medicine, Botucatu Medical School, UNESP - Univ Estadual Paulista, Botucatu, Brazil
| | - A G Pereira
- Department of Internal Medicine, Botucatu Medical School, UNESP - Univ Estadual Paulista, Botucatu, Brazil
| | - S A R de Paiva
- Department of Internal Medicine, Botucatu Medical School, UNESP - Univ Estadual Paulista, Botucatu, Brazil
| | - M P Okoshi
- Department of Internal Medicine, Botucatu Medical School, UNESP - Univ Estadual Paulista, Botucatu, Brazil
| | - B F Polegato
- Department of Internal Medicine, Botucatu Medical School, UNESP - Univ Estadual Paulista, Botucatu, Brazil
| | - L A M Zornoff
- Department of Internal Medicine, Botucatu Medical School, UNESP - Univ Estadual Paulista, Botucatu, Brazil
| | - P J F Villas Boas
- Department of Internal Medicine, Botucatu Medical School, UNESP - Univ Estadual Paulista, Botucatu, Brazil
| | - P J Atherton
- Medical Research Council-Versus Arthritis Centre for Musculoskeletal Ageing Research and National Institute for Health Research (NIHR) Nottingham Biomedical Research Centre, University of Nottingham, Derby, UK
| | - B E Phillips
- Medical Research Council-Versus Arthritis Centre for Musculoskeletal Ageing Research and National Institute for Health Research (NIHR) Nottingham Biomedical Research Centre, University of Nottingham, Derby, UK
| | - J Banerjee
- Geriatric Emergency Medicine, University Hospitals of Leicester, School of Health Science, University of Leicester, Leicester, UK
| | - A L Gordon
- Medical Research Council-Versus Arthritis Centre for Musculoskeletal Ageing Research and National Institute for Health Research (NIHR) Nottingham Biomedical Research Centre, University of Nottingham, Derby, UK
| | - P S Azevedo
- Department of Internal Medicine, Botucatu Medical School, UNESP - Univ Estadual Paulista, Botucatu, Brazil
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13
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Souza LM, Gomes MJ, Pagan LU, Rodrigues EA, Pontes THD, Fernandes AAH, Murata GM, Zornoff LAM, Okoshi K, Okoshi MP. Influence of resistance exercise on cardiac remodeling and soleus muscle of infarcted rats. Eur Heart J 2021. [DOI: 10.1093/eurheartj/ehab724.2677] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Introduction
Resistance exercise (RE) provides several benefits for healthy individuals. However, its effects during heart failure are unclear. The aim of this study was to evaluate the effects of RE on functional capacity, cardiac remodeling, and soleus muscle molecular and biochemical features in rats with myocardial infarction (MI).
Methods
Three months after MI or simulated surgery (Sham), Wistar rats were divided into three groups: Sham (n=14), MI (n=13), and MI subjected to RE (RE-MI, n=14). Exercised rats trained 3 times a week performing four climbs with progressive loads on a ladder over 12 weeks. Functional capacity was assessed by maximum carrying capacity test in the ladder and exercise tolerance test in treadmill. Echocardiogram was performed at the end of the study. Energy metabolism and antioxidant enzyme activities were assessed by spectrophotometry in the soleus muscle. Oxidative stress markers were analyzed in soleus muscle (lipid hydroperoxide) or serum (malondialdehyde and protein carbonylation). Protein expression of insulin type-1 growth factor-like pathway, protein kinase B, and rapamycin target complex was analyzed by Western-blot. Statistical analysis: ANOVA and Bonferroni or Dunn, Student's t and Goodman tests; p<0.05.
Results
Mortality was higher in MI than Sham. Infarction size did not differ between groups. Resistance exercise increased maximum load carrying capacity, without changing functional capacity or cardiac remodeling. Catalase activity was lower in MI than Sham and glutathione peroxidase activity was lower in MI than Sham and RE-MI. Protein carbonylation was higher in RE-MI than MI. Energy metabolism did not differ between groups, except for lower phosphofructokinase activity in RE-MI than MI. Expression of p70s6K, p-FoxO3a, and p-FoxO3a-to-FoxO3a ratio was lower, and p-p70s6K-to-p70s6K ratio was higher in MI than Sham.
Conclusion
The practice of resistance exercise is safe, attenuates mortality, and improves maximum load carrying capacity regardless of changes in cardiac remodeling in infarcted rats. In soleus muscle, resistance exercise preserves phosphofructokinase and antioxidant enzyme activity and expression of the proteins involved in muscle trophism.
Funding Acknowledgement
Type of funding sources: Public Institution(s). Main funding source(s): CNPq UNESP
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Affiliation(s)
- L M Souza
- State University Paulista Julio de Mesquita Filho (UNESP), Botucatu, Brazil
| | - M J Gomes
- Brigham and Women'S Hospital, Harvard Medical School, Boston, United States of America
| | - L U Pagan
- State University Paulista Julio de Mesquita Filho (UNESP), Botucatu, Brazil
| | - E A Rodrigues
- State University Paulista Julio de Mesquita Filho (UNESP), Botucatu, Brazil
| | - T H D Pontes
- State University Paulista Julio de Mesquita Filho (UNESP), Botucatu, Brazil
| | - A A H Fernandes
- UNESP - Sao Paulo State University, Biosciences Institute, Botucatu, Brazil
| | - G M Murata
- University of Sao Paulo, Sao Paulo, Brazil
| | - L A M Zornoff
- State University Paulista Julio de Mesquita Filho (UNESP), Botucatu, Brazil
| | - K Okoshi
- State University Paulista Julio de Mesquita Filho (UNESP), Botucatu, Brazil
| | - M P Okoshi
- State University Paulista Julio de Mesquita Filho (UNESP), Botucatu, Brazil
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14
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Weber GM, Zhang HG, L'Yi S, Bonzel CL, Hong C, Avillach P, Gutiérrez-Sacristán A, Palmer NP, Tan ALM, Wang X, Yuan W, Gehlenborg N, Alloni A, Amendola DF, Bellasi A, Bellazzi R, Beraghi M, Bucalo M, Chiovato L, Cho K, Dagliati A, Estiri H, Follett RW, García Barrio N, Hanauer DA, Henderson DW, Ho YL, Holmes JH, Hutch MR, Kavuluru R, Kirchoff K, Klann JG, Krishnamurthy AK, Le TT, Liu M, Loh NHW, Lozano-Zahonero S, Luo Y, Maidlow S, Makoudjou A, Malovini A, Martins MR, Moal B, Morris M, Mowery DL, Murphy SN, Neuraz A, Ngiam KY, Okoshi MP, Omenn GS, Patel LP, Pedrera Jiménez M, Prudente RA, Samayamuthu MJ, Sanz Vidorreta FJ, Schriver ER, Schubert P, Serrano Balazote P, Tan BW, Tanni SE, Tibollo V, Visweswaran S, Wagholikar KB, Xia Z, Zöller D, Kohane IS, Cai T, South AM, Brat GA. International Changes in COVID-19 Clinical Trajectories Across 315 Hospitals and 6 Countries: Retrospective Cohort Study. J Med Internet Res 2021; 23:e31400. [PMID: 34533459 PMCID: PMC8510151 DOI: 10.2196/31400] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2021] [Revised: 09/02/2021] [Accepted: 09/02/2021] [Indexed: 02/06/2023] Open
Abstract
Background Many countries have experienced 2 predominant waves of COVID-19–related hospitalizations. Comparing the clinical trajectories of patients hospitalized in separate waves of the pandemic enables further understanding of the evolving epidemiology, pathophysiology, and health care dynamics of the COVID-19 pandemic. Objective In this retrospective cohort study, we analyzed electronic health record (EHR) data from patients with SARS-CoV-2 infections hospitalized in participating health care systems representing 315 hospitals across 6 countries. We compared hospitalization rates, severe COVID-19 risk, and mean laboratory values between patients hospitalized during the first and second waves of the pandemic. Methods Using a federated approach, each participating health care system extracted patient-level clinical data on their first and second wave cohorts and submitted aggregated data to the central site. Data quality control steps were adopted at the central site to correct for implausible values and harmonize units. Statistical analyses were performed by computing individual health care system effect sizes and synthesizing these using random effect meta-analyses to account for heterogeneity. We focused the laboratory analysis on C-reactive protein (CRP), ferritin, fibrinogen, procalcitonin, D-dimer, and creatinine based on their reported associations with severe COVID-19. Results Data were available for 79,613 patients, of which 32,467 were hospitalized in the first wave and 47,146 in the second wave. The prevalence of male patients and patients aged 50 to 69 years decreased significantly between the first and second waves. Patients hospitalized in the second wave had a 9.9% reduction in the risk of severe COVID-19 compared to patients hospitalized in the first wave (95% CI 8.5%-11.3%). Demographic subgroup analyses indicated that patients aged 26 to 49 years and 50 to 69 years; male and female patients; and black patients had significantly lower risk for severe disease in the second wave than in the first wave. At admission, the mean values of CRP were significantly lower in the second wave than in the first wave. On the seventh hospital day, the mean values of CRP, ferritin, fibrinogen, and procalcitonin were significantly lower in the second wave than in the first wave. In general, countries exhibited variable changes in laboratory testing rates from the first to the second wave. At admission, there was a significantly higher testing rate for D-dimer in France, Germany, and Spain. Conclusions Patients hospitalized in the second wave were at significantly lower risk for severe COVID-19. This corresponded to mean laboratory values in the second wave that were more likely to be in typical physiological ranges on the seventh hospital day compared to the first wave. Our federated approach demonstrated the feasibility and power of harmonizing heterogeneous EHR data from multiple international health care systems to rapidly conduct large-scale studies to characterize how COVID-19 clinical trajectories evolve.
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Affiliation(s)
- Griffin M Weber
- Department of Biomedical Informatics, Harvard Medical School, Boston, MA, United States
| | - Harrison G Zhang
- Department of Biomedical Informatics, Harvard Medical School, Boston, MA, United States
| | - Sehi L'Yi
- Department of Biomedical Informatics, Harvard Medical School, Boston, MA, United States
| | - Clara-Lea Bonzel
- Department of Biomedical Informatics, Harvard Medical School, Boston, MA, United States
| | - Chuan Hong
- Department of Biomedical Informatics, Harvard Medical School, Boston, MA, United States
| | - Paul Avillach
- Department of Biomedical Informatics, Harvard Medical School, Boston, MA, United States
| | | | - Nathan P Palmer
- Department of Biomedical Informatics, Harvard Medical School, Boston, MA, United States
| | - Amelia Li Min Tan
- Department of Biomedical Informatics, Harvard Medical School, Boston, MA, United States
| | - Xuan Wang
- Department of Biomedical Informatics, Harvard Medical School, Boston, MA, United States
| | - William Yuan
- Department of Biomedical Informatics, Harvard Medical School, Boston, MA, United States
| | - Nils Gehlenborg
- Department of Biomedical Informatics, Harvard Medical School, Boston, MA, United States
| | - Anna Alloni
- BIOMERIS (BIOMedical Research Informatics Solutions), Pavia, Italy
| | - Danilo F Amendola
- Clinical Research Unit, Botucatu Medical School, São Paulo State University, Botucatu, Brazil
| | - Antonio Bellasi
- Division of Nephrology, Department of Medicine, Ente Ospedaliero Cantonale, Lugano, Switzerland
| | - Riccardo Bellazzi
- Department of Electrical, Computer and Biomedical Engineering, University of Pavia, Pavia, Italy
| | - Michele Beraghi
- Information Technology Department, Azienda Socio-Sanitaria Territoriale di Pavia, Pavia, Italy
| | - Mauro Bucalo
- BIOMERIS (BIOMedical Research Informatics Solutions), Pavia, Italy
| | - Luca Chiovato
- Unit of Internal Medicine and Endocrinology, Istituti Clinici Scientifici Maugeri SpA SB IRCCS, Pavia, Italy
| | - Kelly Cho
- Massachusetts Veterans Epidemiology Research and Information Center, Veterans Affairs Boston Healthcare System, Boston, MA, United States
| | - Arianna Dagliati
- Department of Electrical Computer and Biomedical Engineering, University of Pavia, Pavia, Italy
| | - Hossein Estiri
- Department of Medicine, Massachusetts General Hospital, Boston, MA, United States
| | - Robert W Follett
- Department of Medicine, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA, United States
| | | | - David A Hanauer
- Department of Learning Health Sciences, University of Michigan Medical School, Ann Arbor, MI, United States
| | - Darren W Henderson
- Department of Biomedical Informatics, University of Kentucky, Lexington, KY, United States
| | - Yuk-Lam Ho
- Massachusetts Veterans Epidemiology Research and Information Center, Veterans Affairs Boston Healthcare System, Boston, MA, United States
| | - John H Holmes
- Department of Biostatistics, Epidemiology, and Informatics, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, United States.,Institute for Biomedical Informatics, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, United States
| | - Meghan R Hutch
- Department of Preventive Medicine, Northwestern University, Chicago, IL, United States
| | - Ramakanth Kavuluru
- Institute for Biomedical Informatics, University of Kentucky, Lexington, KY, United States
| | - Katie Kirchoff
- Medical University of South Carolina, Charleston, SC, United States
| | - Jeffrey G Klann
- Department of Medicine, Massachusetts General Hospital, Boston, MA, United States
| | - Ashok K Krishnamurthy
- Department of Computer Science, Renaissance Computing Institute, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States
| | - Trang T Le
- Department of Biostatistics, Epidemiology, and Informatics, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, United States
| | - Molei Liu
- Department of Biostatistics, Harvard T.H. Chan School of Public Health, Boston, MA, United States
| | - Ne Hooi Will Loh
- Department of Anaesthesia, National University Health System, Singapore, Singapore
| | - Sara Lozano-Zahonero
- Institute of Medical Biometry and Statistics, Faculty of Medicine and Medical Center, University of Freiburg, Freiburg, Germany
| | - Yuan Luo
- Department of Preventive Medicine, Northwestern University, Chicago, IL, United States
| | - Sarah Maidlow
- Michigan Institute for Clinical & Health Research Informatics, University of Michigan, Ann Arbor, MI, United States
| | - Adeline Makoudjou
- Institute of Medical Biometry and Statistics, Faculty of Medicine and Medical Center, University of Freiburg, Freiburg, Germany
| | - Alberto Malovini
- Laboratory of Informatics and Systems Engineering for Clinical Research, Istituti Clinici Scientifici Maugeri SpA SB IRCCS, Pavia, Italy
| | | | - Bertrand Moal
- Informatique et archivistique médicales unit, Bordeaux University Hospital, Bordeaux, France
| | - Michele Morris
- Department of Biomedical Informatics, University of Pittsburgh, Pittsburgh, PA, United States
| | - Danielle L Mowery
- Department of Biostatistics, Epidemiology, and Informatics, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, United States
| | - Shawn N Murphy
- Department of Neurology, Massachusetts General Hospital, Boston, MA, United States
| | - Antoine Neuraz
- Department of Biomedical Informatics, Hôpital Necker-Enfants Malade, Assistance Publique Hôpitaux de Paris, University of Paris, Paris, France
| | - Kee Yuan Ngiam
- Department of Biomedical Informatics, Institute for Digital Medicine, National University Health System, Singapore, Singapore
| | - Marina P Okoshi
- Internal Medicine Department, Botucatu Medical School, São Paulo State University, Botucatu, Brazil
| | - Gilbert S Omenn
- Department of Computational Medicine & Bioinformatics, Internal Medicine, Human Genetics, and Public Health, University of Michigan, Ann Arbor, MI, United States
| | - Lav P Patel
- Division of Medical Informatics, Department of Internal Medicine, University of Kansas Medical Center, Kansas City, KS, United States
| | | | - Robson A Prudente
- Internal Medicine Department, Botucatu Medical School, São Paulo State University, Botucatu, Brazil
| | | | - Fernando J Sanz Vidorreta
- Department of Medicine, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA, United States
| | - Emily R Schriver
- Data Analytics Center, University of Pennsylvania Health System, Philadelphia, PA, United States
| | - Petra Schubert
- Massachusetts Veterans Epidemiology Research and Information Center, Veterans Affairs Boston Healthcare System, Boston, MA, United States
| | | | - Byorn Wl Tan
- Department of Medicine, National University Health System, Singapore, Singapore
| | - Suzana E Tanni
- Internal Medicine Department, Botucatu Medical School, São Paulo State University, Botucatu, Brazil
| | - Valentina Tibollo
- Laboratory of Informatics and Systems Engineering for Clinical Research, Istituti Clinici Scientifici Maugeri SpA SB IRCCS, Pavia, Italy
| | - Shyam Visweswaran
- Department of Biomedical Informatics, University of Pittsburgh, Pittsburgh, PA, United States
| | | | - Zongqi Xia
- Department of Neurology, University of Pittsburgh, Pittsburgh, PA, United States
| | - Daniela Zöller
- Institute of Medical Biometry and Statistics, Faculty of Medicine and Medical Center, University of Freiburg, Freiburg, Germany
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- see Authors' Contributions,
| | - Isaac S Kohane
- Department of Biomedical Informatics, Harvard Medical School, Boston, MA, United States
| | - Tianxi Cai
- Department of Biomedical Informatics, Harvard Medical School, Boston, MA, United States
| | - Andrew M South
- Section of Nephrology, Department of Pediatrics, Brenner Children's Hospital, Wake Forest School of Medicine, Winston Salem, NC, United States
| | - Gabriel A Brat
- Department of Biomedical Informatics, Harvard Medical School, Boston, MA, United States
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15
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Oliveira PGS, Schwed JF, Chiuso-Minicucci F, Duarte SRS, Nascimento LM, Dorna MS, Costa NA, Okoshi K, Okoshi MP, Azevedo PS, Polegato BF, Paiva SAR, Zornoff LAM, Minicucci MF. Association Between Serum Myostatin Levels, Hospital Mortality, and Muscle Mass and Strength Following ST-Elevation Myocardial Infarction. Heart Lung Circ 2021; 31:365-371. [PMID: 34598890 DOI: 10.1016/j.hlc.2021.08.018] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2021] [Revised: 08/14/2021] [Accepted: 08/22/2021] [Indexed: 10/20/2022]
Abstract
AIM This study aimed to evaluate the association between serum myostatin levels, hospital mortality, and muscle mass and strength following ST-segment elevation myocardial infarction (STEMI). METHODS This was a prospective observational study. Within 48 hours of admission, bioelectrical impedance and handgrip strength were assessed and blood samples collected for myostatin evaluation. Hospital mortality was recorded. A multiple logistic regression model was also constructed, adjusted by parameters that exhibited significant differences in the univariate analysis, to evaluate the association between myostatin levels and hospital mortality. RESULTS One hundred and two (102) patients were included: mean age was 60.5±10.6 years, 67.6% were male, and 6.9% died during hospital stay. Univariate analysis showed that patients with lower myostatin levels had higher mortality rates. Serum myostatin levels positively correlated with handgrip strength (r=0.355; p<0.001) and appendicular skeletal muscle mass index (r=0.268; p=0.007). Receiver operating characteristic (ROC) curve analysis revealed that lower myostatin levels were associated with hospital mortality at the <2.20 ng/mL cut-off. Multiple logistic regression showed that higher serum myostatin levels were associated with reduced hospital mortality when adjusted by β blocker use (OR, 0.228; 95% CI, 0.054-0.974; p=0.046). CONCLUSIONS Serum myostatin concentrations positively correlated with muscle mass and strength in STEMI patients. Further assessment of serum myostatin association with mortality should be conducted using a larger sample and assessing the additive value to the Global Registry of Acute Coronary Events (GRACE) or thrombolysis in myocardial infarction (TIMI) risk scores.
