Reversal of angiotensin-(1-12)-caused positive modulation on left ventricular contractile performance in heart failure: Assessment by pressure-volume analysis.

Reversal of angiotensin-(1-12)-caused positive modulation on left ventricular contractile performance in heart failure: Assessment by pressure-volume analysis.
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血管紧张素(1-12)的逆转导致心力衰竭左心室收缩性能的正向调节:通过压力-容量分析进行评估

DOI:
10.1016/j.ijcard.2019.09.004
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发表时间:
2020-02-15
影响因子:
3.5
通讯作者:
Cheng CP
Cheng CP
中科院分区:
医学2区
文献类型:
--
作者:
Li T;Zhang Z;Zhang X;Chen Z;Cheng HJ;Ahmad S;Ferrario CM;Cheng CP

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血管紧张素-(1-12)[Ang-(1-12)]是由糜酶直接产生血管紧张素-II的非肾素依赖性前体。大量证据表明,心力衰竭(HF)可能会改变心脏Ang-(1-12)的表达和活性;这种新的Ang-(1-12)/糜酶轴可能是HF中血管紧张素II有害作用的主要来源。我们假设HF改变心脏对Ang-(1-12)的反应。它的刺激可产生心脏负性调制,加重左心室(LV)收缩和舒张功能障碍。我们在16只SD雄性大鼠中评估了Ang-(1-12)(2 nmol/kg/min,iv,10 min)对异丙肾上腺素诱导的HF(170 mg/kg sq.连续2天)和10名年龄匹配的男性对照。在正常对照组中,与基线相比,Ang-(1-12)增加LV收缩末期压,而不改变心率、动脉弹性(EA)、LV舒张末期压(PED)、时间常数(τ)和射血分数(EF)。Ang-(1-12)显著增加压力(P)-容积(V)关系的斜率(EES和MSW),表明LV收缩力增加。AVC(量化为EES/EA)改善。相比之下,在HF中,与HF基线相比,Ang-(1-12)产生类似的PES增加,但显著增加τ、EA和PED。左室舒张早期P-V环上移,EF降低。此外,Ang-(1-12)显著降低EES和MSW,表明LV收缩力降低。AVC下降了43%。在正常和HF大鼠中,Ang-(1-12)引起相似的血管收缩。在正常情况下,Ang-(1-12)增加LV收缩功能。在心力衰竭中,Ang-(1-12)具有不良影响,并抑制LV收缩和舒张功能性能。
Angiotensin-(1–12) [Ang-(1–12)] is a renin-independent precursor for direct angiotensin-II production by chymase. Substantial evidence suggests that heart failure (HF) may alter cardiac Ang-(1–12) expression and activity; this novel Ang-(1–12)/chymase axis may be the main source for angiotensin-II deleterious actions in HF. We hypothesized that HF alters cardiac response to Ang-(1–12). Its stimulation may produce cardiac negative modulation and exacerbate left ventricle (LV) systolic and diastolic dysfunction. We assessed the effects of Ang-(1–12) (2 nmol/kg/min, iv, 10 min) on LV contractility, LV diastolic filling, LV-arterial coupling (AVC) in 16 SD male rats with HF-induced by isoproterenol (3 mo after 170 mg/kg sq. for 2 consecutive days) and 10 age-matched male controls. In normal controls, versus baseline, Ang-(1–12) increased LV end-systolic pressure, without altering heart rate, arterial elastance (EA), LV end-diastolic pressure (PED), the time constant (τ) and ejection fraction (EF). Ang-(1–12) significantly increased the slopes (EES and MSW) of pressure (P)-volume (V) relations, indicating increased LV contractility. AVC (quantified as EES/EA) improved. In contrast, in HF, versus HF baseline, Ang-(1–12) produced a similar increase in PES, but significantly increased τ, EA, and PED. The early diastolic portion of LV P-V loop was shifted upward with reduced in EF. Moreover, Ang-(1–12) significantly decreased EES and MSW, demonstrating decreased LV contractility. AVC was decreased by 43%. In both normal and HF rats, Ang-(1–12) causes similar vasoconstriction. In normal, Ang-(1–12) increases LV contractile function. In HF, Ang-(1–12) has adverse effects and depresses LV systolic and diastolic functional performance.
DOI: 10.1042/cs20130400
发表时间: 2014-04
期刊: Clinical science (London, England : 1979)
影响因子: --
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DOI: 10.1371/journal.pone.0028501
发表时间: 2011
期刊: PloS one
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