Resumo (PT):
Inflammation has an important pathophysiologic role in Pulmonary Hypertension
(PH). Indeed, inflammatory cells recruitment and activation,
with the release of cytokines (such as IL-6 and IL-1) and growth factors,
may underlie the pulmonary vasoconstrifion and vascular remodeling
that characterize PH. Thymulin, produced by thymic epithelial cells,
is a nonapepfide neuroendocrine hormone with immunoregulatory actions,
depressing C-C and CXC cytokines in the lung. In this study, we
evaluate thymulin effects in a model of monocrotaJin (MCT)-induced
PH.
Adult Wistar rats randomly received a subcutaneous injection of MCT
(60 mg/kg) or an equal volume of vehicle. At D1, animals were randomly
assigned to receive a subcutaneous injection of thymulin (10 ng/100g, qd
for 3 wks) or saline. Four groups were analyzed: normal rats injected with
saline (Sham, n = 7), normal rats treated with thymulin (Sham+Thymulin,
n = 7), MCT rats injected with saline (MCT, n = 9) and MCT rats treated
with thymulin (MCT+Thymulin, n = 9). At the end of the third week, right
ventricular (RV) hemodynamic parameters (peak systolic RV pressure
(RVPma:~), peak rates of RV pressure rise (RV dP/dtma:~) and RV enddiastolic
filling pressures (RVEDP)) were measured and heart and lungs
were weighted.
Results are summarized in the table below and expressed as means-t-SE.
Table 1. Morphometric and hemodynamic results
Sham Sham+Thymulin MCT MCT+Thymulin
Heart/BW, gag 3.11±0.09 2.94±0.06 3.83±0.17 a 2.99±0.10 b
RV/LV, g/g 0.38±0.01 0.30±0.01 0.50±0.07 a 0.34±0.03 b
Lung/BW, mg/kg 4.17±0.2 4.45±0.2 12.4±1.0 a 6.62±0.4 a,b
RVPmax, mmHg 25±2 24±1,1 56±8 a 24±3 b
RV dP/dtmax, mmHg/s 1231±108 1160±47 1669±181 a 191±90 b
RVEDP, mmHg 1,6±0,3 1 , 5±0 , 8 2,6±1,2a 0,7±0,4b Thymulin chronic administration, started simultaneously with the first
inflammatory changes induced by MCT, was shown to completely reverse
PH and RV hypertrophy. Thymulin immunomodulatory potential may
thus be explored as a new therapeutic tool in PH management.
Language:
English
Type (Professor's evaluation):
Scientific
Notes:
ESC Annual Congress 2006, published in journal, European Journal of Heart Failure. 2006; Vol.5(Suppl.1):168-169.