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Affiliation(s)
- Paula G S Oliveira
- Internal Medicine Department, Botucatu Medical School, Univ Estadual Paulista, UNESP, Botucatu, Brazil
| | - Juliana F Schwed
- Internal Medicine Department, Botucatu Medical School, Univ Estadual Paulista, UNESP, Botucatu, Brazil
| | - Fernanda Chiuso-Minicucci
- Internal Medicine Department, Botucatu Medical School, Univ Estadual Paulista, UNESP, Botucatu, Brazil
| | - Sara R S Duarte
- Internal Medicine Department, Botucatu Medical School, Univ Estadual Paulista, UNESP, Botucatu, Brazil
| | - Lucas M Nascimento
- Internal Medicine Department, Botucatu Medical School, Univ Estadual Paulista, UNESP, Botucatu, Brazil
| | - Mariana S Dorna
- Internal Medicine Department, Botucatu Medical School, Univ Estadual Paulista, UNESP, Botucatu, Brazil
| | - Nara A Costa
- Faculty of Nutrition, Univ Federal de Goias, UFG, Goiania, Brazil
| | - Katashi Okoshi
- Internal Medicine Department, Botucatu Medical School, Univ Estadual Paulista, UNESP, Botucatu, Brazil; University Hospital, Botucatu Medical School, Sao Paulo State University, UNESP, Botucatu, Brazil
| | - Marina P Okoshi
- Internal Medicine Department, Botucatu Medical School, Univ Estadual Paulista, UNESP, Botucatu, Brazil; University Hospital, Botucatu Medical School, Sao Paulo State University, UNESP, Botucatu, Brazil
| | - Paula S Azevedo
- Internal Medicine Department, Botucatu Medical School, Univ Estadual Paulista, UNESP, Botucatu, Brazil; University Hospital, Botucatu Medical School, Sao Paulo State University, UNESP, Botucatu, Brazil
| | - Bertha F Polegato
- Internal Medicine Department, Botucatu Medical School, Univ Estadual Paulista, UNESP, Botucatu, Brazil
| | - Sergio A R Paiva
- Internal Medicine Department, Botucatu Medical School, Univ Estadual Paulista, UNESP, Botucatu, Brazil; University Hospital, Botucatu Medical School, Sao Paulo State University, UNESP, Botucatu, Brazil
| | - Leonardo A M Zornoff
- Internal Medicine Department, Botucatu Medical School, Univ Estadual Paulista, UNESP, Botucatu, Brazil; University Hospital, Botucatu Medical School, Sao Paulo State University, UNESP, Botucatu, Brazil
| | - Marcos F Minicucci
- Internal Medicine Department, Botucatu Medical School, Univ Estadual Paulista, UNESP, Botucatu, Brazil; University Hospital, Botucatu Medical School, Sao Paulo State University, UNESP, Botucatu, Brazil.
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16
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Pagan LU, Gomes MJ, Damatto RL, Lima ARR, Cezar MDM, Damatto FC, Reyes DRA, Campos DHS, Caldonazo TMM, Polegato BF, Fernandes DC, Laurindo FR, Fernandes AAH, Lloret A, Cicogna AC, Okoshi MP, Okoshi K. Aerobic Exercise During Advance Stage of Uncontrolled Arterial Hypertension. Front Physiol 2021; 12:675778. [PMID: 34149455 PMCID: PMC8209380 DOI: 10.3389/fphys.2021.675778] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2021] [Accepted: 05/10/2021] [Indexed: 12/13/2022] Open
Abstract
Aim To evaluate the influence of physical training on myocardial function, oxidative stress, energy metabolism, and MAPKs and NF-κB signaling pathways in spontaneously hypertensive rats (SHR), at advanced stage of arterial hypertension, which precedes heart failure development. Methods We studied four experimental groups: normotensive Wistar rats (W, n = 27), trained W (W-EX, n = 31), SHR (n = 27), and exercised SHR (SHR-EX, n = 32). At 13 months old, the exercise groups underwent treadmill exercise 5 days a week for 4 months. In vitro myocardial function was analyzed in left ventricular (LV) papillary muscle preparations. Antioxidant enzyme activity and energy metabolism were assessed by spectrophotometry. Nicotinamide adenine dinucleotide phosphate (NADPH) oxidase activity was analyzed by lucigenin reduction and protein expression by Western blot. Statistical analyzes: ANOVA and Tukey or Kruskal–Wallis and Dunn tests. Results SHR-EX had a lower frequency of heart failure features than SHR. Myocardial function and antioxidant enzyme activity were better in SHR-EX than SHR. Lipid hydroperoxide concentration, and phosphorylated JNK and total IkB protein expression were higher in hypertensive than control groups. Malondialdehyde, NADPH oxidase activity, total JNK, phosphorylated p38, phosphorylated and total p65 NF-κB, and phosphorylated IkB did not differ between groups. Protein expression from total p38, and total and phosphorylated ERK were higher in SHR than W. Lactate dehydrogenase and phosphorylated ERK were lower and citrate synthase and β-hydroxyacyldehydrogenase were higher in SHR-EX than SHR. Conclusion Exercise improves physical capacity, myocardial function, and antioxidant enzyme activity; reduces the frequency of heart failure features and ERK phosphorylation; and normalizes energy metabolism in SHR.
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Affiliation(s)
- Luana U Pagan
- Botucatu Medical School, UNESP, Sao Paulo State University, Botucatu, Brazil
| | - Mariana J Gomes
- Botucatu Medical School, UNESP, Sao Paulo State University, Botucatu, Brazil
| | | | - Aline R R Lima
- Botucatu Medical School, UNESP, Sao Paulo State University, Botucatu, Brazil
| | | | - Felipe C Damatto
- Botucatu Medical School, UNESP, Sao Paulo State University, Botucatu, Brazil
| | - David R A Reyes
- Botucatu Medical School, UNESP, Sao Paulo State University, Botucatu, Brazil
| | - Dijon H S Campos
- Botucatu Medical School, UNESP, Sao Paulo State University, Botucatu, Brazil
| | - Tulio M M Caldonazo
- Botucatu Medical School, UNESP, Sao Paulo State University, Botucatu, Brazil
| | - Bertha F Polegato
- Botucatu Medical School, UNESP, Sao Paulo State University, Botucatu, Brazil
| | - Denise C Fernandes
- Department of Cardiopneumology, Medical School, University of Sao Paulo (USP), São Paulo, Brazil
| | - Francisco R Laurindo
- Department of Cardiopneumology, Medical School, University of Sao Paulo (USP), São Paulo, Brazil
| | - Ana A H Fernandes
- Institute of Biosciences, Sao Paulo State University (UNESP), Botucatu, Brazil
| | - Ana Lloret
- Freshage Research Group, Department of Physiology, University of Valencia, CIBERFES, INCLIVA, Valencia, Spain
| | - Antonio C Cicogna
- Botucatu Medical School, UNESP, Sao Paulo State University, Botucatu, Brazil
| | - Marina P Okoshi
- Botucatu Medical School, UNESP, Sao Paulo State University, Botucatu, Brazil
| | - Katashi Okoshi
- Botucatu Medical School, UNESP, Sao Paulo State University, Botucatu, Brazil
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17
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Souza LM, Okoshi MP, Gomes MJ, Gatto M, Rodrigues EA, Pontes THD, Damatto FC, Oliveira LRS, Borim PA, Lima ARR, Zornoff LAM, Okoshi K, Pagan LU. Effects of Late Aerobic Exercise on Cardiac Remodeling of Rats with Small-Sized Myocardial Infarction. Arq Bras Cardiol 2021; 116:784-792. [PMID: 33886729 PMCID: PMC8121407 DOI: 10.36660/abc.20190813] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2019] [Accepted: 03/16/2020] [Indexed: 12/30/2022] Open
Abstract
Fundamento: O exercício físico tem sido considerado uma importante terapia não farmacológica para a prevenção e tratamento das doenças cardiovasculares. No entanto, seus efeitos na remodelação cardíaca leve não são claros. Objetivo: Avaliar a influência do exercício aeróbico sobre a capacidade funcional, estrutura cardíaca, função ventricular esquerda (VE) e expressão gênica das subunidades da NADPH oxidase em ratos com infarto do miocárdio pequeno (IM). Métodos: Três meses após a indução do IM, ratos Wistar foram divididos em três grupos: Sham; IM sedentário (IM-SED); e IM exercício aeróbico (IM-EA). Os ratos se exercitaram em uma esteira três vezes por semana durante 12 semanas. Um ecocardiograma foi realizado antes e após o treinamento. O tamanho do infarto foi avaliado por histologia e a expressão gênica por RT-PCR. O nível de significância para análise estatística foi estabelecido em 5%. Resultados: Ratos com IM menor que 30% da área total do VE foram incluídos no estudo. A capacidade funcional foi maior no IM-EA do que nos ratos Sham e IM-SED. O tamanho do infarto não diferiu entre os grupos. Ratos infartados apresentaram aumento do diâmetro diastólico e sistólico do VE, diâmetro do átrio esquerdo e massa do VE, com disfunção sistólica. A espessura relativa da parede foi menor no grupo IM-SED do que nos grupos IM-EA e Sham. A expressão gênica das subunidades NADPH oxidase NOX2, NOX4, p22phox e p47phox não diferiu entre os grupos. Conclusão: Infarto do miocárdio pequeno altera a estrutura cardíaca e a função sistólica do VE. O exercício aeróbico tardio pode melhorar a capacidade funcional e a remodelação cardíaca por meio da preservação da geometria ventricular esquerda. A expressão gênica das subunidades da NADPH oxidase não está envolvida na remodelação cardíaca, nem é modulada pelo exercício aeróbico em ratos com infarto do miocárdio pequeno.
