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Cyclosporine Attenuates Pressure-Overload Hypertrophy in Mice While Enhancing Susceptibility to Decompensation and Heart Failure

Left ventricular hypertrophy (LVH) is a compensatory mechanism to cope with pressure overload. Recently, a calcineurin pathway mediating LVH and its prevention by cyclosporine was reported. We examined whether calcineurin mediates LVH due to pressure overload in mice. Pressure overload was induced b...

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Published in:Circulation research 1999-04, Vol.84 (6), p.735-740
Main Authors: Meguro, Tomomi, Hong, Chull, Asai, Kuniya, Takagi, Gen, McKinsey, Timothy A, Olson, Eric N, Vatner, Stephen F
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description Left ventricular hypertrophy (LVH) is a compensatory mechanism to cope with pressure overload. Recently, a calcineurin pathway mediating LVH and its prevention by cyclosporine was reported. We examined whether calcineurin mediates LVH due to pressure overload in mice. Pressure overload was induced by aortic banding in 53 mice (32 treated with cyclosporine [25 mg [middle dot] kg [middle dot] d], 21 treated with vehicle). There were 17 sham-operated mice (9 treated with vehicle, 8 treated with cyclosporine). At 3 weeks after surgery, LV weight to body weight was greater in the nontreatment banded group (4.39 +/- 0.16 mg/g) than in the cyclosporine-treated banded group (3.95 +/- 0.14 mg/g, P
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Recently, a calcineurin pathway mediating LVH and its prevention by cyclosporine was reported. We examined whether calcineurin mediates LVH due to pressure overload in mice. Pressure overload was induced by aortic banding in 53 mice (32 treated with cyclosporine [25 mg [middle dot] kg [middle dot] d], 21 treated with vehicle). There were 17 sham-operated mice (9 treated with vehicle, 8 treated with cyclosporine). At 3 weeks after surgery, LV weight to body weight was greater in the nontreatment banded group (4.39 +/- 0.16 mg/g) than in the cyclosporine-treated banded group (3.95 +/- 0.14 mg/g, P&lt;0.05), with both groups being greater compared with the entire group of sham-operated mice (3.02 +/- 0.04 mg/g). The pressure gradient between the ascending and abdominal aorta was not different between the cyclosporine-treated (49.6 +/- 6.1 mm Hg) and nontreatment groups (48.7 +/- 4.6 mm Hg). Although LV systolic pressure was lower in the cyclosporine-treated banded animals, LV systolic wall stress was similar in the nontreatment banded group and in the cyclosporine-treated group. However, LV dP/dt was lower (P=0.05) in the cyclosporine-treated banded group (4774 +/- 656 mm Hg/s) than in the nontreatment banded group (6604 +/- 516 mm Hg/s). During the protocol, 23 of 32 mice in the cyclosporine-treated group and 9 of 21 mice in the nontreatment group died. All deaths occurred within 10 days after surgery. Deaths caused by heart failure were 7.2-fold higher (P&lt;0.05) in the cyclosporine-treated group, whereas deaths due to other causes were not different between the 2 groups. In addition, LV function of mice was assessed at 48 hours after banding; LV ejection fraction measured with echocardiography was lower (P&lt;0.05) in the cyclosporine-treated banded group (66 +/- 3.0%) than in the nontreatment banded group (79 +/- 1.5%), whereas LV systolic wall stresses were similar. Calcineurin phosphatase activity was depressed similarly in both cyclosporine-treated groups compared with both nontreatment groups. Thus, cyclosporine could attenuate, but not prevent, LVH at the expense of inhibiting an important compensatory mechanism in response to pressure overload, resulting in reduced LV wall stress and function and increased susceptibility to decompensation and heart failure. 