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Exosomes from Hypoxic Pretreatment ADSCs Ameliorate Cardiac Damage Post-MI via Activated circ-Stt3b/miR-15a-5p/GPX4 Signaling and Decreased Ferroptosis. 低氧预处理 ADSCs 的外泌体通过激活 circ-Stt3b/miR-15a-5p/GPX4 信号传导和减少铁凋亡改善心肌梗死后的心脏损伤
IF 3.4 3区 医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2024-11-01 Epub Date: 2024-08-27 DOI: 10.1007/s12012-024-09915-9
Jili Liu, Zhaolin Wang, Anhua Lin, Na Zhang

Accumulation studies confirmed that oxidative stress caused by ischemia after myocardial infarction (MI) is an important cause of ventricular remodeling. Exosome secretion through hypoxic pretreatment adipose-derived mesenchymal stem cells (ADSCs) ameliorates myocardial damaging post-MI. However, if ADSCs exosome can improve the microenvironment and ameliorate cardiac damage post-MI still unknown. Next-generation sequencing (NGS) was used to study abnormally expressed circRNAs in hypoxic pretreatment ADSC exosomes (HExos) and untreated ADSC exosomes (Exos). Bioinformatics and luciferase reporting were used to elucidate interaction correlation related to circRNA, mRNA, and miRNA. HL-1 cells were used to analyze the reactive oxygen species (ROS) and apoptosis under hypoxic conditions using immunofluorescence and flow cytometry. An MI mouse model was constructed and the therapeutic effect of Exos was determined using immunohistochemistry, immunofluorescence, and ELISA. The results showed that HExos had a more pronounced treatment effect than ADSC Exos on cardiac damage amelioration after MI. NGS showed that circ-Stt3b plays a role in HExo-mediated cardiac damage repair after MI. Overexpression of circ-Stt3b decreased apoptosis, ROS level, and inflammatory factor expression in HL-1 cells under hypoxic conditions. Bioinformatics and luciferase reporting data validated miR-15a-5p and GPX4 as downstream circ-Stt3b targets. GPX4 downregulation or miR-15a-5p overexpression reversed protective effect regarding circ-Stt3b upon HL-1 cells after exposure to a hypoxic microenvironment. Overexpression of circ-Stt3b increased the treatment effect of ASDSC Exos on cardiac damage amelioration after MI. Taken together, the study results demonstrated that Exos from hypoxic pretreatment ADSCs ameliorate cardiac damage post-MI through circ-Stt3b/miR-15a-5p/GPX4 signaling activation and decreased ferroptosis.

大量研究证实,心肌梗塞(MI)后缺血引起的氧化应激是心室重塑的重要原因。通过缺氧预处理脂肪间充质干细胞(ADSCs)分泌的外泌体可改善心肌梗死后的心肌损伤。然而,ADSCs外泌体能否改善微环境并减轻心肌梗死后的心脏损伤仍是未知数。研究人员利用新一代测序技术(NGS)研究了缺氧预处理 ADSC 外泌体(HExos)和未处理 ADSC 外泌体(Exos)中异常表达的 circRNAs。生物信息学和荧光素酶报告用于阐明circRNA、mRNA和miRNA的相互作用相关性。利用免疫荧光和流式细胞术分析了HL-1细胞在缺氧条件下的活性氧(ROS)和细胞凋亡。建立了心肌梗死小鼠模型,并使用免疫组化、免疫荧光和酶联免疫吸附测定了 Exos 的治疗效果。结果表明,与 ADSC Exos 相比,HExos 对改善心肌梗死后的心脏损伤有更明显的治疗效果。NGS显示,circ-Stt3b在HExo介导的心肌梗死后心脏损伤修复中发挥作用。过表达 circ-Stt3b 能降低缺氧条件下 HL-1 细胞的凋亡、ROS 水平和炎症因子的表达。生物信息学和荧光素酶报告数据验证了 miR-15a-5p 和 GPX4 是 circ-Stt3b 的下游靶点。GPX4 下调或 miR-15a-5p 过表达可逆转 circ-Stt3b 对暴露于缺氧微环境中的 HL-1 细胞的保护作用。过表达 circ-Stt3b 增加了 ASDSC Exos 对改善心肌梗死后心脏损伤的治疗效果。综上所述,研究结果表明,缺氧预处理的ADSCs Exos可通过circ-Stt3b/miR-15a-5p/GPX4信号激活和减少铁变态反应来改善心肌梗死后的心脏损伤。
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引用次数: 0
TRAF3IP3 Blocks Mitophagy to Exacerbate Myocardial Injury Induced by Ischemia-Reperfusion. TRAF3IP3阻碍丝裂细胞吞噬,加剧缺血再灌注引起的心肌损伤
IF 3.4 3区 医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2024-11-01 Epub Date: 2024-09-06 DOI: 10.1007/s12012-024-09916-8
Zhongcheng Wei, Juan Liu, Hailang Liu, Aixia Jiang