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Affiliation(s)
- Lidiane M Souza
- Faculdade de Medicina de Botucatu, Universidade Estadual Paulista "Júlio de Mesquita Filho" (UNESP), Botucatu, SP - Brasil
| | - Marina P Okoshi
- Faculdade de Medicina de Botucatu, Universidade Estadual Paulista "Júlio de Mesquita Filho" (UNESP), Botucatu, SP - Brasil
| | - Mariana J Gomes
- Faculdade de Medicina de Botucatu, Universidade Estadual Paulista "Júlio de Mesquita Filho" (UNESP), Botucatu, SP - Brasil
| | - Mariana Gatto
- Faculdade de Medicina de Botucatu, Universidade Estadual Paulista "Júlio de Mesquita Filho" (UNESP), Botucatu, SP - Brasil
| | - Eder A Rodrigues
- Faculdade de Medicina de Botucatu, Universidade Estadual Paulista "Júlio de Mesquita Filho" (UNESP), Botucatu, SP - Brasil
| | - Thierres H D Pontes
- Faculdade de Medicina de Botucatu, Universidade Estadual Paulista "Júlio de Mesquita Filho" (UNESP), Botucatu, SP - Brasil
| | - Felipe C Damatto
- Faculdade de Medicina de Botucatu, Universidade Estadual Paulista "Júlio de Mesquita Filho" (UNESP), Botucatu, SP - Brasil
| | - Leiliane R S Oliveira
- Faculdade de Medicina de Botucatu, Universidade Estadual Paulista "Júlio de Mesquita Filho" (UNESP), Botucatu, SP - Brasil
| | - Patrícia Aparecida Borim
- Faculdade de Medicina de Botucatu, Universidade Estadual Paulista "Júlio de Mesquita Filho" (UNESP), Botucatu, SP - Brasil
| | - Aline R R Lima
- Faculdade de Medicina de Botucatu, Universidade Estadual Paulista "Júlio de Mesquita Filho" (UNESP), Botucatu, SP - Brasil
| | - Leonardo A M Zornoff
- Faculdade de Medicina de Botucatu, Universidade Estadual Paulista "Júlio de Mesquita Filho" (UNESP), Botucatu, SP - Brasil
| | - Katashi Okoshi
- Faculdade de Medicina de Botucatu, Universidade Estadual Paulista "Júlio de Mesquita Filho" (UNESP), Botucatu, SP - Brasil
| | - Luana U Pagan
- Faculdade de Medicina de Botucatu, Universidade Estadual Paulista "Júlio de Mesquita Filho" (UNESP), Botucatu, SP - Brasil
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18
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Affiliation(s)
- Marina P Okoshi
- Departamento de Clínica Médica - Faculdade de Medicina de Botucatu (UNESP), Botucatu, SP - Brasil
| | - Rosana M Cortez
- Departamento de Clínica Médica - Faculdade de Medicina de Botucatu (UNESP), Botucatu, SP - Brasil
- Unimed Sorocaba, São Paulo, SP - Brasil
| | - Luana U Pagan
- Departamento de Clínica Médica - Faculdade de Medicina de Botucatu (UNESP), Botucatu, SP - Brasil
| | - Paula F Martinez
- Instituto Integrado de Saúde, Universidade Federal de Mato Grosso do Sul (UFMS), Campo Grande, MS - Brasil
| | - Filipe W L Pereira
- Departamento de Clínica Médica - Faculdade de Medicina de Botucatu (UNESP), Botucatu, SP - Brasil
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19
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Carvalho MR, Mendonça MLM, Oliveira JML, Romanenghi RB, Morais CS, Ota GE, Lima ARR, Oliveira RJ, Filiú WFO, Okoshi K, Okoshi MP, Oliveira-Junior SA, Martinez PF. Influence of high-intensity interval training and intermittent fasting on myocardium apoptosis pathway and cardiac morphology of healthy rats. Life Sci 2021; 264:118697. [PMID: 33130084 DOI: 10.1016/j.lfs.2020.118697] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2020] [Revised: 10/22/2020] [Accepted: 10/28/2020] [Indexed: 10/23/2022]
Abstract
AIM To evaluate the influence of intermittent fasting and high-intensity interval training (HIIT) on myocardial apoptosis signaling and cardiac morphological characteristics in healthy rats. METHODS Male Wistar rats (n = 60) were divided into four groups: sedentary control (SED-C), intermittent fasting (SED-IF), high-intensity interval training (HIIT-C), and high-intensity interval training plus intermittent fasting (HIIT-IF). SED-C and HIIT-C groups were treated daily with ad libitum chow; SED-IF and HIIT-IF received the same standard chow every other day. HIIT-C and HIIT-IF rats were submitted to an HIIT protocol five times a week for 12 weeks. At the end of the experiment, functional capacity, cardiac morphology, and expression of apoptosis signaling pathways-related proteins were analyzed. KEY FINDINGS HIIT increased cardiomyocyte cross-sectional area, collagen interstitial fraction, and the pro-apoptotic proteins AIF and caspase-3 expression, and reduced pro-apoptotic protein CYTC expression and the cleaved-to-non-cleaved PARP-1 ratio in myocardium. Intermittent fasting reduced cardiomyocyte cross-sectional area, collagen interstitial fraction, and expression of Bax, CYTC and cleaved PARP-1, and increased expression of the anti-apoptotic protein BCL-2. SMAC, ARC, and caspase-8 expression was not changed by HIIT or intermittent fasting. SIGNIFICANCE HIIT promotes cardiomyocyte hypertrophy and interstitial fibrosis, and modulates the apoptosis signaling pathway in healthy rat myocardium. Intermittent fasting reduces pro-apoptotic and increases antiapoptotic signaling, besides attenuating HIIT-induced cardiomyocyte hypertrophy and myocardial interstitial fibrosis.
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Affiliation(s)
- Marianna R Carvalho
- Striated Muscle Study Laboratory, Federal University of Mato Grosso do Sul (UFMS), Campo Grande, Brazil
| | - Maria Lua M Mendonça
- Striated Muscle Study Laboratory, Federal University of Mato Grosso do Sul (UFMS), Campo Grande, Brazil
| | - Jéssica M L Oliveira
- Striated Muscle Study Laboratory, Federal University of Mato Grosso do Sul (UFMS), Campo Grande, Brazil
| | - Rodrigo B Romanenghi
- Striated Muscle Study Laboratory, Federal University of Mato Grosso do Sul (UFMS), Campo Grande, Brazil
| | - Camila S Morais
- Striated Muscle Study Laboratory, Federal University of Mato Grosso do Sul (UFMS), Campo Grande, Brazil
| | - Gabriel E Ota
- Striated Muscle Study Laboratory, Federal University of Mato Grosso do Sul (UFMS), Campo Grande, Brazil
| | - Aline R R Lima
- Internal Medicine Department, Botucatu Medical School, Sao Paulo State University (UNESP), Botucatu, Brazil
| | - Rodrigo J Oliveira
- Striated Muscle Study Laboratory, Federal University of Mato Grosso do Sul (UFMS), Campo Grande, Brazil
| | - Wander F O Filiú
- Striated Muscle Study Laboratory, Federal University of Mato Grosso do Sul (UFMS), Campo Grande, Brazil
| | - Katashi Okoshi
- Internal Medicine Department, Botucatu Medical School, Sao Paulo State University (UNESP), Botucatu, Brazil
| | - Marina P Okoshi
- Internal Medicine Department, Botucatu Medical School, Sao Paulo State University (UNESP), Botucatu, Brazil
| | - Silvio A Oliveira-Junior
- Striated Muscle Study Laboratory, Federal University of Mato Grosso do Sul (UFMS), Campo Grande, Brazil
| | - Paula F Martinez
- Striated Muscle Study Laboratory, Federal University of Mato Grosso do Sul (UFMS), Campo Grande, Brazil.
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20
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Affiliation(s)
- Luana U Pagan
- Faculdade de Medicina de Botucatu - Universidade Estadual Paulista (UNESP), Botucatu, SP - Brasil
| | - Mariana J Gomes
- Brigham and Women's Hospital - Harvard Medical School, Boston, MA - EUA
| | - Marina P Okoshi
- Faculdade de Medicina de Botucatu - Universidade Estadual Paulista (UNESP), Botucatu, SP - Brasil
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21
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Gomes MJ, Pagan LU, Lima ARR, Reyes DRA, Martinez PF, Damatto FC, Pontes THD, Rodrigues EA, Souza LM, Tosta IF, Fernandes AAH, Zornoff LAM, Okoshi K, Okoshi MP. Effects of aerobic and resistance exercise on cardiac remodelling and skeletal muscle oxidative stress of infarcted rats. J Cell Mol Med 2020; 24:5352-5362. [PMID: 32239667 PMCID: PMC7205792 DOI: 10.1111/jcmm.15191] [Citation(s) in RCA: 21] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2019] [Revised: 01/21/2020] [Accepted: 02/22/2020] [Indexed: 12/22/2022] Open
Abstract
We compared the influence of aerobic and resistance exercise on cardiac remodelling, physical capacity and skeletal muscle oxidative stress in rats with MI‐induced heart failure. Three months after MI induction, Wistar rats were divided into four groups: Sham; sedentary MI (S‐MI); aerobic exercised MI (A‐MI); and resistance exercised MI (R‐MI). Exercised rats trained three times a week for 12 weeks on a treadmill or ladder. Statistical analysis was performed by ANOVA or Kruskal‐Wallis test. Functional aerobic capacity was greater in A‐MI and strength gain higher in R‐MI. Echocardiographic parameters did not differ between infarct groups. Reactive oxygen species production, evaluated by fluorescence, was higher in S‐MI than Sham, and lipid hydroperoxide concentration was lower in A‐MI than the other groups. Glutathione peroxidase activity was higher in A‐MI than S‐MI and R‐MI. Superoxide dismutase was lower in S‐MI than Sham and R‐MI. Gastrocnemius cross‐sectional area, satellite cell activation and expression of the ubiquitin‐proteasome system proteins did not differ between groups. In conclusion, aerobic exercise and resistance exercise improve functional capacity and maximum load carrying, respectively, without changing cardiac remodelling in infarcted rats. In the gastrocnemius, infarction increases oxidative stress and changes antioxidant enzyme activities. Aerobic exercise reduces oxidative stress and attenuates superoxide dismutase and glutathione peroxidase changes.
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Affiliation(s)
- Mariana J Gomes
- Botucatu Medical School, Sao Paulo State University, UNESP, Botucatu, Brazil
| | - Luana U Pagan
- Botucatu Medical School, Sao Paulo State University, UNESP, Botucatu, Brazil
| | - Aline R R Lima
- Botucatu Medical School, Sao Paulo State University, UNESP, Botucatu, Brazil
| | - David R A Reyes
- Botucatu Medical School, Sao Paulo State University, UNESP, Botucatu, Brazil
| | - Paula F Martinez
- School of Physical Therapy, Federal University of Mato Grosso do Sul, Campo Grande, Brazil
| | - Felipe C Damatto
- Botucatu Medical School, Sao Paulo State University, UNESP, Botucatu, Brazil
| | - Thierres H D Pontes
- Botucatu Medical School, Sao Paulo State University, UNESP, Botucatu, Brazil
| | - Eder A Rodrigues
- Botucatu Medical School, Sao Paulo State University, UNESP, Botucatu, Brazil
| | - Lidiane M Souza
- Botucatu Medical School, Sao Paulo State University, UNESP, Botucatu, Brazil
| | - Ingrid F Tosta
- Institute of Biosciences, Sao Paulo State University, UNESP, Botucatu, Brazil
| | - Ana A H Fernandes
- Institute of Biosciences, Sao Paulo State University, UNESP, Botucatu, Brazil
| | | | - Katashi Okoshi
- Botucatu Medical School, Sao Paulo State University, UNESP, Botucatu, Brazil
| | - Marina P Okoshi
- Botucatu Medical School, Sao Paulo State University, UNESP, Botucatu, Brazil
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22
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Gomes MJ, Lima ARR, Pagan LU, Damatto FC, Oliveira LRS, Souza LM, Rodrigues EA, Pontes THD, Sodre FSS, Murata GM, Fernandes AAH, Zornoff LAM, Okoshi K, Okoshi MP. P2499Effects of aerobic and resistance exercise on skeletal muscle of infarcted rats. Eur Heart J 2019. [DOI: 10.1093/eurheartj/ehz748.0828] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
Skeletal muscle changes contribute to reduced physical performance after myocardial infarction (MI). Exercise has been recommended to stable patients. However, the effects of resistance exercise after MI are not clear. We compared the effects of aerobic and resistance exercise initiated during compensated cardiac remodeling in infarcted rat gastrocnemius muscle.
Methods
Three months after MI induction, Wistar rats were divided into four groups: Sham (n=20); sedentary MI (MI-S, n=9); aerobic exercised MI (MI-A, n=9); and resistance exercised MI (MI-R, n=13). Exercised rats trained three times a week for 12 weeks on a treadmill or ladder. Energy metabolism, oxidative stress markers, and antioxidant enzyme activities were assessed by spectrophotometry. Satellite cells activation markers (MyoD, NCAM, and myosin heavy chain neonatal isoform) were assessed by immunofluorescence or Western blot (Pax-7). Statistical analysis: ANOVA or Mann Whitney.
Results
Physical aerobic capacity was greater in MI-A and strength gain higher in MI-R. Cardiac structures and left ventricular function evaluated by echocardiogram did not differ between infarcted groups. Histological analysis showed that MI size and gastrocnemius cross sectional area did not differ between infarcted groups. Oxygen reactive species production was higher in MI-S than Sham and lipid hydroperoxide concentration was lower in MI-A than the other groups. Catalase activity was higher and glutathione peroxidase lower in infarcted groups than Sham. Superoxide dismutase activity was higher in Sham and MI-R than MI-S. Skeletal muscle metabolism enzyme activity did not differ between groups, except for increase pyruvate kinase in MI-S against the other groups, and β-hydroxyacyl CoA dehydrogenase in MI-S against Sham. Satellite cell activation and protein expression of MAPK and NF-kB did not differ between groups.
Conclusion
Aerobic and resistance exercise respectively improves physical capacity and muscle strength without changing echocardiographic parameters of infarcted rats. Myocardial infarction increases oxygen reactive species production and changes antioxidant enzyme activity and glucose and fatty acid metabolism. Aerobic exercise is superior to resistance exercise against oxidative stress reducing muscle lipid hydroperoxide concentration and attenuating change in glutathione peroxidase activity.
Acknowledgement/Funding
Financial support: Fapesp, CNPq, Capes, and UNESP
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Affiliation(s)
- M J Gomes
- UNESP- Botucatu Medical School, Botucatu, Brazil
| | - A R R Lima
- UNESP- Botucatu Medical School, Botucatu, Brazil
| | - L U Pagan
- UNESP- Botucatu Medical School, Botucatu, Brazil
| | - F C Damatto
- UNESP- Botucatu Medical School, Botucatu, Brazil
| | | | - L M Souza
- UNESP- Botucatu Medical School, Botucatu, Brazil
| | | | - T H D Pontes
- UNESP- Botucatu Medical School, Botucatu, Brazil
| | - F S S Sodre
- University of Sao Paulo, Department of Physiology and Biophysics, Institute of Biomedical Sciences, Sao Paulo, Brazil
| | - G M Murata
- University of Sao Paulo, Department of Physiology and Biophysics, Institute of Biomedical Sciences, Sao Paulo, Brazil
| | - A A H Fernandes
- UNESP, Sao Paulo State University, Institute of Biociences of Botucatu, Botucatu, Brazil
| | | | - K Okoshi
- UNESP- Botucatu Medical School, Botucatu, Brazil
| | - M P Okoshi
- UNESP- Botucatu Medical School, Botucatu, Brazil
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23
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Urbano Pagan L, Gomes MJ, Damatto RL, Cezar MDM, Reyes DRA, Damatto FC, Campos DHS, Lima ARR, Polegato BF, Fernandes AAH, Laurindo FR, Okoshi MP, Okoshi K. P4428Physical exercise during uncontrolled systemic arterial hypertension. Eur Heart J 2019. [DOI: 10.1093/eurheartj/ehz745.0830] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Introduction
Physical exercise reduces systemic arterial blood pressure and improves cardiac remodeling. However, the effects of exercise during uncontrolled arterial hypertension remains poorly understood. This study evaluated the influence of physical training on cardiac remodeling in untreated spontaneously hypertensive rats (SHR).
