Abstract (EN):
Aims Pulmonary arterial hypertension (PAH) is a serious disease that affects both the pulmonary vasculature and the right ventricle (RV). Current treatment options are insufficient. The cardiac neuregulin (NRG)-1/ErbB system is deregulated
during heart failure, and treatment with recombinant human NRG-1 (rhNRG-1) has been shown to be beneficial in
animal models and in patients with left ventricular (LV) dysfunction. This study aimed to evaluate the effects of
rhNRG-1 in RV function and pulmonary vasculature in monocrotaline (MCT)-induced PAH and RV hypertrophy
(RVH).
Methods and results
Male wistar rats (7- to 8-weeks old, n ¼ 78) were injected with MCT (60 mg/kg, s.c.) or saline and treated with rhNRG-
1 (40 mg/kg/day) or vehicle for 1 week, starting 2 weeks after MCT administration. Another set of animals was submitted
to pulmonary artery banding (PAB) or sham surgery, and followed the same protocol. MCT administration resulted
in the development of PAH, pulmonary arterial and RV remodelling, and dysfunction, and increased RV markers of cardiac
damage. Treatment with rhNRG-1 attenuated RVH, improved RV function, and decreased RV expression of disease
markers. Moreover, rhNRG-1 decreased pulmonary vascular remodelling and attenuated MCT-induced
endothelial dysfunction. The anti-remodelling effects of rhNRG-1 were confirmed in the PAB model, where
rhNRG-1 treatment was able to attenuate PAB-induced RVH.
Conclusion rhNRG-1 treatment attenuates pulmonary arterial and RV remodelling, and dysfunction in a rat model of MCT-induced
PAH and has direct anti-remodelling effects on the pressure-overloaded RV.
Keywords Pulmonary hypertension ¿ Right ventricular function ¿ Neuregulin ¿ Endothelial dysfunction ¿ Cardiac
hypertrophy
Language:
English
Type (Professor's evaluation):
Scientific
Notes:
Epub 2015.10.15.
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