To uncover the possible role of TRAF3IP3 in the progression of myocardial infarction (MI), clarify its role in mitophagy and mitochondrial function, and explore the underlying mechanism. GEO chip analysis, RT-qPCR, and LDH release assay were used to detect the expression of TRAF3IP3 in tissues and cells and its effects on cell damage. Immunostaining and ATP product assays were performed to examine the effects of TRAF3IP3 on mitochondrial function. Co-IP, CHX assays, Immunoblot and Immunostaining assays were conducted to determine the effects of TRAF3IP3 on mitophagy. TRAF3IP3 was highly expressed in IR rats and HR-induced H9C2 cells. TRAF3IP3 knockdown can alleviate H/R-induced H9C2 cell damage. In addition, TRAF3IP3 knockdown can induce mitophagy, thus enhancing mitochondrial function. We further revealed that TRAF3IP3 can promote the degradation of NEDD4 protein. Moreover, TRAF3IP3 knockdown suppressed myocardial injury in I/R rats. TRAF3IP3 blocks mitophagy to exacerbate myocardial injury induced by I/R via mediating NEDD4 expression.

揭示TRAF3IP3在心肌梗死(MI)进展中的可能作用,阐明其在有丝分裂和线粒体功能中的作用,并探索其潜在机制。研究人员利用 GEO 芯片分析、RT-qPCR 和 LDH 释放试验检测 TRAF3IP3 在组织和细胞中的表达及其对细胞损伤的影响。通过免疫染色和 ATP 产物检测来研究 TRAF3IP3 对线粒体功能的影响。为了确定 TRAF3IP3 对有丝分裂的影响,还进行了 Co-IP、CHX 试验、免疫印迹和免疫染色试验。TRAF3IP3在IR大鼠和HR诱导的H9C2细胞中高表达。敲除 TRAF3IP3 可减轻 H/R 诱导的 H9C2 细胞损伤。此外,TRAF3IP3敲除可诱导有丝分裂,从而增强线粒体功能。我们进一步发现,TRAF3IP3 能促进 NEDD4 蛋白的降解。此外,TRAF3IP3敲除抑制了I/R大鼠的心肌损伤。TRAF3IP3通过介导NEDD4的表达阻断了有丝分裂,从而加剧了I/R诱导的心肌损伤。
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引用次数: 0
Exploration of Clozapine-Induced Cardiomyopathy and Its Mechanism. 探索氯氮平诱发心肌病及其机制
IF 3.4 3区 医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2024-11-01 Epub Date: 2024-08-17 DOI: 10.1007/s12012-024-09909-7
Shangyu Zhang, Pengyue Jin, Li Yang, Yujie Zeng, Yongguo Li, Renkuan Tang

In this study, by pooling the clinical data of patients who died with a history of long-term clozapine use and by examining their hearts, it was found that long-term clozapine use can lead to cardiomyopathy and that its presentation resembles arrhythmogenic cardiomyopathy (ACM), i.e., it exhibits a predominantly right ventricular fatty infiltration with mild left ventricular damage. The transcriptomic data of rat cardiomyocytes after clozapine intervention were analyzed by transcriptomic approach to explore the causes of clozapine cardiomyopathy. The cause of clozapine cardiomyopathy was then explored by a transcriptomic approach, which revealed that its clozapine action on cardiomyocytes enriched cardiomyocyte-related differential genes in biological processes such as muscle development and response to hypoxia, as well as pathways such as fatty acid metabolism and cellular autophagy. Transcriptomic analysis showed that Egr1, Egr2, ler2, Jun, Mapk9, Nr1d2, Atf3, Bhlhe40, Crem, Cry1, Cry2, Dbp were hub genes for clozapine injury to the myocardium, and that these genes may play an important role in the myocardial ACM-like changes caused by clozapine. Combined with the results of pathological examination and transcriptomic analysis, it can be concluded that the long-term action of clozapine on cardiomyocytes leads to cellular autophagy and subsequent structural remodeling of the heart, and in the remodeling affects fatty acid metabolism, which eventually leads to ACM-like changes.