Methods
Four experimental groups were used: sedentary (W-SED n=27) and trained (W-EX, n=31) normotensive Wistar rats, and sedentary (SHR-SED, n=27) and exercised (SHR-EX, n=32) hypertensive rats. At 13 months old, the exercise groups underwent treadmill exercise five days a week, for four months. Echocardiogram was performed to evaluate cardiac structures and function. In vitro myocardial function was analyzed in left ventricular (LV) papillary muscle preparations. Myocardial collagen was quantified by histology and hydroxyproline concentration and antioxidant enzyme activity was assessed by spectrophotometry. NADPH oxidase activity was analyzed by lucigenin reduction. Protein expression was quantified by Western blot. Matrix metalloproteinases (MMP) activity was evaluated by zymography. Statistical analyzes: two factor ANOVA and Bonferroni or Kruskal-Wallis and Dunn tests.
Results
Systolic blood pressure was higher in SHR groups. Exercised groups had greater physical capacity. Frequency of heart failure features was higher in hypertensive groups than controls; SHR-EX had a lower frequency of pleural effusion and tachypnea than SHR-SED. Echocardiogram showed lower LV wall thickness, LV relative wall thickness, left atrium diameter, and relaxation time in SHR-EX than SHR-SED. Myocardial function was better in SHR-EX (positive derivative of developed tension) than SHR-SED. SHR-EX had higher antioxidant enzyme activity than SHR-SED. Lipid hydroperoxide concentration, myocyte diameters, and phosphorylated JNK and total IkB protein expression were higher in hypertensive than control groups. Hydroxyproline, malondialdehyde, NADPH oxidase activity, and protein expression of collagen III, lysyl oxidase, TIMP-1, total JNK, phosphorylated p38, phosphorylated and total p65, and phosphorylated IkB did not differ between groups. Interstitial collagen fraction, MMP-2 activity, and protein expression of total p38, and total and phosphorylated ERK were higher in SHR-SED than W-SED. Exercise reduced MMP-2 activity and phosphorylated ERK in hypertensive rats.
Conclusion
Physical exercise improves physical capacity, reduces the frequency of heart failure features, and attenuates cardiac remodeling in spontaneously hypertensive rats. In addition, exercise increases antioxidant enzyme activity, decreases ERK phosphorylation and MMP-2 activity, and attenuates total ERK protein expression.
Acknowledgement/Funding
Fapesp, CNPq, Capes and UNESP
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Affiliation(s)
| | - M J Gomes
- UNESP, Medical School, Botucatu, Brazil
| | | | | | | | | | | | | | | | - A A H Fernandes
- UNESP - Sao Paulo State University, Biosciences Institute, Botucatu, Brazil
| | | | | | - K Okoshi
- UNESP, Medical School, Botucatu, Brazil
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24
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Guirado GN, Cezar MDM, Pagan LU, Lima ARR, Damatto RL, Campos DHS, Bonomo C, Rosa CM, Gimenes C, Okoshi K, Okoshi MP. P2508Physical exercise improves diastolic function and attenuates type III collagen myocardial accumulation in aged rats. Eur Heart J 2019. [DOI: 10.1093/eurheartj/ehz748.0837] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
Interstitial collagen matrix increase and left ventricular (LV) diastolic dysfunction are the most frequent cardiac alterations during aging. Whether changes are part of the aging process or induced by a sedentary life style is not clear.
Purpose
To evaluate the effects of aerobic exercise on functional capacity, cardiac and myocardial function, and interstitial collagen matrix of aging rats.
Methods
Male Wistar rats were assigned into three groups: 1) sedentary six-month-old rats (W6, n=24); 2) sedentary 21-month-old rats (W21-Sed, n=25); and 3) exercised 21-month-old rats (W21-Ex, n=20). Physical exercise was by treadmill for 12 weeks. In vivo cardiac evaluation was performed by Doppler echocardiography. Myocardial function was assessed in LV papillary muscle preparation. Total and soluble myocardial collagen concentrations were evaluated by spectrophotometry. Protein expression was analyzed by Western blot. Statistical analysis: ANOVA and Bonferroni or Kruskal-Wallis and Dunn.
Results
Body weight was greater in W21-Sed and W21-Ex than W6. Before exercise, functional capacity did not differ between aged groups. After training, W21-Ex group ran farther and longer in treadmill than W21-Sed e W6, and W21-Sed presented worse physical capacity than W6. LV diastolic posterior wall, interventricular septum, and relative wall thicknesses were greater in W21-Sed and W21-Ex than W6, and did not differ between aged groups. E wave was lower in both aged groups than W6. E/E' ratio was lower in W21-Ex than W21-Sed. Isolated papillary muscle developed tension was higher in W21-Sed than W6; W21-Ex values did not differ from both W6 and W21-Sed groups. Time to peak tension was higher in W21-Sed and W21-Ex than W6 and did not differ between aged groups. The same results were observed after positive inotropic stimulation. Total collagen concentration was higher in W21-Sed and W21-Ex than W6 and did not differ between aged groups. Soluble collagen did not differ between groups. Type III collagen expression was higher in W21-Sed than W6; the W21-Ex group presented intermediary values that did not differ from W21-Sed or W6 groups. Type I collagen was similar between groups.
Conclusion
Regular physical aerobic training improves functional capacity and left ventricular diastolic function and attenuates type III collagen myocardial accumulation in aged rats.
Acknowledgement/Funding
Fapesp, CNPq, Capes, and UNESP
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Affiliation(s)
| | | | - L U Pagan
- UNESP, Medical School, Botucatu, Brazil
| | | | | | | | - C Bonomo
- UNESP, Medical School, Botucatu, Brazil
| | - C M Rosa
- UNESP, Medical School, Botucatu, Brazil
| | - C Gimenes
- UNESP, Medical School, Botucatu, Brazil
| | - K Okoshi
- UNESP, Medical School, Botucatu, Brazil
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25
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Martinez PF, Oliveira-Junior SA, Polegato BF, Okoshi K, Okoshi MP. Biomarkers in Acute Myocardial Infarction Diagnosis and Prognosis. Arq Bras Cardiol 2019; 113:40-41. [PMID: 31411291 PMCID: PMC6684190 DOI: 10.5935/abc.20190131] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023] Open
Affiliation(s)
- Paula F Martinez
- Instituto Integrado de Saúde, Universidade Federal de Mato Grosso do Sul, Campo Grande, MS - Brazil
| | - Silvio A Oliveira-Junior
- Instituto Integrado de Saúde, Universidade Federal de Mato Grosso do Sul, Campo Grande, MS - Brazil
| | - Bertha F Polegato
- Faculdade de Medicina de Botucatu - Departamento de Medicina Interna - Universidade Estadual Paulista (UNESP), Botucatu, SP - Brazil
| | - Katashi Okoshi
- Faculdade de Medicina de Botucatu - Departamento de Medicina Interna - Universidade Estadual Paulista (UNESP), Botucatu, SP - Brazil
| | - Marina P Okoshi
- Faculdade de Medicina de Botucatu - Departamento de Medicina Interna - Universidade Estadual Paulista (UNESP), Botucatu, SP - Brazil
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26
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Pagan LU, Damatto RL, Gomes MJ, Lima ARR, Cezar MDM, Damatto FC, Reyes DRA, Caldonazo TMM, Polegato BF, Okoshi MP, Okoshi K. Low-intensity aerobic exercise improves cardiac remodelling of adult spontaneously hypertensive rats. J Cell Mol Med 2019; 23:6504-6507. [PMID: 31317657 PMCID: PMC6714166 DOI: 10.1111/jcmm.14530] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2019] [Revised: 05/15/2019] [Accepted: 06/19/2019] [Indexed: 12/19/2022] Open
Abstract
We evaluated the influence of aerobic training on cardiac remodeling in untreated spontaneously hypertensive rats (SHR). Four experimental groups were used: sedentary (W‐SED, n=27) and trained (WEX, n=31) normotensive Wistar rats, and sedentary (SHR‐SED, n=27) and exercised (SHR‐EX, n=32) hypertensive rats. At 13 months old, trained groups underwent treadmill exercise five days a week for four months. Statistical analysis: ANOVA or Kruskal‐Wallis. Exercised groups had higher physical capacity. Hypertensive groups presented left ventricular (LV) concentric hypertrophy with impaired function. Left atrium diameter, LV posterior wall thickness and relative thickness, and isovolumetric relaxation time were lower in SHR‐EX than SHR‐SED. Interstitial collagen fraction and Type I‐Type III collagen ratio were higher in SHR‐SED than W‐SED. In SHR‐EX these parameters had intermediate values between W‐EX and SHRSED with no differences between either group. Myocardial matrix metalloproteinase‐2 activity, evaluated by zymography, was higher in SHR‐SED than W‐SED and SHR‐EX. TIMP‐2 was higher in hypertensive than normotensive groups. In conclusion, low intensity aerobic exercise reduces left atrium dimension and LV posterior wall thickness, and improves functional capacity, diastolic function, and metalloproteinase‐2 activity in adult SHR.
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Affiliation(s)
- Luana U Pagan
- Botucatu Medical School, UNESP, Sao Paulo State University, Botucatu, Brazil
| | | | - Mariana J Gomes
- Botucatu Medical School, UNESP, Sao Paulo State University, Botucatu, Brazil
| | - Aline R R Lima
- Botucatu Medical School, UNESP, Sao Paulo State University, Botucatu, Brazil
| | | | - Felipe C Damatto
- Botucatu Medical School, UNESP, Sao Paulo State University, Botucatu, Brazil
| | - David R A Reyes
- Botucatu Medical School, UNESP, Sao Paulo State University, Botucatu, Brazil
| | - Tulio M M Caldonazo
- Botucatu Medical School, UNESP, Sao Paulo State University, Botucatu, Brazil
| | - Bertha F Polegato
- Botucatu Medical School, UNESP, Sao Paulo State University, Botucatu, Brazil
| | - Marina P Okoshi
- Botucatu Medical School, UNESP, Sao Paulo State University, Botucatu, Brazil
| | - Katashi Okoshi
- Botucatu Medical School, UNESP, Sao Paulo State University, Botucatu, Brazil
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27
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Okoshi K, Cezar MDM, Polin MAM, Paladino JR, Martinez PF, Oliveira SA, Lima ARR, Damatto RL, Paiva SAR, Zornoff LAM, Okoshi MP. Influence of intermittent fasting on myocardial infarction-induced cardiac remodeling. BMC Cardiovasc Disord 2019; 19:126. [PMID: 31138145 PMCID: PMC6540428 DOI: 10.1186/s12872-019-1113-4] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2019] [Accepted: 05/20/2019] [Indexed: 02/07/2023] Open
Abstract
Background Information on the role of intermittent fasting (IF) on pathologic cardiac remodeling is scarce. We compared the effects of IF before and after myocardial infarction (MI) on rat cardiac remodeling and survival. Methods Wistar rats were intermittently fasted (food available every other day) or fed ad libitum for 12 weeks and then divided into three groups: AL – fed ad libitum; AL/IF - fed AL before MI and IF after MI; and IF – fed IF before and after MI. Echocardiogram was performed before MI and 2 and 12 weeks after surgery. Isolated hearts were evaluated in Langendorff preparations. Results Before surgery, body weight (BW) was lower in IF than AL. Final BW was lower in AL/IF and IF than AL. Perioperative mortality did not change between AL (31.3%) and IF (27.3%). Total mortality was lower in IF than AL. Before surgery, echocardiographic parameters did not differ between groups. Two weeks after surgery, MI size did not differ between groups. Twelve weeks after MI, left ventricular (LV) diastolic posterior wall thickness was lower in AL/IF and IF than AL. The percentage of variation of echocardiographic parameters between twelve and two weeks showed that MI size decreased in all groups and the reduction was higher in IF than AL/IF. In Langendorff preparations, LV volume at zero end-diastolic pressure (V0; AL: 0.41 ± 0.05; AL/IF: 0.34 ± 0.06; IF: 0.28 ± 0.05 mL) and at 25 mmHg end-diastolic pressure (V25; AL: 0.61 ± 0.05; AL/IF: 0.54 ± 0.07; IF: 0.44 ± 0.06 mL) was lower in AL/IF and IF than AL and V25 was lower in IF than AL/IF. V0/BW ratio was lower in IF than AL and LV weight/V0 ratio was higher in IF than AL. Myocyte diameter was lower in AL/IF and IF than AL (AL: 17.3 ± 1.70; AL/IF: 15.1 ± 2.21; IF: 13.4 ± 1.49 μm). Myocardial hydroxyproline concentration and gene expression of ANP, Serca 2a, and α- and β-myosin heavy chain did not differ between groups. Conclusion Intermittent fasting initiated before or after MI reduces myocyte hypertrophy and LV dilation. Myocardial fibrosis and fetal gene expression are not modulated by feeding regimens. Benefit is more evident when intermittent fasting is initiated before rather than after MI.
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Affiliation(s)
- K Okoshi
- Internal Medicine Department, Botucatu Medical School, Sao Paulo State University, UNESP, Botucatu, SP, Brazil.,Departamento de Clinica Medica, Faculdade de Medicina de Botucatu, UNESP, Rubiao Junior, S/N. CEP 18618-687, Botucatu, SP, Brazil
| | - M D M Cezar
- Internal Medicine Department, Botucatu Medical School, Sao Paulo State University, UNESP, Botucatu, SP, Brazil.,Departamento de Clinica Medica, Faculdade de Medicina de Botucatu, UNESP, Rubiao Junior, S/N. CEP 18618-687, Botucatu, SP, Brazil.,Itapeva Social and Agrarian Sciences College, FAIT, Itapeva, SP, Brazil
| | - M A M Polin
- Internal Medicine Department, Botucatu Medical School, Sao Paulo State University, UNESP, Botucatu, SP, Brazil.,Departamento de Clinica Medica, Faculdade de Medicina de Botucatu, UNESP, Rubiao Junior, S/N. CEP 18618-687, Botucatu, SP, Brazil
| | - J R Paladino
- Internal Medicine Department, Botucatu Medical School, Sao Paulo State University, UNESP, Botucatu, SP, Brazil.,Departamento de Clinica Medica, Faculdade de Medicina de Botucatu, UNESP, Rubiao Junior, S/N. CEP 18618-687, Botucatu, SP, Brazil
| | - P F Martinez
- Federal University of Mato Grosso do Sul, Cidade Universitária, Av. Costa e Silva - Pioneiros, Campo Grande, MS, 79070-900, Brazil
| | - S A Oliveira
- Federal University of Mato Grosso do Sul, Cidade Universitária, Av. Costa e Silva - Pioneiros, Campo Grande, MS, 79070-900, Brazil
| | - A R R Lima
- Internal Medicine Department, Botucatu Medical School, Sao Paulo State University, UNESP, Botucatu, SP, Brazil.,Departamento de Clinica Medica, Faculdade de Medicina de Botucatu, UNESP, Rubiao Junior, S/N. CEP 18618-687, Botucatu, SP, Brazil
| | - R L Damatto
- Internal Medicine Department, Botucatu Medical School, Sao Paulo State University, UNESP, Botucatu, SP, Brazil.,Departamento de Clinica Medica, Faculdade de Medicina de Botucatu, UNESP, Rubiao Junior, S/N. CEP 18618-687, Botucatu, SP, Brazil.,Itapeva Social and Agrarian Sciences College, FAIT, Itapeva, SP, Brazil
| | - S A R Paiva
- Internal Medicine Department, Botucatu Medical School, Sao Paulo State University, UNESP, Botucatu, SP, Brazil.,Departamento de Clinica Medica, Faculdade de Medicina de Botucatu, UNESP, Rubiao Junior, S/N. CEP 18618-687, Botucatu, SP, Brazil
| | - L A M Zornoff
- Internal Medicine Department, Botucatu Medical School, Sao Paulo State University, UNESP, Botucatu, SP, Brazil.,Departamento de Clinica Medica, Faculdade de Medicina de Botucatu, UNESP, Rubiao Junior, S/N. CEP 18618-687, Botucatu, SP, Brazil
| | - M P Okoshi
- Internal Medicine Department, Botucatu Medical School, Sao Paulo State University, UNESP, Botucatu, SP, Brazil. .,Departamento de Clinica Medica, Faculdade de Medicina de Botucatu, UNESP, Rubiao Junior, S/N. CEP 18618-687, Botucatu, SP, Brazil.
