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Neuregulin-1 attenuates right ventricular diastolic stiffness in experimental pulmonary hypertension

Title
Neuregulin-1 attenuates right ventricular diastolic stiffness in experimental pulmonary hypertension
Type
Article in International Scientific Journal
Year
2019
Authors
Adao, R
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Mendes Ferreira, P
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Maia Rocha, C
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Santos Ribeiro, D
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Rodrigues, PG
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Vidal Meireles, A
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Monteiro Pinto, C
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Pimentel, LD
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Falcao Pires, I
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De Keulenaer, GW
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Leite Moreira, AF
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Brás-Silva C
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FMUP
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Journal
Vol. 46
Pages: 255-265
ISSN: 0305-1870
Publisher: Wiley-Blackwell
Scientific classification
CORDIS: Health sciences
FOS: Medical and Health sciences
Other information
Authenticus ID: P-00P-WJ6
Abstract (EN): We have previously shown that treatment with recombinant human neuregulin-1 (rhNRG-1) improves pulmonary arterial hypertension (PAH) in a monocrotaline (MCT)-induced animal model, by decreasing pulmonary arterial remodelling and endothelial dysfunction, as well as by restoring right ventricular (RV) function. Additionally, rhNRG-1 treatment showed direct myocardial anti-remodelling effects in a model of pressure loading of the RV without PAH. This work aimed to study the intrinsic cardiac effects of rhNRG-1 on experimental PAH and RV pressure overload, and more specifically on diastolic stiffness, at both the ventricular and cardiomyocyte level. We studied the effects of chronic rhNRG-1 treatment on ventricular passive stiffness in RV and LV samples from MCT-induced PAH animals and in the RV from animals with compensated and decompensated RV hypertrophy, through a mild and severe pulmonary artery banding (PAB). We also measured passive tension in isolated cardiomyocytes and quantified the expression of myocardial remodelling-associated genes and calcium handling proteins. Chronic rhNRG-1 treatment decreased passive tension development in RV and LV isolated from animals with MCT-induced PAH. This decrease was associated with increased phospholamban phosphorylation, and with attenuation of the expression of cardiac maladaptive remodelling markers. Finally, we showed that rhNRG-1 therapy decreased RV remodelling and cardiomyocyte passive tension development in PAB-induced RV hypertrophy animals, without compromising cardiac function, pointing to cardiac-specific effects in both hypertrophy stages. In conclusion, we demonstrated that rhNRG-1 treatment decreased RV intrinsic diastolic stiffness, through the improvement of calcium handling and cardiac remodelling signalling.
Language: English
Type (Professor's evaluation): Scientific
No. of pages: 11
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