在这项研究中,通过汇集有长期服用氯氮平病史的死亡患者的临床数据,并通过检查他们的心脏,发现长期服用氯氮平可导致心肌病,其表现类似于心律失常性心肌病(ACM),即主要表现为右心室脂肪浸润,左心室轻度损伤。通过转录组学方法分析了氯氮平干预后大鼠心肌细胞的转录组数据,以探索氯氮平心肌病的病因。随后,通过转录组学方法探讨了氯氮平心肌病的病因,发现氯氮平对心肌细胞的作用富集了心肌细胞相关的差异基因,这些差异基因涉及肌肉发育、缺氧反应等生物过程,以及脂肪酸代谢和细胞自噬等通路。转录组分析表明,Egr1、Egr2、ler2、Jun、Mapk9、Nr1d2、Atf3、Bhlhe40、Crem、Cry1、Cry2、Dbp是氯氮平损伤心肌的枢纽基因,这些基因可能在氯氮平引起的心肌ACM样变中发挥重要作用。结合病理检查和转录组学分析结果,可以得出结论:氯氮平对心肌细胞的长期作用导致细胞自噬,进而导致心脏结构重塑,在重塑过程中影响脂肪酸代谢,最终导致ACM样变。
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引用次数: 0
The Role of Circular RNA in the Pathogenesis of Chemotherapy-Induced Cardiotoxicity in Cancer Patients: Focus on the Pathogenesis and Future Perspective. 环状 RNA 在癌症患者化疗诱发心脏毒性发病机制中的作用:聚焦发病机制与未来展望》。
IF 3.4 3区 医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2024-11-01 Epub Date: 2024-08-19 DOI: 10.1007/s12012-024-09914-w
Pegah Joghataie, Mahya Bakhshi Ardakani, Neda Sabernia, Afshin Salary, Sepehr Khorram, Tooba Sohbatzadeh, Vahid Goodarzi, Bahareh Shateri Amiri

Cardiotoxicity is a serious challenge cancer patients face today. Various factors are involved in cardiotoxicity. Circular RNAs (circRNAs) are one of the effective factors in the occurrence and prevention of cardiotoxicity. circRNAs can lead to increased proliferation, apoptosis, and regeneration of cardiomyocytes by regulating the molecular pathways, as well as increasing or decreasing gene expression; some circRNAs have a dual role in cardiomyocyte regeneration or death. Identifying each of the pathways related to these processes can be effective on managing patients and preventing cardiotoxicity. In this study, an overview of the molecular pathways involved in cardiotoxicity by circRNAs and their effects on the downstream factors have been discussed.

心脏毒性是当今癌症患者面临的一项严峻挑战。心脏毒性涉及多种因素。环状核糖核酸(circRNA)是发生和预防心脏毒性的有效因素之一。环状核糖核酸可通过调节分子通路以及增加或减少基因表达,导致心肌细胞增殖、凋亡和再生;有些环状核糖核酸在心肌细胞再生或死亡中具有双重作用。确定与这些过程相关的每种途径可有效控制患者病情并预防心脏毒性。本研究概述了 circRNAs 参与心脏毒性的分子通路及其对下游因子的影响。
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引用次数: 0
Vascular Stress Markers Following Inhalation of Heated Tobacco Products: A Study on Extracellular Vesicles. 吸入加热烟草制品后的血管应激标志物:细胞外囊泡研究。
IF 3.4 3区 医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2024-10-29 DOI: 10.1007/s12012-024-09934-6
Lukasz Antoniewicz, Georgy Melnikov, Gustaf Lyytinen, Anders Blomberg, Jenny A Bosson, Linnea Hedman, Fariborz Mobarrez, Magnus Lundbäck

