1. Myocardial Dysfunction in Cirrhotic Cardiomyopathy is Associated with Alterations of Phospholamban Phosphorylation and IL-6 Levels
- Author
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Marcos Correa Dias, Antonio Carlos Cicogna, Cristina Schmitt Gregolin, Milena Nascimento, Gustavo Augusto Ferreira Mota, Gisele Facholi Bomfim, Sérgio Luiz Borges de Souza, André Ferreira do Nascimento, Silméia Garcia Zanati Bazan, Renata de Azevedo Melo Luvizotto, Camila Renata Corrêa, Dijon Henrique Salomé de Campos, Mario Mateus Sugizaki, Universidade Federal de Mato Grosso do Sul (UFMS), and Universidade Estadual Paulista (Unesp)
- Subjects
Liver Cirrhosis ,Male ,0301 basic medicine ,Inotrope ,Cardiac function curve ,medicine.medical_specialty ,Cirrhosis ,Diastole ,Thioacetamide ,Ryanodine receptor 2 ,Contractility ,Random Allocation ,03 medical and health sciences ,0302 clinical medicine ,Internal medicine ,parasitic diseases ,medicine ,Papillary muscle ,Animals ,Phosphorylation ,Rats, Wistar ,Interleukin-6 ,business.industry ,Myocardium ,Calcium-Binding Proteins ,Cirrhotic cardiomyopathy ,General Medicine ,medicine.disease ,Myocardial Contraction ,Rats ,Phospholamban ,030104 developmental biology ,030220 oncology & carcinogenesis ,Liver cirrhosis ,cardiovascular system ,Cardiology ,Cardiac dysfunction ,Cardiomyopathies ,business - Abstract
Made available in DSpace on 2021-06-25T15:02:21Z (GMT). No. of bitstreams: 0 Previous issue date: 2021-04-01 Mato Grosso Research Foundation (FAPEMAT), Brazil Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq) Background. Decreased cardiac contractility has been observed in cirrhosis, but the mechanisms that initiate and maintain cardiac dysfunction are not entirely understood. Aim of the study. We test the hypothesis that cirrhotic cardiomyopathy is related to deterioration of myocardial contractility due to alterations in calcium-handling proteins expression. In addition, we evaluated whether cardiac pro-inflammatory cytokine levels are associated with this process. Methods. Cirrhosis was induced by thioacetamide (TAA, 100 mg/kg/i.p., twice weekly for eight weeks). The myocardial performance was evaluated in isolated left ventricle papillary muscles under basal conditions and after inotropic challenge. The cardiac calcium handling protein expression was detected by Western blotting. Cardiac TNF-alpha and IL-6 levels were measured by ELISA. Results. Thioacetamide induced liver cirrhosis, which was associated with cirrhotic cardiomyopathy characterized by in vivo left ventricular diastolic and systolic dysfunction as well as cardiac hypertrophy. In vitro baseline myocardial contractility was lower in cirrhosis. Also, myocardial responsiveness to post-rest contraction stimulus was declined. Protein expression for RYR2, SERCA2, NCX, pPBL Ser16 and L-type calcium channel was quantitatively unchanged; however, pPBL Thr17 was significantly lower while IL-6 was higher. Conclusions. Our study demonstrates that cirrhotic cardiomyopathy is associated with decreased cardiac contractility with alteration of phospholamban phosphorylation in association with higher cardiac pro-inflammatory IL-6 levels. These findings provided molecular and functional insights about the effects of liver cirrhosis on cardiac function. (C) 2020 IMSS. Published by Elsevier Inc. Fed Univ Mato Grosso UFMT, Inst Hlth Sci, Ave Alexandre Ferronato 1200, BR-78556267 Sinop, Mato Grosso, Brazil Sao Paulo State Univ, Botucatu Sch Med, Dept Internal Med, Botucatu, SP, Brazil Sao Paulo State Univ, Botucatu Sch Med, Dept Pathol, Botucatu, SP, Brazil Sao Paulo State Univ, Botucatu Sch Med, Dept Internal Med, Botucatu, SP, Brazil Sao Paulo State Univ, Botucatu Sch Med, Dept Pathol, Botucatu, SP, Brazil Mato Grosso Research Foundation (FAPEMAT), Brazil: 161294/2014 CNPq: 442979/2014-2
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- 2021