Mechanisms involved in the beneficial effects of spironolactone after myocardial infarction.

<h4>Introduction</h4>Our objective was to analyze the effect of spironolactone on cardiac remodeling after experimental myocardial infarction (MI), assessed by matricellular proteins levels, cardiac collagen amount and distribution, myocardial tissue metalloproteinase inhibitor-1 (TIMP-1...

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Autores principales: Marcos F Minicucci, Priscila P dos Santos, Bruna P M Rafacho, Andrea F Gonçalves, Renata A C Silva, Fernanda Chiuso-Minicucci, Paula S Azevedo, Bertha F Polegato, Katashi Okoshi, Elenize J Pereira, Sergio A R Paiva, Leonardo A M Zornoff
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spelling oai:doaj.org-article:6a04f357fc154422a656a7242ffda9792021-11-18T08:53:21ZMechanisms involved in the beneficial effects of spironolactone after myocardial infarction.1932-620310.1371/journal.pone.0076866https://doaj.org/article/6a04f357fc154422a656a7242ffda9792013-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24098808/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Introduction</h4>Our objective was to analyze the effect of spironolactone on cardiac remodeling after experimental myocardial infarction (MI), assessed by matricellular proteins levels, cardiac collagen amount and distribution, myocardial tissue metalloproteinase inhibitor-1 (TIMP-1) concentration, myocyte hypertrophy, left ventricular architecture, and in vitro and in vivo cardiac function.<h4>Methods</h4>Wistar rats were assigned to 4 groups: control group, in which animals were submitted to simulated surgery (SHAM group; n=9); group that received spironolactone and in which animals were submitted to simulated surgery (SHAM-S group, n=9); myocardial infarction group, in which animals were submitted to coronary artery ligation (MI group, n=15); and myocardial infarction group with spironolactone supplementation (MI-S group, n=15). The rats were observed for 3 months.<h4>Results</h4>The MI group had higher values of left cardiac chambers and mass index and lower relative wall thicknesses compared with the SHAM group. In addition, diastolic and systolic functions were worse in the MI groups. However, spironolactone did not influence any of these variables. The MI-S group had a lower myocardial hydroxyproline concentration and myocyte cross-sectional area compared with the MI group. Myocardial periostin and collagen type III were lower in the MI-S group compared with the MI-group. In addition, TIMP-1 concentration in myocardium was higher in the MI-S group compared with the MI group.<h4>Conclusions</h4>The predominant consequence of spironolactone supplementation after MI is related to reductions in collagens, with discrete attenuation of other remodeling variables. Importantly, this effect may be modulated by periostin and TIMP-1 levels.Marcos F MinicucciPriscila P dos SantosBruna P M RafachoAndrea F GonçalvesRenata A C SilvaFernanda Chiuso-MinicucciPaula S AzevedoBertha F PolegatoKatashi OkoshiElenize J PereiraSergio A R PaivaLeonardo A M ZornoffPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 8, Iss 9, p e76866 (2013)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Marcos F Minicucci
Priscila P dos Santos
Bruna P M Rafacho
Andrea F Gonçalves
Renata A C Silva
Fernanda Chiuso-Minicucci
Paula S Azevedo
Bertha F Polegato
Katashi Okoshi
Elenize J Pereira
Sergio A R Paiva
Leonardo A M Zornoff
Mechanisms involved in the beneficial effects of spironolactone after myocardial infarction.
description <h4>Introduction</h4>Our objective was to analyze the effect of spironolactone on cardiac remodeling after experimental myocardial infarction (MI), assessed by matricellular proteins levels, cardiac collagen amount and distribution, myocardial tissue metalloproteinase inhibitor-1 (TIMP-1) concentration, myocyte hypertrophy, left ventricular architecture, and in vitro and in vivo cardiac function.<h4>Methods</h4>Wistar rats were assigned to 4 groups: control group, in which animals were submitted to simulated surgery (SHAM group; n=9); group that received spironolactone and in which animals were submitted to simulated surgery (SHAM-S group, n=9); myocardial infarction group, in which animals were submitted to coronary artery ligation (MI group, n=15); and myocardial infarction group with spironolactone supplementation (MI-S group, n=15). The rats were observed for 3 months.<h4>Results</h4>The MI group had higher values of left cardiac chambers and mass index and lower relative wall thicknesses compared with the SHAM group. In addition, diastolic and systolic functions were worse in the MI groups. However, spironolactone did not influence any of these variables. The MI-S group had a lower myocardial hydroxyproline concentration and myocyte cross-sectional area compared with the MI group. Myocardial periostin and collagen type III were lower in the MI-S group compared with the MI-group. In addition, TIMP-1 concentration in myocardium was higher in the MI-S group compared with the MI group.<h4>Conclusions</h4>The predominant consequence of spironolactone supplementation after MI is related to reductions in collagens, with discrete attenuation of other remodeling variables. Importantly, this effect may be modulated by periostin and TIMP-1 levels.
format article
author Marcos F Minicucci
Priscila P dos Santos
Bruna P M Rafacho
Andrea F Gonçalves
Renata A C Silva
Fernanda Chiuso-Minicucci
Paula S Azevedo
Bertha F Polegato
Katashi Okoshi
Elenize J Pereira
Sergio A R Paiva
Leonardo A M Zornoff
author_facet Marcos F Minicucci
Priscila P dos Santos
Bruna P M Rafacho
Andrea F Gonçalves
Renata A C Silva
Fernanda Chiuso-Minicucci
Paula S Azevedo
Bertha F Polegato
Katashi Okoshi
Elenize J Pereira
Sergio A R Paiva
Leonardo A M Zornoff
author_sort Marcos F Minicucci
title Mechanisms involved in the beneficial effects of spironolactone after myocardial infarction.
title_short Mechanisms involved in the beneficial effects of spironolactone after myocardial infarction.
title_full Mechanisms involved in the beneficial effects of spironolactone after myocardial infarction.
title_fullStr Mechanisms involved in the beneficial effects of spironolactone after myocardial infarction.
title_full_unstemmed Mechanisms involved in the beneficial effects of spironolactone after myocardial infarction.
title_sort mechanisms involved in the beneficial effects of spironolactone after myocardial infarction.
publisher Public Library of Science (PLoS)
publishDate 2013
url https://doaj.org/article/6a04f357fc154422a656a7242ffda979
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