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Recently, a calcineurin pathway mediating LVH and its prevention by cyclosporine was reported. We examined whether calcineurin mediates LVH due to pressure overload in mice. Pressure overload was induced by aortic banding in 53 mice (32 treated with cyclosporine [25 mg [middle dot] kg [middle dot] d], 21 treated with vehicle). There were 17 sham-operated mice (9 treated with vehicle, 8 treated with cyclosporine). At 3 weeks after surgery, LV weight to body weight was greater in the nontreatment banded group (4.39 +/- 0.16 mg/g) than in the cyclosporine-treated banded group (3.95 +/- 0.14 mg/g, P&lt;0.05), with both groups being greater compared with the entire group of sham-operated mice (3.02 +/- 0.04 mg/g). The pressure gradient between the ascending and abdominal aorta was not different between the cyclosporine-treated (49.6 +/- 6.1 mm Hg) and nontreatment groups (48.7 +/- 4.6 mm Hg). Although LV systolic pressure was lower in the cyclosporine-treated banded animals, LV systolic wall stress was similar in the nontreatment banded group and in the cyclosporine-treated group. However, LV dP/dt was lower (P=0.05) in the cyclosporine-treated banded group (4774 +/- 656 mm Hg/s) than in the nontreatment banded group (6604 +/- 516 mm Hg/s). During the protocol, 23 of 32 mice in the cyclosporine-treated group and 9 of 21 mice in the nontreatment group died. All deaths occurred within 10 days after surgery. Deaths caused by heart failure were 7.2-fold higher (P&lt;0.05) in the cyclosporine-treated group, whereas deaths due to other causes were not different between the 2 groups. 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Recently, a calcineurin pathway mediating LVH and its prevention by cyclosporine was reported. We examined whether calcineurin mediates LVH due to pressure overload in mice. Pressure overload was induced by aortic banding in 53 mice (32 treated with cyclosporine [25 mg [middle dot] kg [middle dot] d], 21 treated with vehicle). There were 17 sham-operated mice (9 treated with vehicle, 8 treated with cyclosporine). At 3 weeks after surgery, LV weight to body weight was greater in the nontreatment banded group (4.39 +/- 0.16 mg/g) than in the cyclosporine-treated banded group (3.95 +/- 0.14 mg/g, P&lt;0.05), with both groups being greater compared with the entire group of sham-operated mice (3.02 +/- 0.04 mg/g). The pressure gradient between the ascending and abdominal aorta was not different between the cyclosporine-treated (49.6 +/- 6.1 mm Hg) and nontreatment groups (48.7 +/- 4.6 mm Hg). Although LV systolic pressure was lower in the cyclosporine-treated banded animals, LV systolic wall stress was similar in the nontreatment banded group and in the cyclosporine-treated group. However, LV dP/dt was lower (P=0.05) in the cyclosporine-treated banded group (4774 +/- 656 mm Hg/s) than in the nontreatment banded group (6604 +/- 516 mm Hg/s). During the protocol, 23 of 32 mice in the cyclosporine-treated group and 9 of 21 mice in the nontreatment group died. All deaths occurred within 10 days after surgery. Deaths caused by heart failure were 7.2-fold higher (P&lt;0.05) in the cyclosporine-treated group, whereas deaths due to other causes were not different between the 2 groups. In addition, LV function of mice was assessed at 48 hours after banding; LV ejection fraction measured with echocardiography was lower (P&lt;0.05) in the cyclosporine-treated banded group (66 +/- 3.0%) than in the nontreatment banded group (79 +/- 1.5%), whereas LV systolic wall stresses were similar. Calcineurin phosphatase activity was depressed similarly in both cyclosporine-treated groups compared with both nontreatment groups. Thus, cyclosporine could attenuate, but not prevent, LVH at the expense of inhibiting an important compensatory mechanism in response to pressure overload, resulting in reduced LV wall stress and function and increased susceptibility to decompensation and heart failure. (Circ Res. 1999;84:735-740.)</abstract><cop>Hagerstown, MD</cop><pub>American Heart Association, Inc</pub><pmid>10189362</pmid><doi>10.1161/01.res.84.6.735</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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subjects Animals
Aorta - physiology
Aorta, Abdominal - physiology
Aorta, Thoracic - physiology
Biological and medical sciences
Cardiovascular system
Cyclosporine - blood
Cyclosporine - pharmacology
Disease Susceptibility
Enzyme Inhibitors - blood
Enzyme Inhibitors - pharmacology
Heart Failure - etiology
Heart Failure - mortality
Heart Failure - physiopathology
Hypertension - mortality
Hypertension - physiopathology
Hypertrophy, Left Ventricular - mortality
Hypertrophy, Left Ventricular - pathology
Hypertrophy, Left Ventricular - physiopathology
Ligation
Male
Medical sciences
Mice
Pharmacology. Drug treatments
Vascular wall
title Cyclosporine Attenuates Pressure-Overload Hypertrophy in Mice While Enhancing Susceptibility to Decompensation and Heart Failure
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