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28
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Martinez PF, Morais CS, Ota GE, Carvalho MR, Gomes MJ, Cruz ADFC, Oliveira JML, Oliveira PCS, Mendonça MLM, Okoshi K, Okoshi MP, Oliveira‐Junior SA. Influence of Creatine Supplementation and High Intensity Interval Training on Glycemic Profile and Cardiac Morphology in Rats. FASEB J 2019. [DOI: 10.1096/fasebj.2019.33.1_supplement.535.2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
| | | | - Gabriel E Ota
- Federal University of Mato Grosso do SulCampo GrandeBrazil
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29
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Oliveira‐Junior SA, Dal Pai M, Guizoni DM, Torres BP, Martinez PF, Campos DHS, Okoshi MP, Okoshi K, Padovani CR, Cicogna AC. Effects of AT1 receptor antagonism on interstitial and ultrastructural remodeling of heart in response to a hypercaloric diet. Physiol Rep 2019; 7:e13964. [PMID: 30592176 PMCID: PMC6308213 DOI: 10.14814/phy2.13964] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2018] [Revised: 12/04/2018] [Accepted: 12/05/2018] [Indexed: 12/29/2022] Open
Abstract
Palatable hypercaloric feeding has been associated with angiotensin-II type 1 receptor (AT1R) stimulation and cardiac remodeling. This study analyzed whether AT1R antagonism attenuates cardiac remodeling in rats subjected to a palatable hypercaloric diet. Male Wistar-Kyoto rats were subjected to a commercial standard rat chow (CD) or a palatable hypercaloric diet (HD) for 35 weeks and then allocated into four groups: CD, CL, HD, and HL; L groups received losartan in drinking water (30 mg/kg/day) for 5 weeks. Body weight, adiposity, and glycemia were evaluated. The cardiovascular study included echocardiography, and myocardial morphometric and ultrastructural evaluation. Myocardial collagen isoforms Type I and III were analyzed by Western blot. Both HD and HL had higher adiposity than their respective controls. Cardiomyocyte cross-sectional-area (CD 285 ± 49; HD 344 ± 91; CL 327 ± 49; HL 303 ± 49 μm2 ) and interstitial collagen fractional area were significantly higher in HD than CD and unchanged by losartan. HD showed marked ultrastructural alterations such as myofilament loss, and severe mitochondrial swelling. CL presented higher Type I collagen expression when compared to CD and HL groups. The ultrastructural changes and type I collagen expression were attenuated by losartan in HL. Losartan attenuates systolic dysfunction and ultrastructural abnormalities without changing myocardial interstitial remodeling in rats subjected to a palatable hypercaloric diet.
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Affiliation(s)
- Silvio A. Oliveira‐Junior
- School of Physical TherapyFederal University of Mato Grosso do SulCampo GrandeMato Grosso do SulBrazil
| | - Maeli Dal Pai
- Botucatu Biosciences InstituteUniv. Estadual PaulistaUNESPBotucatuSão PauloBrazil
| | - Daniele M. Guizoni
- Internal Medicine DepartmentBotucatu Medical SchoolUniv. Estadual PaulistaUNESPBotucatuSão PauloBrazil
| | - Barbara P. Torres
- Botucatu Biosciences InstituteUniv. Estadual PaulistaUNESPBotucatuSão PauloBrazil
| | - Paula F. Martinez
- School of Physical TherapyFederal University of Mato Grosso do SulCampo GrandeMato Grosso do SulBrazil
| | - Dijon H. S. Campos
- Internal Medicine DepartmentBotucatu Medical SchoolUniv. Estadual PaulistaUNESPBotucatuSão PauloBrazil
| | - Marina P. Okoshi
- Internal Medicine DepartmentBotucatu Medical SchoolUniv. Estadual PaulistaUNESPBotucatuSão PauloBrazil
| | - Katashi Okoshi
- Internal Medicine DepartmentBotucatu Medical SchoolUniv. Estadual PaulistaUNESPBotucatuSão PauloBrazil
| | - Carlos R. Padovani
- Botucatu Biosciences InstituteUniv. Estadual PaulistaUNESPBotucatuSão PauloBrazil
| | - Antonio C. Cicogna
- Internal Medicine DepartmentBotucatu Medical SchoolUniv. Estadual PaulistaUNESPBotucatuSão PauloBrazil
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30
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Reyes DRA, Gomes MJ, Rosa CM, Pagan LU, Zanati SG, Damatto RL, Rodrigues EA, Carvalho RF, Fernandes AAH, Martinez PF, Lima ARR, Cezar MDM, Carvalho LEFM, Okoshi K, Okoshi MP. Exercise during transition from compensated left ventricular hypertrophy to heart failure in aortic stenosis rats. J Cell Mol Med 2018; 23:1235-1245. [PMID: 30456799 PMCID: PMC6349163 DOI: 10.1111/jcmm.14025] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2018] [Revised: 09/20/2018] [Accepted: 10/22/2018] [Indexed: 12/18/2022] Open
Abstract
We evaluated the influence of aerobic exercise on cardiac remodelling during the transition from compensated left ventricular (LV) hypertrophy to clinical heart failure in aortic stenosis (AS) rats. Eighteen weeks after AS induction, rats were assigned into sedentary (AS) and exercised (AS-Ex) groups. Results were compared to Sham rats. Exercise was performed on treadmill for 8 weeks. Exercise improved functional capacity. Echocardiogram showed no differences between AS-Ex and AS groups. After exercise, fractional shortening and ejection fraction were lower in AS-Ex than Sham. Myocyte diameter and interstitial collagen fraction were higher in AS and AS-Ex than Sham; however, myocyte diameter was higher in AS-Ex than AS. Myocardial oxidative stress, evaluated by lipid hydroperoxide concentration, was higher in AS than Sham and was normalized by exercise. Gene expression of the NADPH oxidase subunits NOX2 and NOX4, which participate in ROS generation, did not differ between groups. Activity of the antioxidant enzyme superoxide dismutase was lower in AS and AS-Ex than Sham and glutathione peroxidase was lower in AS-Ex than Sham. Total and reduced myocardial glutathione, which is involved in cellular defence against oxidative stress, was lower in AS than Sham and total glutathione was higher in AS-Ex than AS. The MAPK JNK was higher in AS-Ex than Sham and AS groups. Phosphorylated P38 was lower in AS-Ex than AS. Despite improving functional capacity, aerobic exercise does not change LV function in AS rats. Exercise restores myocardial glutathione, reduces oxidative stress, impairs JNK signalling and further induces myocyte hypertrophy.
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Affiliation(s)
- David R A Reyes
- Botucatu Medical School, Internal Medicine Department, Sao Paulo State University, UNESP, Botucatu, Brazil
| | - Mariana J Gomes
- Botucatu Medical School, Internal Medicine Department, Sao Paulo State University, UNESP, Botucatu, Brazil
| | - Camila M Rosa
- Botucatu Medical School, Internal Medicine Department, Sao Paulo State University, UNESP, Botucatu, Brazil
| | - Luana U Pagan
- Botucatu Medical School, Internal Medicine Department, Sao Paulo State University, UNESP, Botucatu, Brazil
| | - Silmeia G Zanati
- Botucatu Medical School, Internal Medicine Department, Sao Paulo State University, UNESP, Botucatu, Brazil
| | - Ricardo L Damatto
- Botucatu Medical School, Internal Medicine Department, Sao Paulo State University, UNESP, Botucatu, Brazil
| | - Eder A Rodrigues
- Botucatu Medical School, Internal Medicine Department, Sao Paulo State University, UNESP, Botucatu, Brazil
| | - Robson F Carvalho
- Institute of Biosciences of Botucatu, Sao Paulo State University, UNESP, Botucatu, Brazil
| | - Ana A H Fernandes
- Institute of Biosciences of Botucatu, Sao Paulo State University, UNESP, Botucatu, Brazil
| | - Paula F Martinez
- School of Physical Therapy, Federal University of Mato Grosso do Sul, Campo Grande, Brazil
| | - Aline R R Lima
- Botucatu Medical School, Internal Medicine Department, Sao Paulo State University, UNESP, Botucatu, Brazil
| | - Marcelo D M Cezar
- Botucatu Medical School, Internal Medicine Department, Sao Paulo State University, UNESP, Botucatu, Brazil
| | - Luiz E F M Carvalho
- Botucatu Medical School, Internal Medicine Department, Sao Paulo State University, UNESP, Botucatu, Brazil
| | - Katashi Okoshi
- Botucatu Medical School, Internal Medicine Department, Sao Paulo State University, UNESP, Botucatu, Brazil
| | - Marina P Okoshi
- Botucatu Medical School, Internal Medicine Department, Sao Paulo State University, UNESP, Botucatu, Brazil
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Gazzana ML, Souza JJ, Okoshi MP, Okoshi K. Prospective Echocardiographic Evaluation of the Right Ventricle and Pulmonary Arterial Pressure in Hyperthyroid Patients. Heart Lung Circ 2018; 28:1190-1196. [PMID: 30262155 DOI: 10.1016/j.hlc.2018.06.1055] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2018] [Revised: 05/11/2018] [Accepted: 06/20/2018] [Indexed: 12/13/2022]
Abstract
BACKGROUND Pulmonary arterial hypertension (PAH) occurs in 35% to 65% of hyperthyroid patients. Despite this high frequency, only a few authors have examined the effects of hyperthyroidism treatment on PAH and the right ventricle. We evaluated the effects of hyperthyroidism and its reversal on cardiovascular structure and function using Doppler echocardiography. METHODS We prospectively evaluated 32 patients (42.5±11.9years old) with thyrotoxicosis. Exclusion criteria included previous cardiovascular disease. An echocardiogram was performed at the time of hyperthyroidism diagnosis and after normalisation of free thyroxine (T4) levels. Patients were divided into two groups according to the presence or absence of PAH at the diagnosis, or at two moments, before and after T4 normalisation. RESULTS Graves' disease was the most frequent aetiology (75%) of hyperthyroidism. Pulmonary arterial hypertension was observed in 43.8% of patients. Free T4 concentration was higher in PAH than non-PAH patients. Free T4 normalised after 5 (2.0-10.5; median and percentiles) months of treatment. Cardiac chamber sizes and cardiac output were higher in PAH. Right ventricular (RV) systolic function was impaired in PAH. Cardiac output and free T4 (r=0.42; p<0.05) correlated with pulmonary artery systolic pressure (PASP). Cardiac chamber size, cardiac output, left ventricular ejection fraction, and PASP (34.0±8.6 to 21.7±4.5mmHg) reduced after treatment. Right ventricular myocardial performance index and fractional area change improved after T4 normalisation. CONCLUSIONS Pulmonary arterial hypertension is highly prevalent in hyperthyroid patients and is combined with increased cardiac chambers size and cardiac output, and impaired RV function. Cardiovascular changes are reversible after T4 normalisation in patients without cardiovascular disease.
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Affiliation(s)
- M L Gazzana
- Superior School of Health Sciences, Amazonas State University - UEA, Manaus, Amazonas, Brazil
| | - J J Souza
- Medical School, Amazonas Federal University - UFAM, and Medical School, Nilton Lins University - UNL, Manaus, Amazonas, Brazil
| | - M P Okoshi
- Department of Internal Medicine, Botucatu Medical School, Sao Paulo State University - UNESP, Botucatu, Sao Paulo, Brazil
| | - K Okoshi
- Department of Internal Medicine, Botucatu Medical School, Sao Paulo State University - UNESP, Botucatu, Sao Paulo, Brazil.