The advent of heated tobacco products (HTPs) has introduced new variables in the study of nicotine delivery systems and their health implications. Amidst concerns over cardiovascular effects, this study aims to elucidate the acute impact of HTP inhalation on extracellular vesicles (EV) levels in young, healthy individuals. In this controlled, acute exposure study, 23 young, healthy volunteers were subjected to HTP inhalation. EV levels of endothelial and platelet origin were quantified through flow cytometry before and after exposure. Data analysis was performed using multiple measures ANOVA to assess changes in EV concentrations. Our findings reveal a significant increase in EVs of endothelial and platelet origin following short-term HTP inhalation with nicotine. Notably, no significant change was observed in leukocyte- and neutrophil-derived EVs. This increase in EVs suggests acute vascular stress, with peak levels observed 4 h post-exposure. The rise in endothelial and platelet-derived EVs aligns with documented responses to acute vascular injury, paralleling the effects seen with traditional cigarette and e-cigarette use. Despite HTPs being marketed as safer alternatives, our results indicate that nicotine-containing HTPs may still pose significant vascular risks. These findings contribute to the growing body of evidence cautioning against the perceived safety of HTPs and reinforce the importance of regulatory oversight and public health initiatives targeting nicotine delivery technologies. Trial Registrations: ClinicalTrials.gov ID: NCT04824495, registered 2021-01-07.

加热烟草制品(HTPs)的出现为尼古丁给药系统及其健康影响的研究引入了新的变量。鉴于人们对心血管影响的担忧,本研究旨在阐明吸入加热烟草制品对年轻健康人细胞外小泡(EV)水平的急性影响。在这项受控急性暴露研究中,23 名年轻健康的志愿者吸入了 HTP。在接触前后,通过流式细胞术对内皮和血小板来源的 EV 水平进行了量化。数据分析采用多元方差分析来评估 EV 浓度的变化。我们的研究结果表明,短期吸入尼古丁的 HTP 后,内皮和血小板来源的 EV 明显增加。值得注意的是,白细胞和中性粒细胞来源的 EVs 没有明显变化。EVs 的增加表明存在急性血管应激,在暴露后 4 小时达到峰值。内皮和血小板衍生 EVs 的增加与文献记载的对急性血管损伤的反应一致,与传统香烟和电子烟的影响相似。尽管 HTP 在市场上被当作更安全的替代品,但我们的研究结果表明,含有尼古丁的 HTP 仍可能对血管构成重大风险。这些发现为越来越多的证据提供了依据,告诫人们不要认为 HTPs 是安全的,并强化了针对尼古丁递送技术的监管监督和公共卫生措施的重要性。试验注册:ClinicalTrials.gov ID:NCT04824495,注册日期为 2021-01-07。
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引用次数: 0
Inhibition of CB1R in the Hypothalamic Paraventricular Nucleus Ameliorates Hypertension Through Wnt/β-Catenin/RAS Pathway. 抑制下丘脑室旁核中的 CB1R 可通过 Wnt/β-Catenin/RAS 通路改善高血压状况
IF 3.4 3区 医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2024-10-28 DOI: 10.1007/s12012-024-09938-2
Hong-Li Gao, Yu Yang, Hua Tian, Li-Yan Fu, Kai-Li Liu, Xiu-Yue Jia, Xiao-Lian Shi, Yu-Ming Kang, Xiao-Jing Yu

The hypothalamic paraventricular nucleus (PVN), as an important integrating center, plays a prominent role in the pathogenesis of hypertension, in maintaining the stability of cardiovascular activity through peripheral sympathetic nervous activity and secretion of various humoral factors. Acknowledging that the mechanistic targets of the endocannabinoid type 1 receptor (CB1R) are the key signaling systems involved in the regulation of hypertension, we sought to clarify whether inhibition of CB1R within the PVN ameliorates hypertension through Wnt/β-catenin/RAS pathway. Spontaneously hypertensive rats (SHRs) and Wistar Kyoto rats were randomly assigned to different groups and treated with bilateral PVN injections of AM251 (CB1R antagonist, 10 µg/h) or vehicle (artificial cerebrospinal fluid, aCSF) for four weeks. Bilateral PVN injections of AM251 significantly decreased the heart rate, the body weight and the mean arterial pressure in SHRs. AM251 lowered the expression of CB1R, Wnt3, active-β-catenin, p-IKKβ, RAS components, pro-inflammatory cytokines and elevated the expression level of Glycogen synthase kinase3β and Superoxide Dismutase in the PVN of hypertensive rats. Our findings suggest that inhibition of CB1R in the PVN ameliorates hypertension through Wnt/β-catenin/RAS pathway and broaden our current understanding of the pathological mechanism and clinical treatment of hypertension.

