Resumo (PT):
Research design and methods: Pressure-overload was established in rats by supra-renal
aortic-banding. Six-weeks later, diabetes was induced by streptozotocin (65mg/kg,ip),
resulting in 4 groups: SHAM, banded (BA), diabetic (DM) and diabetic-banded (DM-BA).
Twelve weeks later, LV function and structure were evaluated by echocardiography and
biopsies and plasma samples collected. Furthermore, plasma samples and LV-endomyocardial
biopsies were procured from aortic stenosis and mitral stenosis patients during
surgery to evaluate myocardial expression of apelin and APJ-receptor and plasma levels
of apelin.
Results: Direct correlations between apelin plasma levels and LV-mass index and
between apelin and APJ myocardial expression were observed both in humans and rats.
Expression of apelin and APJ was not significantly altered by pressure-overload in humans,
being downregulated by pressure-overload and even more by diabetes in rats. Finally, an
inverse correlation between apelin rat plasma levels and its myocardial expression was
observed.
Conclusions: While apelin/APJ myocardial expression decreases, apelin plasma levels
increase in LV-hypertrophy. Considering apelin's positive inotropic and vasodilator properties,
this elevation in apelin plasma levels may represent a compensatory mechanism to
maintain inotropism and cardiac output during pressure-overload or diabetic cardiomyopathy.
Language:
Portuguese
Type (Professor's evaluation):
Scientific
Notes:
XXXI Congresso Português de Cardiologia, publicado na Rev. Port. Cardiol. 2010; Vol.29(Supl.I):I-29.