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Affiliation(s)
- Paula F Martinez
- Faculdade de Fisioterapia da Universidade de Mato Grosso do Sul, Campo Grande, MS - Brazil
| | - Marina P Okoshi
- Faculdade de Medicina de Botucatu (UNESP), Botucatu, SP - Brazil
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Okoshi MP, Rosa CM, Kurosaki LY, Campos DHS, Pagan LU, Gomes MJ, Damatto FC, Fernandes AAH, Reyes DRA, Pontes THD, Rodrigues EA, Okoshi K. P1268Dapagliflozin-induced attenuation of cardiac remodeling in rats with Type 1 diabetes mellitus. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy565.p1268] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- M P Okoshi
- UNESP - Sao Paulo State University - Botucatu Medical School, Botucatu, Brazil
| | - C M Rosa
- UNESP - Sao Paulo State University - Botucatu Medical School, Botucatu, Brazil
| | - L Y Kurosaki
- UNESP - Sao Paulo State University - Botucatu Medical School, Botucatu, Brazil
| | - D H S Campos
- UNESP - Sao Paulo State University - Botucatu Medical School, Botucatu, Brazil
| | - L U Pagan
- UNESP - Sao Paulo State University - Botucatu Medical School, Botucatu, Brazil
| | - M J Gomes
- UNESP - Sao Paulo State University - Botucatu Medical School, Botucatu, Brazil
| | - F C Damatto
- UNESP - Sao Paulo State University - Botucatu Medical School, Botucatu, Brazil
| | - A A H Fernandes
- UNESP - Sao Paulo State University - Botucatu Medical School, Botucatu, Brazil
| | - D R A Reyes
- UNESP - Sao Paulo State University - Botucatu Medical School, Botucatu, Brazil
| | - T H D Pontes
- UNESP - Sao Paulo State University - Botucatu Medical School, Botucatu, Brazil
| | - E A Rodrigues
- UNESP - Sao Paulo State University - Botucatu Medical School, Botucatu, Brazil
| | - K Okoshi
- UNESP - Sao Paulo State University - Botucatu Medical School, Botucatu, Brazil
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Polegato BF, Mathias LBS, Alegre PHC, Santos IOF, Bachiega TF, Fernandes AAH, Bazan SGZ, Azevedo PS, Minicucci MF, Okoshi MP, Zornoff LAM, Paiva SAR. P1584Euterpe oleracea Mart. (Acai palm) attenuates doxorubicin-induced cardiotoxicity in rats. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy565.p1584] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- B F Polegato
- Sao Paulo State University, UNESP, Botucatu Medical School, Botucatu, Brazil
| | - L B S Mathias
- Sao Paulo State University, UNESP, Botucatu Medical School, Botucatu, Brazil
| | - P H C Alegre
- Sao Paulo State University, UNESP, Botucatu Medical School, Botucatu, Brazil
| | - I O F Santos
- Sao Paulo State University, UNESP, Botucatu Medical School, Botucatu, Brazil
| | - T F Bachiega
- Sao Paulo State University, UNESP, Botucatu Medical School, Botucatu, Brazil
| | - A A H Fernandes
- Univ. Estadual Paulista (UNESP), Botucatu Biosciences Institute, Botucatu, Brazil
| | - S G Z Bazan
- Univ. Estadual Paulista (UNESP), Botucatu Biosciences Institute, Botucatu, Brazil
| | - P S Azevedo
- Univ. Estadual Paulista (UNESP), Botucatu Biosciences Institute, Botucatu, Brazil
| | - M F Minicucci
- Univ. Estadual Paulista (UNESP), Botucatu Biosciences Institute, Botucatu, Brazil
| | - M P Okoshi
- Univ. Estadual Paulista (UNESP), Botucatu Biosciences Institute, Botucatu, Brazil
| | - L A M Zornoff
- Univ. Estadual Paulista (UNESP), Botucatu Biosciences Institute, Botucatu, Brazil
| | - S A R Paiva
- Univ. Estadual Paulista (UNESP), Botucatu Biosciences Institute, Botucatu, Brazil
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Ribeiro APD, Todo MC, Bazan SGZ, Minicucci MF, Zornoff LAM, Okoshi MP, Azevedo PS, Paiva SAR, Polegato BF. P3496Orange juice improves systolic and diastolic function in rats with doxorubicin-induced cardiotoxicity. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy563.p3496] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- A P D Ribeiro
- Sao Paulo State University, UNESP, Botucatu Medical School, Botucatu, Brazil
| | - M C Todo
- Sao Paulo State University, UNESP, Botucatu Medical School, Botucatu, Brazil
| | - S G Z Bazan
- Sao Paulo State University, UNESP, Botucatu Medical School, Botucatu, Brazil
| | - M F Minicucci
- Sao Paulo State University, UNESP, Botucatu Medical School, Botucatu, Brazil
| | - L A M Zornoff
- Sao Paulo State University, UNESP, Botucatu Medical School, Botucatu, Brazil
| | - M P Okoshi
- Sao Paulo State University, UNESP, Botucatu Medical School, Botucatu, Brazil
| | - P S Azevedo
- Sao Paulo State University, UNESP, Botucatu Medical School, Botucatu, Brazil
| | - S A R Paiva
- Sao Paulo State University, UNESP, Botucatu Medical School, Botucatu, Brazil
| | - B F Polegato
- Sao Paulo State University, UNESP, Botucatu Medical School, Botucatu, Brazil
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36
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Affiliation(s)
- Paula F. Martinez
- Faculdade de Fisioterapia, Universidade Federal de Mato Grosso do
Sul, Campo Grande - Brazil
| | - Marina P. Okoshi
- Departamento de Clínica Médica - Faculdade de
Medicina de Botucatu, Universidade Estadual de São Paulo (UNESP), Botucatu,
SP – Brazil
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Oliveira-Junior SA, Martinez PF, Fan WYC, Nakatani BT, Pagan LU, Padovani CR, Cicogna AC, Okoshi MP, Okoshi K. Association between echocardiographic structural parameters and body weight in Wistar rats. Oncotarget 2018; 8:26100-26105. [PMID: 28212534 PMCID: PMC5432241 DOI: 10.18632/oncotarget.15320] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2016] [Accepted: 01/26/2017] [Indexed: 11/25/2022] Open
Abstract
BACKGROUND The association between echocardiographic structural parameters and body weight (BW) during rat development has been poorly addressed. We evaluated echocardiographic variables: left ventricular (LV) end-diastolic (LVDD) and end-systolic (LVSD) diameters, LV diastolic posterior wall thickness (PWT), left atrial diameter (LA), and aortic diameter (AO) in function of BW during development.Results/Materials and Methods: Male Wistar rats (n = 328, BW: 302-702 g) were retrospectively used to construct regression models and 95% confidence intervals relating to cardiac structural parameters and BW. Adjusted indexes were significant to all relationships; the regression model for predicting LVDD (R2 = 0.678; p < 0.001) and AO (R2 = 0.567; p < 0.001) had the highest prediction coefficients and LA function the lowest prediction coefficient (R2 = 0.274; p < 0.01). These relationships underwent validation by performing echocardiograms on additional rats (n = 43, BW: 300-600 g) and testing whether results were within confidence intervals of our regressions. Prediction models for AO and LA correctly allocated 38 (88.4%) and 39 rats (90.7%), respectively, within the 95% confidence intervals. Regression models for LVDD, LVSD, and PWT included 27 (62.7%), 30 (69.8%), and 19 (44.2%) animals, respectively, within the 95% confidence intervals. CONCLUSIONS Increase in cardiac structures is associated with BW gain during rat growth. LA and AO can be correctly predicted using regression models; prediction of PWT and LV diameters is not accurate.
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Affiliation(s)
| | - Paula F Martinez
- School of Physical Therapy, Federal University of Mato Grosso do Sul, Campo Grande, MS, Brazil
| | - William Y C Fan
- Botucatu Medical School, Sao Paulo State University, UNESP, Botucatu, SP, Brazil
| | - Bruno T Nakatani
- Botucatu Medical School, Sao Paulo State University, UNESP, Botucatu, SP, Brazil
| | - Luana U Pagan
- Botucatu Medical School, Sao Paulo State University, UNESP, Botucatu, SP, Brazil
| | - Carlos R Padovani
- Botucatu Biosciences Institute, Sao Paulo State University, UNESP, Botucatu, SP, Brazil
| | - Antonio C Cicogna
- Botucatu Medical School, Sao Paulo State University, UNESP, Botucatu, SP, Brazil
| | - Marina P Okoshi
- Botucatu Medical School, Sao Paulo State University, UNESP, Botucatu, SP, Brazil
| | - Katashi Okoshi
- Botucatu Medical School, Sao Paulo State University, UNESP, Botucatu, SP, Brazil
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38
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Okoshi MP, Cezar MD, Okoshi K. Adrenaline: More than a century after its discovery and still a mystery. Int J Cardiol 2018; 253:124-125. [DOI: 10.1016/j.ijcard.2017.11.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/29/2017] [Accepted: 11/02/2017] [Indexed: 11/29/2022]
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Gimenes R, Gimenes C, Rosa CM, Xavier NP, Campos DHS, Fernandes AAH, Cezar MDM, Guirado GN, Pagan LU, Chaer ID, Fernandes DC, Laurindo FR, Cicogna AC, Okoshi MP, Okoshi K. Influence of apocynin on cardiac remodeling in rats with streptozotocin-induced diabetes mellitus. Cardiovasc Diabetol 2018; 17:15. [PMID: 29343259 PMCID: PMC5771187 DOI: 10.1186/s12933-017-0657-9] [Citation(s) in RCA: 27] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/02/2017] [Accepted: 12/26/2017] [Indexed: 01/02/2023] Open
Abstract
Background Increased reactive oxygen species (ROS) generation in diabetes mellitus (DM) is an important mechanism leading to diabetic cardiomyopathy. Apocynin, a drug isolated from the herb Picrorhiza kurroa, is considered an antioxidant agent by inhibiting NADPH oxidase activity and improving ROS scavenging. This study analyzed the influence of apocynin on cardiac remodeling in diabetic rats. Methods Six-month-old male Wistar rats were assigned into 4 groups: control (CTL, n = 15), control + apocynin (CTL + APO, n = 20), diabetes (DM, n = 20), and diabetes + apocynin (DM + APO, n = 20). DM was induced by streptozotocin. Seven days later, apocynin (16 mg/kg/day) or vehicle was initiated and maintained for 8 weeks. Left ventricular (LV) histological sections were used to analyze interstitial collagen fraction. NADPH oxidase activity was evaluated in LV samples. Comparisons between groups were performed by ANOVA for a 2 × 2 factorial design followed by the Bonferroni post hoc test. Results Body weight (BW) was lower and glycemia higher in diabetic animals. Echocardiogram showed increased left atrial diameter, LV diastolic diameter, and LV mass indexed by BW in both diabetic groups; apocynin did not affect these indices. LV systolic function was impaired in DM groups and unchanged by apocynin. Isovolumic relaxation time was increased in DM groups; transmitral E/A ratio was higher in DM + APO compared to DM. Myocardial functional evaluation through papillary muscle preparations showed impaired contractile and relaxation function in both DM groups at baseline conditions. After positive inotropic stimulation, developed tension (DT) was lower in DM than CTL. In DM + APO, DT had values between those in DM and CTL + APO and did not significantly differ from either group. Myocardial interstitial collagen fraction was higher in DM than CTL and did not differ between DM + APO and CTL + APO. Serum activity of antioxidant enzymes glutathione peroxidase, superoxide dismutase (SOD), and catalase was lower in DM than CTL; apocynin restored catalase and SOD levels in DM + APO. Myocardial NADPH oxidase activity did not differ between groups. Conclusion Apocynin restores serum antioxidant enzyme activity despite unchanged myocardial NADPH oxidase activity in diabetic rats.
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Affiliation(s)
- R Gimenes
- Department of Internal Medicine, Botucatu Medical School, Sao Paulo State University, UNESP, Botucatu, SP, Brazil
| | - C Gimenes
- Sagrado Coração University, Bauru, SP, Brazil
| | - C M Rosa
- Department of Internal Medicine, Botucatu Medical School, Sao Paulo State University, UNESP, Botucatu, SP, Brazil
| | - N P Xavier
- Department of Internal Medicine, Botucatu Medical School, Sao Paulo State University, UNESP, Botucatu, SP, Brazil
| | - D H S Campos
- Department of Internal Medicine, Botucatu Medical School, Sao Paulo State University, UNESP, Botucatu, SP, Brazil
| | - A A H Fernandes
- Institute of Biosciences, Sao Paulo State University (UNESP), Botucatu, SP, Brazil
| | - M D M Cezar
- Department of Internal Medicine, Botucatu Medical School, Sao Paulo State University, UNESP, Botucatu, SP, Brazil
| | - G N Guirado
- Department of Internal Medicine, Botucatu Medical School, Sao Paulo State University, UNESP, Botucatu, SP, Brazil
| | - L U Pagan
- Department of Internal Medicine, Botucatu Medical School, Sao Paulo State University, UNESP, Botucatu, SP, Brazil
| | - I D Chaer
- Department of Internal Medicine, Botucatu Medical School, Sao Paulo State University, UNESP, Botucatu, SP, Brazil
| | - D C Fernandes
- Department of Cardiopneumology, Medical School, Sao Paulo University, USP, São Paulo, Brazil
| | - F R Laurindo
- Department of Cardiopneumology, Medical School, Sao Paulo University, USP, São Paulo, Brazil
| | - A C Cicogna
- Department of Internal Medicine, Botucatu Medical School, Sao Paulo State University, UNESP, Botucatu, SP, Brazil
| | - M P Okoshi
- Department of Internal Medicine, Botucatu Medical School, Sao Paulo State University, UNESP, Botucatu, SP, Brazil
| | - K Okoshi
- Department of Internal Medicine, Botucatu Medical School, Sao Paulo State University, UNESP, Botucatu, SP, Brazil. .,Departamento de Clinica Medica, Faculdade de Medicina de Botucatu, Sao Paulo State University, UNESP, Rubiao Junior, S/N, Botucatu, SP, CEP 18618-687, Brazil.
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Lima ARR, Pagan LU, Damatto RL, Cezar MDM, Bonomo C, Gomes MJ, Martinez PF, Guizoni DM, Campos DHS, Damatto FC, Okoshi K, Okoshi MP. Effects of growth hormone on cardiac remodeling and soleus muscle in rats with aortic stenosis-induced heart failure. Oncotarget 2017; 8:83009-83021. [PMID: 29137319 PMCID: PMC5669945 DOI: 10.18632/oncotarget.20583] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2017] [Accepted: 07/29/2017] [Indexed: 12/18/2022] Open
Abstract
Background Skeletal muscle wasting is often observed in heart failure (HF). The growth hormone (GH)/insulin-like growth factor-1 (IGF-1) axis is impaired in HF. In this study, we evaluated the effects of GH on soleus muscle and cardiac remodeling in rats with aortic stenosis (AS)-induced HF. Methods AS was created by placing a stainless-steel clip on the ascending aorta. After clinically detecting HF, GH (2 mg/kg/day) was subcutaneously injected for 14 days (AS-GH group). Results were compared with those from Sham and non-treated AS groups. Transthoracic echocardiogram was performed before and after treatment. Protein expression was evaluated by Western blot and satellite cells activation by immunofluorescence. Statistical analyzes: ANOVA and Tukey or Kruskal-Wallis and Student-Newman-Keuls. Results Before treatment both AS groups presented a similar degree of cardiac injury. GH prevented body weight loss and attenuated systolic dysfunction. Soleus cross-sectional fiber areas were lower in both AS groups than Sham (Sham 3,556±447; AS 2,882±422; AS-GH 2,868±591 μm2; p=0.016). GH increased IGF-1 serum concentration (Sham 938±83; AS 866±116; AS-GH 1167±166 ng/mL; p<0.0001) and IGF-1 muscle protein expression and activated PI3K protein. Neural cell adhesion molecule (NCAM) immunofluorescence was increased in both AS groups. Catabolism-related intracellular pathways did not differ between groups. Conclusion Short-term growth hormone attenuates left ventricular systolic dysfunction in rats with aortic stenosis-induced HF. Despite preserving body weight, increasing serum and muscular IGF-1 levels, and stimulating PI3K muscle expression, GH does not modulate soleus muscle trophism, satellite cells activation or intracellular pathways associated with muscle catabolism.