下丘脑室旁核(PVN)作为一个重要的整合中枢,通过外周交感神经活动和分泌各种体液因子维持心血管活动的稳定,在高血压的发病机制中发挥着突出的作用。鉴于内源性大麻素1型受体(CB1R)的机理靶点是参与调控高血压的关键信号系统,我们试图阐明抑制PVN内的CB1R是否能通过Wnt/β-catenin/RAS途径改善高血压。将自发性高血压大鼠(SHRs)和Wistar Kyoto大鼠随机分配到不同的组,双侧PVN注射AM251(CB1R拮抗剂,10 µg/h)或药物(人工脑脊液,aCSF)治疗四周。双侧皮质神经网注射 AM251 能显著降低 SHR 的心率、体重和平均动脉压。AM251 降低了高血压大鼠 PVN 中 CB1R、Wnt3、活性-β-catenin、p-IKKβ、RAS 成分、促炎细胞因子的表达,并提高了糖原合酶激酶 3β 和超氧化物歧化酶的表达水平。我们的研究结果表明,通过 Wnt/β-catenin/RAS 通路抑制 PVN 中的 CB1R 可改善高血压,这拓宽了我们目前对高血压病理机制和临床治疗的认识。
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引用次数: 0
Di-(2-ethylhexyl) Phthalate Exposure Induces Developmental Toxicity in the Mouse Fetal Heart via Mitochondrial Dysfunction. 邻苯二甲酸二(2-乙基己酯)暴露通过线粒体功能障碍诱发小鼠胎儿心脏的发育毒性
IF 3.4 3区 医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2024-10-25 DOI: 10.1007/s12012-024-09936-4
Yafei Guo, Bowen Li, Yu Yan, Nanjun Zhang, Shuran Shao, Lixia Yang, Lixue Ouyang, Ping Wu, Fan Ma, Hongyu Duan, Kaiyu Zhou, Yimin Hua, Chuan Wang

Congenital heart disease (CHD) is a major cause of infant mortality and morbidity, with growing interest in the role of environmental factors in its etiology. Di-(2-ethylhexyl) phthalate (DEHP), an environmental endocrine disruptor, has been implicated in the development of CHD. This study aimed to investigate the effects of DEHP exposure on fetal heart development in mice. Pregnant mice exposed to DEHP exhibited increased fetal malformations, decreased fetal weight, and reduced crown-rump length.f Transcriptomic analysis revealed the downregulation of genes involved in aerobic respiration and mitochondrial ATP synthesis. Functional assays demonstrated reduced mitochondrial respiration, decreased ATP production, elevated reactive oxygen species levels, and lowered mitochondrial membrane potential in DEHP-exposed fetal cardiomyocytes. These findings underscore the detrimental effects of DEHP on fetal cardiac health and provide insights into the molecular mechanisms underlying DEHP-induced CHD. Understanding these mechanisms is crucial for developing preventive strategies against environmental toxicants that affect fetal cardiac development.

