Resumo (PT):
Despite the extensive knowledge on myocardial hypertrophy, molecular
remodeling and disturbed gene expression in chronic overload, the
patterns of genetic response to acute cardiac overload remain largely unknown.
This study evaluates biventricular gene expression after acute
volume and RV pressure overload in vivo.
Male Wistar rats were assigned to pulmonary trunk banding (P-Band;
n=13), dextran40 infusion at 5mL/h (Dxt; n=13) or sham procedures
(n=13) and hemodynamicaly monitored with pressure micromanometers.
RV and LV free-wall samples were collected at 120min (n=22) and
360min (n=18) for mRNA quantification (RT-realtime PCR) of BNP,
TNF-alfa, IL-6, IGF-1, SERCA2a, phospholamban (PLB) and calsequestrin
(CSQ) normalized for GAPDH. Results are expressed as arbitrary
units (AU) using sham group as reference (1AU).
In Dxt, end-diastolic pressure progressively increased in both ventricles,
while systolic pressure was only progressively increased in the RV.
Distinctly, P-Band induced an immediate and sustained increase of RV
systolic pressure accompained by a late increase (at 240rain) of RV enddiastolic
pressure, but did not alter LV hemodynamics. CSQ mRNA increased
in the LV of P-Band and Dxt, which precluded its use as a
normalizer gene. Ca 2+ regulating proteins mRNA was only significantly
increased 360rain after volume overload: SERCA2a increased in both
RV and LV (7.6-t-2.7 and 3.9-t-0.8, respectively), while PLB was only
increased in the RV (2.94-0.5). BNP upregulation was observed in the
overloaded RV of P-Band (3.0-t-0.7) and RV and LV of Dxt (2.8-t-0.9,
and 2.24-0.5, respectively), while IGF-1 increased in the RV of both PBand
and Dxt protocols at 360rain (2.2-t-0.1 and 2.1-t-0.2, respectively).
Inflammatory mediator genes were also accutely modulated. IL-6 mRNA
was markedly increased in the RV and LV of 360rain volume overloaded
hearts (9.14-2.7 and 11.64-3.1, respectively) and transiently raised at
120rain in the RV of P-Band (3.84-1.2), whereas TNF-alfa was increased
in the two ventricles of both protocols: RV Dxt (3.64-1.6 and 51.54-10.9,
at 120 and 360rain, respectively), RV P-Band (7.3-t-2.3, at 360rain), LV
of P-Band and Dxt at 360rain (11.0-t-3.2 and 12.5-t-1.6, respectively).
Acute shifts in gene expression profiles following cardiac overload are
distinct in pressure and volume overload and include regression to the
molecular fetal phenotype, local activation of cytokines and growth factors,
and disturbed expression of genes involved in Ca 2+ kinetics. These
might contribute to the distinct patterns of ventricular remodeling observed
later on in the progression to heart failure.
Language:
English
Type (Professor's evaluation):
Scientific
Notes:
ESC Annual Congress 2005, published in journal, European Journal of Heart Failure, 2005;4(Suppl.1):134.