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Affiliation(s)
- Aline R R Lima
- Botucatu Medical School, Internal Medicine Departament, Sao Paulo State University, UNESP, Botucatu, Brazil
| | - Luana U Pagan
- Botucatu Medical School, Internal Medicine Departament, Sao Paulo State University, UNESP, Botucatu, Brazil
| | - Ricardo L Damatto
- Botucatu Medical School, Internal Medicine Departament, Sao Paulo State University, UNESP, Botucatu, Brazil
| | - Marcelo D M Cezar
- Botucatu Medical School, Internal Medicine Departament, Sao Paulo State University, UNESP, Botucatu, Brazil
| | - Camila Bonomo
- Botucatu Medical School, Internal Medicine Departament, Sao Paulo State University, UNESP, Botucatu, Brazil
| | - Mariana J Gomes
- Botucatu Medical School, Internal Medicine Departament, Sao Paulo State University, UNESP, Botucatu, Brazil
| | - Paula F Martinez
- School of Physical Therapy, Federal University of Mato Grosso do Sul, Campo Grande, Brazil
| | - Daniele M Guizoni
- Botucatu Medical School, Internal Medicine Departament, Sao Paulo State University, UNESP, Botucatu, Brazil
| | - Dijon H S Campos
- Botucatu Medical School, Internal Medicine Departament, Sao Paulo State University, UNESP, Botucatu, Brazil
| | - Felipe C Damatto
- Botucatu Medical School, Internal Medicine Departament, Sao Paulo State University, UNESP, Botucatu, Brazil
| | - Katashi Okoshi
- Botucatu Medical School, Internal Medicine Departament, Sao Paulo State University, UNESP, Botucatu, Brazil
| | - Marina P Okoshi
- Botucatu Medical School, Internal Medicine Departament, Sao Paulo State University, UNESP, Botucatu, Brazil
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Okoshi MP, Cezar MDM, Iyomasa RM, Silva MB, Costa LCO, Martinez PF, Campos DHS, Damatto RL, Minicucci MF, Cicogna AC, Okoshi K. Effects of early aldosterone antagonism on cardiac remodeling in rats with aortic stenosis-induced pressure overload. Int J Cardiol 2016; 222:569-575. [PMID: 27513653 DOI: 10.1016/j.ijcard.2016.07.266] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/20/2016] [Revised: 07/29/2016] [Accepted: 07/30/2016] [Indexed: 11/17/2022]
Abstract
UNLABELLED Aldosterone plays a pivotal role in the pathophysiology of systolic heart failure. However, whether early aldosterone antagonism improves cardiac remodeling during persistent pressure overload is unsettled. We evaluated the effects of aldosterone antagonist spironolactone on cardiac remodeling in rats with ascending aortic stenosis (AS). METHODS Three days after inducing AS, weaning rats were randomized to receive spironolactone (AS-SPR, 20mg/kg/day) or no drug (AS) for 18weeks, and compared with sham-operated rats. Myocardial function was studied in isolated left ventricular (LV) papillary muscles. STATISTICAL ANALYSES ANOVA or Kruskal-Wallis tests. RESULTS Echocardiogram showed that LV diastolic (Sham 8.73±0.57; AS 8.30±1.10; AS-SPR 9.19±1.15mm) and systolic (Sham 4.57±0.67; AS 3.61±1.49; AS-SPR 4.62±1.48mm) diameters, left atrial diameter (Sham 5.80±0.44; AS 7.15±1.22; AS-SPR 8.02±1.17mm), and LV mass were higher in AS-SPR than AS. Posterior wall shortening velocity (Sham 38.5±3.8; AS 35.6±5.6; AS-SPR 31.1±3.8mm/s) was lower in AS-SPR than Sham and AS; E/A ratio was higher in AS-SPR than Sham. Developed tension was lower in AS and AS-SPR than Sham. Time to peak tension was higher in AS-SPR than Sham and AS after post-rest contraction. Right ventricle weight was higher in AS-SPR than AS, suggesting more severe heart failure in AS-SPR than AS. Interstitial collagen fractional area and myocardial hydroxyproline concentration were higher in AS than Sham. Metalloproteinase-2 and -9 activity, evaluated by zymography, did not differ between groups. CONCLUSION Early spironolactone administration causes further hypertrophy in cardiac chambers, and left ventricular dilation and dysfunction in rats with AS-induced chronic pressure overload.
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Affiliation(s)
- M P Okoshi
- Department of Internal Medicine, Botucatu Medical School, Sao Paulo State University, UNESP, Brazil.
| | - M D M Cezar
- Itapeva Social and Agrarian Sciences College, FAIT, Itapeva, SP, Brazil
| | - R M Iyomasa
- Department of Internal Medicine, Botucatu Medical School, Sao Paulo State University, UNESP, Brazil
| | - M B Silva
- Department of Internal Medicine, Botucatu Medical School, Sao Paulo State University, UNESP, Brazil
| | - L C O Costa
- Department of Internal Medicine, Botucatu Medical School, Sao Paulo State University, UNESP, Brazil
| | - P F Martinez
- Federal University of Mato Grosso do Sul, Campo Grande, Brazil
| | - D H S Campos
- Department of Internal Medicine, Botucatu Medical School, Sao Paulo State University, UNESP, Brazil
| | - R L Damatto
- Department of Internal Medicine, Botucatu Medical School, Sao Paulo State University, UNESP, Brazil; Itapeva Social and Agrarian Sciences College, FAIT, Itapeva, SP, Brazil
| | - M F Minicucci
- Department of Internal Medicine, Botucatu Medical School, Sao Paulo State University, UNESP, Brazil
| | - A C Cicogna
- Department of Internal Medicine, Botucatu Medical School, Sao Paulo State University, UNESP, Brazil
| | - K Okoshi
- Department of Internal Medicine, Botucatu Medical School, Sao Paulo State University, UNESP, Brazil
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Guizoni DM, Oliveira-Junior SA, Noor SLR, Pagan LU, Martinez PF, Lima ARR, Gomes MJ, Damatto RL, Cezar MDM, Bonomo C, Zornoff LAM, Okoshi K, Okoshi MP. Effects of late exercise on cardiac remodeling and myocardial calcium handling proteins in rats with moderate and large size myocardial infarction. Int J Cardiol 2016; 221:406-12. [PMID: 27404715 DOI: 10.1016/j.ijcard.2016.07.072] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/13/2016] [Accepted: 07/04/2016] [Indexed: 01/10/2023]
Abstract
BACKGROUND Physical exercise attenuates myocardial infarction (MI)-induced cardiac remodeling. However, it is unsettled whether late exercise modulates post-infarction cardiac remodeling differentially according to infarct size. We investigated the effects of exercise started at late stage heart failure on cardiac remodeling in rats with moderate and large sized MI. METHODS Three months after MI, rats were assigned into sedentary and exercise groups. Exercise rats underwent treadmill for three months. After assessing infarct size by histological analysis, rats were subdivided into four groups: moderate MI sedentary (Mod MI-Sed; n=7), Mod MI exercised (Mod MI-Ex; n=7), Large MI-Sed (n=11), and Large MI-Ex (n=10). RESULTS Before exercise, MI-induced cardiac changes were demonstrated by comparing results to a Sham group; alterations were more intense in rats with large than moderate MI size. Systolic function, evaluated by echocardiogram using the variation in LV fractional area change between after and before exercise, was improved in exercise than sedentary groups. Calsequestrin expression increased in exercised compared to sedentary groups. L-type calcium channel was higher in Mod MI-Ex than Mod MI-Sed. SERCA2a, phospholamban, and Na(+)/Ca(2+) exchanger expression did not differ between groups. CONCLUSION Late exercise improves systolic function and modulates intracellular calcium signaling proteins in rats with moderate and large MI.
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Affiliation(s)
- Daniele M Guizoni
- Internal Medicine Department, Botucatu Medical School, Sao Paulo State University, UNESP, Botucatu, Brazil
| | | | - Sefora L R Noor
- Internal Medicine Department, Botucatu Medical School, Sao Paulo State University, UNESP, Botucatu, Brazil
| | - Luana U Pagan
- Internal Medicine Department, Botucatu Medical School, Sao Paulo State University, UNESP, Botucatu, Brazil
| | - Paula F Martinez
- Internal Medicine Department, Botucatu Medical School, Sao Paulo State University, UNESP, Botucatu, Brazil; School of Physical Therapy, Federal University of Mato Grosso do Sul, Campo Grande, Brazil
| | - Aline R R Lima
- Internal Medicine Department, Botucatu Medical School, Sao Paulo State University, UNESP, Botucatu, Brazil
| | - Mariana J Gomes
- Internal Medicine Department, Botucatu Medical School, Sao Paulo State University, UNESP, Botucatu, Brazil
| | - Ricardo L Damatto
- Internal Medicine Department, Botucatu Medical School, Sao Paulo State University, UNESP, Botucatu, Brazil
| | - Marcelo D M Cezar
- Internal Medicine Department, Botucatu Medical School, Sao Paulo State University, UNESP, Botucatu, Brazil
| | - Camila Bonomo
- Internal Medicine Department, Botucatu Medical School, Sao Paulo State University, UNESP, Botucatu, Brazil
| | - Leonardo A M Zornoff
- Internal Medicine Department, Botucatu Medical School, Sao Paulo State University, UNESP, Botucatu, Brazil
| | - Katashi Okoshi
- Internal Medicine Department, Botucatu Medical School, Sao Paulo State University, UNESP, Botucatu, Brazil
| | - Marina P Okoshi
- Internal Medicine Department, Botucatu Medical School, Sao Paulo State University, UNESP, Botucatu, Brazil.
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Martinez PF, Bonomo C, Guizoni DM, Junior SAO, Damatto RL, Cezar MDM, Lima ARR, Pagan LU, Seiva FR, Bueno RT, Fernandes DC, Laurindo FR, Zornoff LAM, Okoshi K, Okoshi MP. Modulation of MAPK and NF-954;B Signaling Pathways by Antioxidant Therapy in Skeletal Muscle of Heart Failure Rats. Cell Physiol Biochem 2016; 39:371-84. [PMID: 27351177 DOI: 10.1159/000445631] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/24/2016] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND/AIMS Although increased oxidative stress plays a role in heart failure (HF)-induced skeletal myopathy, signaling pathways involved in muscle changes and the role of antioxidant agents have been poorly addressed. We evaluated the effects of N-acetylcysteine (NAC) on intracellular signaling pathways potentially modulated by oxidative stress in soleus muscle from HF rats. METHODS AND RESULTS Four months after surgery, rats were assigned to Sham, myocardial infarction (MI)-C (without treatment), and MI-NAC (treated with N-acetylcysteine) groups. Two months later, echocardiogram showed left ventricular dysfunction in MI-C; NAC attenuated diastolic dysfunction. Oxidative stress was evaluated in serum and soleus muscle; malondialdehyde was higher in MI-C than Sham and did not differ between MI-C and MI-NAC. Oxidized glutathione concentration in soleus muscle was similar in Sham and MI-C, and lower in MI-NAC than MI-C (Sham 0.168 ± 0.056; MI-C 0.223 ± 0.073; MI-NAC 0.136 ± 0.023 nmol/mg tissue; p = 0.014). Western blot showed increased p-JNK and decreased p38, ERK1/2, and p-ERK1/2 in infarcted rats. NAC restored ERK1/2. NF-954;B p65 subunit was reduced; p-Ser276 in p65 and I954;B was increased; and p-Ser536 unchanged in MI-C compared to Sham. NAC did not modify NF-954;B p65 subunit, but decreased p-Ser276 and p-Ser536. CONCLUSION N-acetylcysteine modulates MAPK and NF-954;B signaling pathways in soleus muscle of HF rats.
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Damatto RL, Lima ARR, Martinez PF, Cezar MDM, Okoshi K, Okoshi MP. Myocardial myostatin in spontaneously hypertensive rats with heart failure. Int J Cardiol 2016; 215:384-7. [PMID: 27128567 DOI: 10.1016/j.ijcard.2016.04.101] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/07/2016] [Accepted: 04/11/2016] [Indexed: 01/12/2023]
Abstract
BACKGROUND Myostatin has been shown to regulate skeletal and cardiac muscle growth. However, its status on long-term hypertrophied myocardium has not been addressed. The purpose of this study was to evaluate the expression of myocardial myostatin and its antagonist follistatin in spontaneously hypertensive rats (SHR) with heart failure. METHODS Eighteen-month-old SHR were evaluated to identify clinical features of heart failure such as tachypnea/labored respiration and weight loss. After heart failure was detected, rats were subjected to echocardiogram and euthanized. Age-matched normotensive Wistar-Kyoto (WKY) rats were used as controls. Myostatin and follistatin protein expression was assessed by Western blotting. Statistical analysis was performed by Student's t test. RESULTS All SHR (n=8) presented right ventricular hypertrophy and five had lung congestion. SHR had left chambers hypertrophy and dilation (left atrial diameter: WKY 5.73±0.59; SHR 7.28±1.17mm; p=0.004; left ventricular (LV) diastolic diameter/body weight ratio: WKY 19.6±3.1; SHR 27.7±4.7mm/kg; p=0.001), and LV systolic dysfunction (midwall fractional shortening: WKY 34.9±3.31; SHR 24.8±3.20%; p=0.003). Myocyte diameter (WKY 23.1±1.50, SHR 25.5±1.33μm; p=0.004) and myocardial interstitial collagen fraction (WKY 4.86±0.01; SHR 8.36±0.02%; p<0.001) were increased in the SHR. Myostatin (WKY 1.00±0.16; SHR 0.77±0.23 arbitrary units; p=0.035) and follistatin (WKY 1.00±0.35; SHR 0.49±0.18 arbitrary units; p=0.002) expression was lower in SHR. Myostatin and follistatin expression negatively correlated with LV diastolic diameter-to-body weight ratio and LV systolic diameter, and positively correlated with midwall fractional shortening. CONCLUSION Myostatin and follistatin protein expression is reduced in the long-term hypertrophied myocardium from spontaneously hypertensive rats with heart failure.
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Affiliation(s)
- R L Damatto
- Department of Internal Medicine, Botucatu Medical School, Sao Paulo State University, UNESP, Brazil
| | - A R R Lima
- Department of Internal Medicine, Botucatu Medical School, Sao Paulo State University, UNESP, Brazil
| | - P F Martinez
- Federal University of Mato Grosso do Sul, UFMS, Brazil
| | - M D M Cezar
- Department of Internal Medicine, Botucatu Medical School, Sao Paulo State University, UNESP, Brazil
| | - K Okoshi
- Department of Internal Medicine, Botucatu Medical School, Sao Paulo State University, UNESP, Brazil
| | - M P Okoshi
- Department of Internal Medicine, Botucatu Medical School, Sao Paulo State University, UNESP, Brazil.
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Polegato BF, Minicucci MF, Azevedo PS, Gonçalves AF, Lima AF, Martinez PF, Okoshi MP, Okoshi K, Paiva SAR, Zornoff LAM. Association between Functional Variables and Heart Failure after Myocardial Infarction in Rats. Arq Bras Cardiol 2016; 106:105-12. [PMID: 26815462 PMCID: PMC4765008 DOI: 10.5935/abc.20160015] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2015] [Accepted: 11/06/2015] [Indexed: 11/20/2022] Open
Abstract
Background Heart failure prediction after acute myocardial infarction may have important
clinical implications. Objective To analyze the functional echocardiographic variables associated with heart
failure in an infarction model in rats. Methods The animals were divided into two groups: control and infarction.
Subsequently, the infarcted animals were divided into groups: with and
without heart failure. The predictive values were assessed by logistic
regression. The cutoff values predictive of heart failure were determined
using ROC curves. Results Six months after surgery, 88 infarcted animals and 43 control animals were
included in the study. Myocardial infarction increased left cavity diameters
and the mass and wall thickness of the left ventricle. Additionally,
myocardial infarction resulted in systolic and diastolic dysfunction,
characterized by lower area variation fraction values, posterior wall
shortening velocity, E-wave deceleration time, associated with higher values
of E / A ratio and isovolumic relaxation time adjusted by heart rate. Among
the infarcted animals, 54 (61%) developed heart failure. Rats with heart
failure have higher left cavity mass index and diameter, associated with
worsening of functional variables. The area variation fraction, the E/A
ratio, E-wave deceleration time and isovolumic relaxation time adjusted by
heart rate were functional variables predictors of heart failure. The cutoff
values of functional variables associated with heart failure were: area
variation fraction < 31.18%; E / A > 3.077; E-wave deceleration time
< 42.11 and isovolumic relaxation time adjusted by heart rate <
69.08. Conclusion In rats followed for 6 months after myocardial infarction, the area variation
fraction, E/A ratio, E-wave deceleration time and isovolumic relaxation time
adjusted by heart rate are predictors of heart failure onset.