先天性心脏病(CHD)是婴儿死亡和发病的主要原因之一,人们越来越关注环境因素在其病因中的作用。邻苯二甲酸二(2-乙基己基)酯(DEHP)是一种环境内分泌干扰物,被认为与先天性心脏病的发病有关。本研究旨在调查接触 DEHP 对小鼠胎儿心脏发育的影响。转录组分析显示,参与有氧呼吸和线粒体 ATP 合成的基因下调。功能测试显示,在暴露于 DEHP 的胎儿心肌细胞中,线粒体呼吸减少,ATP 生成减少,活性氧水平升高,线粒体膜电位降低。这些发现强调了DEHP对胎儿心脏健康的有害影响,并提供了对DEHP诱发先天性心脏病的分子机制的见解。了解这些机制对于制定针对影响胎儿心脏发育的环境毒物的预防策略至关重要。
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引用次数: 0
Protective Role of (-)-Epicatechin on Trimethylamine-N-Oxide (TMAO)-Induced Cardiac Hypertrophy via SP1/SIRT1/SUMO1 Signaling Pathway. 表儿茶素通过 SP1/SIRT1/SUMO1 信号通路对三甲胺氧化物 (TMAO) 诱导的心肌肥大的保护作用
IF 3.4 3区 医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2024-10-17 DOI: 10.1007/s12012-024-09932-8
Siting Hong, Jing Lu, Jiaoyan Li, Yingchun Luo, Dongxue Liu, Yuanyuan Jin, Zeng Wang, Yibo Wang, Hao Zhang, Xin Zhang, Yang Li, Haoruo Zhang, Zengxiang Dong, Zhaojun Wang, Lin Lv, Zhaoguang Liang

(-)-Epicatechin (EPI) is beneficial for cardiovascular health. Trimethylamine N-oxide (TMAO), a gut microbe-derived food metabolite, is strongly associated with the risk of cardiovascular diseases. However, the effects and underlying mechanisms of EPI on TMAO-induced cardiac hypertrophy remain unclear. This study aimed to determine whether EPI inhibits TMAO-induced cardiac hypertrophy. Plasma levels of TMAO in control participants and patients with cardiac hypertrophy were measured and analyzed. Male C57BL/6 mice were randomly divided into control group, TMAO group, EPI group and TMAO + EPI group. According to the groups assignments, mice received intraperitoneal (i.p.) injection of normal saline or i.p. injection of TMAO (150 mg/kg/day) for 14 days. The EPI group was given intragastric (i.g.) administration of EPI alone (1 mg/kg/day) for 21 days, and TMAO + EPI group received i.g. administration of EPI for 7 days before starting i.p. injection of TMAO, continuing until the end of the TMAO treatment. Histological analyses of the mice's hearts was accessed by H&E and Masson staining. In vitro, H9c2 cells were induced to hypertrophy by TMAO (10 µM) for 24 h and were pre-treated with or without EPI (10 µM) for 1 h. Protein level of cardiac hypertrophy markers and Sp1/SIRT1/SUMO1 pathway were determined by western blot. The plasma level of TMAO was 2.66 ± 1.59 μmol/L in patients with cardiac hypertrophy and 0.62 ± 0.30 μmol/L in control participants. EPI attenuated TMAO-induced hypertrophy in H9c2 cells. In vivo, TMAO induced cardiac hypertrophy and impaired the cardiac function of mice. Pathological staining showed that TMAO induced cardiac hypertrophy and collagen deposition in mice. EPI treatment improved the cardiac function, inhibited the myocardial hypertrophy induced by TMAO. EPI significantly attenuated the TMAO-induced upregulation of ANP and BNP and the downregulation of SP1, SIRT1 and SUMO1 in vivo and in vitro. EPI may suppress TMAO-induced cardiac hypertrophy by activating the Sp1/SIRT1/SUMO1 signaling pathway.

