1. Cathepsin A Mediates Ventricular Remote Remodeling and Atrial Cardiomyopathy in Rats With Ventricular Ischemia/Reperfusion
- Author
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Michael Böhm, Prashanthan Sanders, Dominik Linz, Thomas Hübschle, Olesja Zamyatkin, Katharina Erb, Stefan Dhein, Adrian D. Elliott, Lisa Lang, Ulrich Schotten, Mathias Hohl, Wolfgang Linz, Sven Ruf, Thorsten Sadowski, Fysiologie, RS: Carim - H08 Experimental atrial fibrillation, and RS: CARIM - R2 - Cardiac function and failure
- Subjects
0301 basic medicine ,SAR, (S)-3-{[1-(2-Fluoro-phenyl)-5-methoxy-1H-pyrazole-3-carbonyl]-amino}-3-o-tolyl-propionic-acid ,medicine.medical_specialty ,lcsh:Diseases of the circulatory (Cardiovascular) system ,AF, atrial fibrillation ,medicine.medical_treatment ,mRNA, messenger ribonucleic acid ,Ischemia ,I/R, ischemia/reperfusion ,030204 cardiovascular system & hematology ,Revascularization ,Cathepsin A ,CatA, cathepsin A ,03 medical and health sciences ,PRECLINICAL RESEARCH ,0302 clinical medicine ,Internal medicine ,Medicine ,LA, left atrial ,atrial fibrillation ,Myocardial infarction ,ICM, ischemic cardiomyopathy ,cardiovascular diseases ,Atrium (heart) ,Ventricular remodeling ,atrial cardiomyopathy ,LV, left ventricular ,PL, permanent left anterior descending ligation ,business.industry ,Atrial fibrillation ,medicine.disease ,remote remodeling ,Cx43, connexin 43 ,ischemia/reperfusion ,ECM, extracellular matrix ,LAD, left anterior descending coronary artery ,030104 developmental biology ,medicine.anatomical_structure ,myocardial infarction ,Ventricle ,lcsh:RC666-701 ,Cardiology ,cardiovascular system ,Cardiology and Cardiovascular Medicine ,business ,MRI, magnetic resonance imaging - Abstract
Visual Abstract, Highlights • The role of the protease cathepsin A for the progression of left ventricular remote remodeling and atrial cardiomyopathy in ischemic cardiomyopathy is unknown. • In rats with ventricular ischemia and reperfusion, cathepsin A is up-regulated in the left ventricular and atrial tissue remote from the infarcted area. • Pharmacological inhibition of cathepsin A protease activity by SAR significantly reduces remote ventricular remodeling and atrial extracellular matrix remodeling, represented by fibrosis formation and connexin 43 lateralization. • Prevention of ventricular remote remodeling and atrial cardiomyopathy by SAR increased ventricular viable myocardium and atrial emptying function reducing susceptibility to atrial fibrillation. • Remote ventricular and atrial extracellular matrix remodeling may represent a promising target for pharmacological atrial fibrillation upstream therapy following myocardial infarction., Summary After myocardial infarction, remote ventricular remodeling and atrial cardiomyopathy progress despite successful revascularization. In a rat model of ventricular ischemia/reperfusion, pharmacological inhibition of the protease activity of cathepsin A initiated at the time point of reperfusion prevented extracellular matrix remodeling in the atrium and the ventricle remote from the infarcted area. This scenario was associated with preservation of more viable ventricular myocardium and the prevention of an arrhythmogenic and functional substrate for atrial fibrillation. Remote ventricular extracellular matrix remodeling and atrial cardiomyopathy may represent a promising target for pharmacological atrial fibrillation upstream therapy following myocardial infarction.
- Published
- 2019