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Affiliation(s)
- Bertha F Polegato
- Faculdade de Medicina de Botucatu, Universidade Estadual Paulista "Júlio de mesquita Filho", Botucatu, SP, Brazil
| | - Marcos F Minicucci
- Faculdade de Medicina de Botucatu, Universidade Estadual Paulista "Júlio de mesquita Filho", Botucatu, SP, Brazil
| | - Paula S Azevedo
- Faculdade de Medicina de Botucatu, Universidade Estadual Paulista "Júlio de mesquita Filho", Botucatu, SP, Brazil
| | - Andréa F Gonçalves
- Faculdade de Medicina de Botucatu, Universidade Estadual Paulista "Júlio de mesquita Filho", Botucatu, SP, Brazil
| | - Aline F Lima
- Faculdade de Medicina de Botucatu, Universidade Estadual Paulista "Júlio de mesquita Filho", Botucatu, SP, Brazil
| | - Paula F Martinez
- Faculdade de Medicina de Botucatu, Universidade Estadual Paulista "Júlio de mesquita Filho", Botucatu, SP, Brazil
| | - Marina P Okoshi
- Faculdade de Medicina de Botucatu, Universidade Estadual Paulista "Júlio de mesquita Filho", Botucatu, SP, Brazil
| | - Katashi Okoshi
- Faculdade de Medicina de Botucatu, Universidade Estadual Paulista "Júlio de mesquita Filho", Botucatu, SP, Brazil
| | - Sergio A R Paiva
- Faculdade de Medicina de Botucatu, Universidade Estadual Paulista "Júlio de mesquita Filho", Botucatu, SP, Brazil
| | - Leonardo A M Zornoff
- Faculdade de Medicina de Botucatu, Universidade Estadual Paulista "Júlio de mesquita Filho", Botucatu, SP, Brazil
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Guimaraes JFC, Muzio BP, Rosa CM, Nascimento AF, Sugizaki MM, Fernandes AAH, Cicogna AC, Padovani CR, Okoshi MP, Okoshi K. Rutin administration attenuates myocardial dysfunction in diabetic rats. Cardiovasc Diabetol 2015; 14:90. [PMID: 26185015 PMCID: PMC4504040 DOI: 10.1186/s12933-015-0255-7] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/07/2015] [Accepted: 07/03/2015] [Indexed: 01/08/2023] Open
Abstract
Background Oxidative stress plays a major role in diabetic cardiomyopathy pathogenesis. Anti-oxidant therapy has been investigated in preventing or treating several diabetic complications. However, anti-oxidant action on diabetic-induced cardiac remodeling is not completely clear. This study evaluated the effects of rutin, a flavonoid, on cardiac and myocardial function in diabetic rats. Methods Wistar rats were assigned into control (C, n = 14); control-rutin (C-R, n = 14); diabetes mellitus (DM, n = 16); and DM-rutin (DM-R, n = 16) groups. Seven days after inducing diabetes (streptozotocin, 60 mg/kg, i.p.), rutin was injected intraperitoneally once a week (50 mg/kg) for 7 weeks. Echocardiogram was performed and myocardial function assessed in left ventricular (LV) papillary muscles. Serum insulin concentration was measured by ELISA. Statistics: One-way ANOVA and Tukey’s post hoc test. Results Glycemia was higher in DM than DM-R and C and in DM-R than C-R. Insulin concentration was lower in diabetic groups than controls (C 2.45 ± 0.67; C-R 2.09 ± 0.52; DM 0.59 ± 0.18; DM-R 0.82 ± 0.21 ng/mL). Echocardiogram showed no differences between C-R and C. DM had increased LV systolic diameter compared to C, and increased left atrium diameter/body weight (BW) ratio and LV mass/BW ratio compared to C and DM-R. Septal wall thickness, LV diastolic diameter/BW ratio, and relative wall thickness were lower in DM-R than DM. Fractional shortening and posterior wall shortening velocity were lower in DM than C and DM-R. In papillary muscle preparation, DM and DM-R presented higher time to peak tension and time from peak tension to 50% relaxation than controls; time to peak tension was lower in DM-R than DM. Under 0.625 and 1.25 mM extracellular calcium concentrations, DM had higher developed tension than C. Conclusion Rutin attenuates cardiac remodeling and left ventricular and myocardial dysfunction caused by streptozotocin-induced diabetes mellitus.
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Affiliation(s)
- Julliano F C Guimaraes
- Department of Internal Medicine, Botucatu Medical School, Sao Paulo State University, UNESP, Botucatu, Brazil.
| | - Bruno P Muzio
- Department of Internal Medicine, Botucatu Medical School, Sao Paulo State University, UNESP, Botucatu, Brazil.
| | - Camila M Rosa
- Department of Internal Medicine, Botucatu Medical School, Sao Paulo State University, UNESP, Botucatu, Brazil.
| | - Andre F Nascimento
- Department of Internal Medicine, Botucatu Medical School, Sao Paulo State University, UNESP, Botucatu, Brazil.
| | - Mario M Sugizaki
- Department of Internal Medicine, Botucatu Medical School, Sao Paulo State University, UNESP, Botucatu, Brazil.
| | - Ana A H Fernandes
- Department of Chemistry and Biochemistry, Institute of Biosciences, Sao Paulo State University, UNESP, Botucatu, Brazil.
| | - Antonio C Cicogna
- Department of Internal Medicine, Botucatu Medical School, Sao Paulo State University, UNESP, Botucatu, Brazil.
| | - Carlos R Padovani
- Department of Internal Medicine, Botucatu Medical School, Sao Paulo State University, UNESP, Botucatu, Brazil.
| | - Marina P Okoshi
- Department of Internal Medicine, Botucatu Medical School, Sao Paulo State University, UNESP, Botucatu, Brazil.
| | - Katashi Okoshi
- Department of Internal Medicine, Botucatu Medical School, Sao Paulo State University, UNESP, Botucatu, Brazil. .,Departamento de Clinica Medica, Faculdade de Medicina de Botucatu, UNESP Rubiao Junior, S/N 18618-970, Botucatu, SP, Brazil.
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Cezar MD, Damatto RL, Pagan LU, Lima AR, Martinez PF, Bonomo C, Rosa CM, Campos DH, Cicogna AC, Gomes MJ, Oliveira-Jr SA, Blotta DA, Okoshi MP, Okoshi K. Early Spironolactone Treatment Attenuates Heart Failure Development by Improving Myocardial Function and Reducing Fibrosis in Spontaneously Hypertensive Rats. Cell Physiol Biochem 2015; 36:1453-66. [DOI: 10.1159/000430310] [Citation(s) in RCA: 28] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/18/2015] [Indexed: 11/19/2022] Open
Abstract
Background: We evaluated the role of the aldosterone blocker spironolactone in attenuating long-term pressure overload-induced cardiac remodeling and heart failure (HF) in spontaneously hypertensive rats (SHR). Methods and Results: Thirteen month-old male SHR were assigned to control (SHR-C, n=20) or spironolactone (SHR-SPR, 20 mg/kg/day, n=24) groups for six months. Normotensive Wistar-Kyoto rats (WKY, n=15) were used as controls. Systolic blood pressure was higher in SHR groups and unchanged by spironolactone. Right ventricular hypertrophy, which characterizes HF in SHR, was less frequent in SHR-SPR than SHR-C. Echocardiographic parameters did not differ between SHR groups. Myocardial function was improved in SHR-SPR compared to SHR-C [developed tension: WKY 4.85±0.68; SHR-C 5.22±1.64; SHR-SPR 6.80±1.49 g/mm2; -dT/dt: WKY 18.0 (16.0-19.0); SHR-C 20.8 (18.4-25.1); SHR-SPR 28.9 (24.2-34.6) g/mm2/s]. Cardiomyocyte cross-sectional area and total collagen concentration (WKY 1.06±0.34; SHR-C 1.85±0.63; SHR-SPR 1.28±0.39 µg/mg wet tissue) were greater in SHR-C than WKY and SHR-SPR. Type 3 collagen expression was lower in SHR-C than WKY and unchanged by spironolactone. Soluble collagen, type I collagen, and lysyl oxidase did not differ between groups. Conclusion: Early spironolactone treatment decreases heart failure development frequency by improving myocardial systolic and diastolic function and attenuating hypertrophy and fibrosis in spontaneously hypertensive rats.
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Pagan LU, Damatto RL, Cezar MDM, Lima ARR, Bonomo C, Campos DHS, Gomes MJ, Martinez PF, Oliveira SA, Gimenes R, Rosa CM, Guizoni DM, Moukbel YC, Cicogna AC, Okoshi MP, Okoshi K. Long-term low intensity physical exercise attenuates heart failure development in aging spontaneously hypertensive rats. Cell Physiol Biochem 2015; 36:61-74. [PMID: 25924734 DOI: 10.1159/000374053] [Citation(s) in RCA: 46] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/21/2015] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND Physical exercise is a strategy to control hypertension and attenuate pressure overload-induced cardiac remodeling. The influence of exercise on cardiac remodeling during uncontrolled hypertension is not established. We evaluated the effects of a long-term low intensity aerobic exercise protocol on heart failure (HF) development and cardiac remodeling in aging spontaneously hypertensive rats (SHR). METHODS Sixteen month old SHR (n=50) and normotensive Wistar-Kyoto (WKY, n=35) rats were divided into sedentary (SED) and exercised (EX) groups. Rats exercised in treadmill at 12 m/min, 30 min/day, 5 days/week, for four months. The frequency of HF features was evaluated at euthanasia. STATISTICAL ANALYSES ANOVA and Tukey or Mann-Whitney, and Goodman test. RESULTS Despite slightly higher systolic blood pressure, SHR-EX had better functional capacity and lower HF frequency than SHR-SED. Echocardiography and tissue Doppler imaging showed no differences between SHR groups. In SHR-EX, however, left ventricular (LV) systolic diameter, larger in SHR-SED than WKY-SED, and endocardial fractional shortening, lower in SHR-SED than WKY-SED, had values between those in WKY-EX and SHR-SED not differing from either group. Myocardial function, assessed in LV papillary muscles, showed improvement in SHR-EX over SHR-SED and WKY-EX. LV myocardial collagen fraction and type I and III collagen gene expression were increased in SHR groups. Myocardial hydroxyproline concentration was lower in SHR-EX than SHR-SED. Lysyl oxidase gene expression was higher in SHR-SED than WKY-SED. CONCLUSION Exercise improves functional capacity and reduces decompensated HF in aging SHR independent of elevated arterial pressure. Improvement in functional status is combined with attenuation of LV and myocardial dysfunction and fibrosis.
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Affiliation(s)
- Luana U Pagan
- Internal Medicine Department, Botucatu Medical School, Univ. Estadual Paulista, UNESP, Botucatu, Sao Paulo, Brazil
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Gonçalves AF, Congio LH, dos Santos PP, Rafacho BPM, Pereira BLB, Claro RFT, Costa NA, Chiuso-Minicucci F, Azevedo PS, Polegato BF, Okoshi K, Pereira EJ, Okoshi MP, Paiva SAR, Zornoff LAM, Minicucci MF. Pamidronate attenuates diastolic dysfunction induced by myocardial infarction associated with changes in geometric patterning. Cell Physiol Biochem 2015; 35:259-69. [PMID: 25591768 DOI: 10.1159/000369693] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/19/2014] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND/AIMS The aim of this study was to evaluate the influence of pamidronate on ventricular remodeling after myocardial infarction. METHODS Male Wistar rats were assigned to four groups: a sham group, in which animals were submitted to simulated surgery and received weekly subcutaneous injection of saline (S group; n=14); a group in which animals received weekly subcutaneous injection of pamidronate (3 mg/kg of body weight) and were submitted to simulated surgery (SP group, n=14); a myocardial infarction group, in which animals were submitted to coronary artery ligation and received weekly subcutaneous injection of saline (MI group, n=13); and a myocardial infarction group with pamidronate treatment (MIP group, n=14). The rats were observed for three months. RESULTS Animals submitted to MI had left chamber enlargement and worse diastolic and systolic function compared with SHAM groups. E/A ratio, LV posterior and relative wall thickness were lower in the MIP compared with the MI group. There was no interaction between pamidronate administration and MI on systolic function, myocyte hypertrophy, collagen content, and calcium handling proteins. CONCLUSION Pamidronate attenuates diastolic dysfunction following MI.
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Affiliation(s)
- Andréa F Gonçalves
- Internal Medicine Department, Botucatu Medical School, Univ Estadual Paulista (UNESP), Botucatu, Brazil
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Martinez PF, Bonomo C, Guizoni DM, Junior SAO, Damatto RL, Cezar MDM, Lima ARR, Pagan LU, Seiva FR, Fernandes DC, Laurindo FRM, Novelli ELB, Matsubara LS, Zornoff LAM, Okoshi K, Okoshi MP. Influence of N- acetylcysteine on oxidative stress in slow-twitch soleus muscle of heart failure rats. Cell Physiol Biochem 2015; 35:148-59. [PMID: 25591758 DOI: 10.1159/000369683] [Citation(s) in RCA: 28] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/05/2014] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND Chronic heart failure is characterized by decreased exercise capacity with early exacerbation of fatigue and dyspnea. Intrinsic skeletal muscle abnormalities can play a role in exercise intolerance. Causal or contributing factors responsible for muscle alterations have not been completely defined. This study evaluated skeletal muscle oxidative stress and NADPH oxidase activity in rats with myocardial infarction (MI) induced heart failure. METHODS AND RESULTS Four months after MI, rats were assigned to Sham, MI-C (without treatment), and MI-NAC (treated with N-acetylcysteine) groups. Two months later, echocardiogram showed left ventricular dysfunction in MI-C; NAC attenuated diastolic dysfunction. In soleus muscle, glutathione peroxidase and superoxide dismutase activity was decreased in MI-C and unchanged by NAC. 3-nitrotyrosine was similar in MI-C and Sham, and lower in MI-NAC than MI-C. Total reactive oxygen species (ROS) production was assessed by HPLC analysis of dihydroethidium (DHE) oxidation fluorescent products. The 2-hydroxyethidium (EOH)/DHE ratio did not differ between Sham and MI-C and was higher in MI-NAC. The ethidium/DHE ratio was higher in MI-C than Sham and unchanged by NAC. NADPH oxidase activity was similar in Sham and MI-C and lower in MI-NAC. Gene expression of p47(phox) was lower in MI-C than Sham. NAC decreased NOX4 and p22(phox) expression. CONCLUSIONS We corroborate the case that oxidative stress is increased in skeletal muscle of heart failure rats and show for the first time that oxidative stress is not related to increased NADPH oxidase activity.
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