(-)-表儿茶素(EPI)有益于心血管健康。三甲胺 N-氧化物(TMAO)是一种源自肠道微生物的食物代谢物,与心血管疾病风险密切相关。然而,EPI对TMAO诱导的心脏肥大的影响和潜在机制仍不清楚。本研究旨在确定 EPI 是否能抑制 TMAO 诱导的心脏肥大。研究人员测量并分析了对照组和心肌肥厚患者血浆中的 TMAO 水平。雄性 C57BL/6 小鼠被随机分为对照组、TMAO 组、EPI 组和 TMAO + EPI 组。按照分组,小鼠腹腔注射生理盐水或腹腔注射TMAO(150毫克/千克/天),连续14天。EPI 组单独胃内注射 EPI(1 毫克/千克/天)21 天,TMAO + EPI 组胃内注射 EPI 7 天后开始胃内注射 TMAO,直至 TMAO 治疗结束。通过H&E和Masson染色对小鼠心脏进行组织学分析。在体外,用TMAO(10 µM)诱导H9c2细胞肥大24小时,并用或不用EPI(10 µM)预处理1小时。心脏肥大患者血浆中的TMAO水平为2.66 ± 1.59 μmol/L,对照组为0.62 ± 0.30 μmol/L。EPI 可减轻 TMAO 诱导的 H9c2 细胞肥大。在体内,TMAO诱导小鼠心脏肥大并损害其心脏功能。病理染色显示,TMAO诱导小鼠心脏肥大和胶原沉积。EPI 治疗可改善心功能,抑制 TMAO 诱导的心肌肥厚。在体内和体外,EPI能明显降低TMAO诱导的ANP和BNP的上调以及SP1、SIRT1和SUMO1的下调。EPI可通过激活Sp1/SIRT1/SUMO1信号通路抑制TMAO诱导的心肌肥厚。
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引用次数: 0
Extracellular Volume and Fibrosis Volume of Left Ventricular Myocardium Assessed by Cardiac Magnetic Resonance in Vaccinated and Unvaccinated Patients with a History of SARS-CoV-2 Infection. 通过心脏磁共振评估已接种疫苗和未接种疫苗的 SARS-CoV-2 感染史患者的左心室心肌细胞外体积和纤维化体积
IF 3.4 3区 医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2024-10-15 DOI: 10.1007/s12012-024-09929-3
Paweł Gać, Wojciech Hajdusianek, Aleksandra Żórawik, Małgorzata Poręba, Rafał Poręba

Cardiac magnetic resonance (CMR) enables the assessment of tissue characteristics of the myocardium. Changes in the extracellular volume (ECV) and fibrosis volume (FV) of the myocardium are sensitive and early pathogenetic markers and have prognostic significance. The aim of the study was to assess ECV and FV of left ventricular myocardium in T1 mapping sequence in patients with a history of SARS-CoV-2 infection, considering vaccination status against COVID-19. The study group consisted of 97 patients (52.54 ± 8.31 years, 53% women and 47% men). The participants were divided into three subgroups: A) patients with a history of symptomatic SARS-CoV-2 infection, unvaccinated against COVID-19 (n = 39), B) patients with a history of symptomatic SARS-CoV-2 infection, with a full vaccination schedule against COVID-19 (n = 22), and C) persons without a history of SARS-CoV-2 infection constituting the control subgroup (C, n = 36). All patients underwent 1.5 T cardiac magnetic resonance. In subgroup A compared to subgroups B and C, both the ECV whole myocardium and ECV segments 2, 5-6, 8, and 10-11 were statistically significantly higher. In addition, the ECV segment 16 was statistically significantly higher in subgroup A than in subgroup C. Also, the FV whole myocardium was statistically significantly higher in subgroup A in comparison to subgroups B and C. There were no significant differences in ECV and FV between subgroups B and C. In summary, unvaccinated against COVID-19 patients with a history of symptomatic SARS-CoV-2 infection have higher myocardial ECV and FV values in the T1 mapping sequence, compared to those without COVID-19 and those suffering from COVID-19, previously vaccinated with the full vaccination schedule.

心脏磁共振(CMR)可评估心肌的组织特征。心肌细胞外体积(ECV)和纤维化体积(FV)的变化是敏感的早期病理标志物,对预后具有重要意义。本研究的目的是评估有 SARS-CoV-2 感染史的患者在 T1 映射序列中左心室心肌的 ECV 和 FV,同时考虑 COVID-19 疫苗接种情况。研究组由 97 名患者组成(52.54 ± 8.31 岁,53% 为女性,47% 为男性)。参与者分为三个亚组:A)有症状的 SARS-CoV-2 感染史的患者,未接种 COVID-19 疫苗(39 人);B)有症状的 SARS-CoV-2 感染史的患者,接种了完整的 COVID-19 疫苗(22 人);C)无 SARS-CoV-2 感染史者,构成对照亚组(C,36 人)。所有患者均接受了 1.5 T 心脏磁共振检查。与 B 和 C 亚组相比,A 亚组患者整个心肌的 ECV 值和第 2、5-6、8 和 10-11 节段的 ECV 值在统计学上显著增高。此外,与 B 和 C 亚组相比,A 亚组整个心肌的 FV 在统计学上明显更高。总之,未接种 COVID-19 疫苗且有 SARS-CoV-2 无症状感染史的患者与未接种 COVID-19 疫苗的患者和 COVID-19 患者相比,在 T1 映射序列中心肌 ECV 和 FV 值较高,而 COVID-19 患者之前已接种了全部疫苗。
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引用次数: 0
Proteomics Reveals Divergent Cardiac Inflammatory and Metabolic Responses After Inhalation of Ambient Particulate Matter With or Without Ozone. 蛋白质组学揭示了吸入有臭氧或无臭氧的环境颗粒物质后心脏炎症和代谢反应的差异。
IF 3.4 3区 医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2024-10-14 DOI: 10.1007/s12012-024-09931-9
Yue Ge, Maliha S Nash, Witold M Winnik, Maribel Bruno, William T Padgett, Rachel D Grindstaff, Mehdi S Hazari, Aimen K Farraj

