Abstract
Sprague Dawley rats were subjected to acute myocardial infarction (AMI) by permanent ligation of the left anterior descending coronary artery. At the time of AMI, a subcutaneous mini-osmotic pump was implanted and animals were randomized into three groups, according to the intravenous therapy received during the first 72 h: placebo-treated (saline), serelaxin10-treated (SRLX10 = 10 μg/kg/day), or serelaxin30-treated (SRLX30 = 30 μg/kg/day). Treatment with SRLX30 reduced the expression of inflammatory cytokines and chemokines, as well as the infiltration of macrophages, and increased the expression of pro-angiogenic markers and vessel density in the infarcted myocardium after 7 days. SRLX30 did not reduce early myocardial fibrosis but reduced myocardial levels of sST2 and galectin-3. No significant effects were observed with SRLX10 treatment. A significant correlation was observed between plasma levels of serelaxin and effect measures. The results suggest serelaxin has a protective effect in early processes of cardiac remodeling after AMI.
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Abbreviations
- AMI:
-
Acute myocardial infarction
- α-SMA:
-
Alpha smooth muscle actin
- GADPH:
-
Glyceraldehyde 3-phosphate dehydrogenase
- IL:
-
Interleukin
- LVEF:
-
Left ventricle ejection fraction
- MCP-1:
-
Monocyte chemoattractant protein 1
- MMP:
-
Matrix metalloproteinase
- RT-PCR:
-
Reverse transcription polymerase chain reaction
- sST2:
-
Soluble isoform of suppression of tumorigenicity 2
- TGF-β:
-
Transforming growth factor beta
- TNF-α:
-
Tumor necrosis factor alpha
- VEGF:
-
Vascular endothelial growth factor
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Clinical Relevance
The intravenous infusion of serelaxin for 72 h after acute myocardial infarction might have a favorable effect on early processes of myocardial remodeling, in a dose-dependent manner.
Funding
This study was supported by a grant from Novartis (Switzerland) and was fully performed in the “Instituto Murciano de Investigación Biomética (IMIB),” Universidad de Murcia (Murcia, Spain). This study was partly supported by a grant from the Instituto de Salud Carlos III, Madrid, Spain (PI14/01637). Dr. Lax was a recipient of a research fellowship from the Instituto de Salud Carlos III, Madrid, Spain (CD13/00032). Dr. Pascual Figal was a recipient of a Research Intensification Programme from the Instituto de Salud Carlos III (ISCIII), Madrid, Spain (INT 15/00108 and 16/00172).
Conflict of Interest
Dr. Pascual-Figal and Dr. de Boer received speaker fees from Novartis. All other authors report no conflicts of interest.
Human and Animal Rights and Informed Consent
No human studies were carried out by the authors for this article.
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Associate Editor Saptarsi Haldar oversaw the review of this article.
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Sanchez-Mas, J., Lax, A., Asensio-Lopez, M.C. et al. Early Anti-inflammatory and Pro-angiogenic Myocardial Effects of Intravenous Serelaxin Infusion for 72 H in an Experimental Rat Model of Acute Myocardial Infarction. J. of Cardiovasc. Trans. Res. 10, 460–469 (2017). https://doi.org/10.1007/s12265-017-9761-1
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DOI: https://doi.org/10.1007/s12265-017-9761-1