Inhalation of ambient particulate matter (PM) and ozone (O3) has been associated with increased cardiovascular morbidity and mortality. However, the interactive effects of PM and O3 on cardiac dysfunction and disease have not been thoroughly examined, especially at a proteomic level. The purpose of this study was to identify and compare proteome changes in spontaneously hypertensive (SH) rats co-exposed to concentrated ambient particulates (CAPs) and O3, with a focus on investigating inflammatory and metabolic pathways, which are the two major ones implicated in the pathophysiology of cardiac dysfunction. For this, we measured and compared changes in expression status of 9 critical pro- and anti-inflammatory cytokines using multiplexed ELISA and 450 metabolic proteins involved in ATP production, oxidative phosphorylation, cytoskeletal organization, and stress response using two-dimensional electrophoresis (2-DE) and mass spectrometry (MS) in cardiac tissue of SH rats exposed to CAPs alone, O3 alone, and CAPs + O3. Proteomic expression profiling revealed that CAPs alone, O3 alone, and CAPs + O3 differentially altered protein expression patterns, and utilized divergent mechanisms to affect inflammatory and metabolic pathways and responses. Ingenuity Pathway Analysis (IPA) of the proteomic data demonstrated that the metabolic protein network centered by gap junction alpha-1 protein (GJA 1) was interconnected with the inflammatory cytokine network centered by nuclear factor kappa beta (NF-kB) potentially suggesting inflammation-induced alterations in metabolic pathways, or vice versa, collectively contributing to the development of cardiac dysfunction in response to CAPs and O3 exposure. These findings may enhance understanding of the pathophysiology of cardiac dysfunction induced by air pollution and provide testable hypotheses regarding mechanisms of action.

吸入环境颗粒物(PM)和臭氧(O3)与心血管发病率和死亡率的增加有关。然而,可吸入颗粒物和臭氧对心脏功能障碍和疾病的交互影响尚未得到深入研究,特别是在蛋白质组水平上。本研究的目的是识别和比较同时暴露于高浓度环境颗粒物和臭氧的自发性高血压(SH)大鼠的蛋白质组变化,重点研究炎症和代谢途径,这两种途径是与心功能障碍的病理生理学有关的主要途径。为此,我们使用多重酶联免疫吸附试验(ELISA)测量并比较了 9 种关键的促炎和抗炎细胞因子的表达状态变化,并使用二维电泳(2-DE)和质谱分析(MS)测量并比较了单独暴露于 CAPs、单独暴露于 O3 和 CAPs + O3 的 SH 大鼠心脏组织中涉及 ATP 生成、氧化磷酸化、细胞骨架组织和应激反应的 450 种代谢蛋白的表达状态变化。蛋白质组表达谱分析显示,单用 CAPs、单用 O3 和 CAPs + O3 可不同程度地改变蛋白质表达模式,并利用不同的机制影响炎症和代谢途径及反应。对蛋白质组数据进行的Ingenuity路径分析(IPA)表明,以间隙连接α-1蛋白(GJA 1)为中心的代谢蛋白网络与以核因子卡巴β(NF-kB)为中心的炎症细胞因子网络相互关联,这可能表明炎症诱导了代谢通路的改变,反之亦然,共同导致了CAPs和O3暴露下心脏功能障碍的发生。这些发现可能会加深人们对空气污染诱发心脏功能障碍的病理生理学的理解,并提供有关作用机制的可检验假设。
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Cardiovascular Toxicology
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