Abstract
This study investigated the therapeutic potential of N-acetylcysteine (NAC) in the treatment of heart failure in female rats. Myocardial infarcted (MI) rats were given NAC (250 mg/kg/day p.o.) during 28 days after surgery (MI + NAC) or vehicle (MI + Placebo), and sham-operated rats received the same treatments (Sham + NAC and Sham + Placebo). Electrocardiographic and echocardiographic analyses were performed in the last week of treatment. Cardiac mRNA levels of types I and II superoxide dismutase (SOD), catalase, types I and III glutathione peroxidase (GPX), nerve growth factor (NGF), β1-adrenergic receptor (β1ADR), and type 2 muscarinic receptor (M2R) were assessed. Cardiac levels NADPH oxidase (NOX) activity, total content of reduced thiols, and SOD, GPX, and catalase activity were assessed. Compared to MI + Placebo group, MI + NAC group exhibited decreased NOX activity, increased content of reduced thiols, increased GPX activity, and normalized GPX III mRNA levels (p < 0.05). Heart and lung weights, left ventricular (LV) end-diastolic volume and left atrium/aorta ratio were decreased, while LV posterior wall thickness and ejection fraction were increased in MI + NAC group versus MI + Placebo rats (p < 0.05). Power density of low frequency band was decreased, while power density of high frequency and the root mean square of the successive differences were increased in MI + NAC rats versus MI + Placebo (p < 0.05). These findings indicate that NAC promotes therapeutic effects in the progression of MI-induced heart failure in female rats.
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This study was supported by the Department of Science and Technology - Brazilian Ministry of Health (DECIT/SCTIE/MS), the Brazilian Council for Scientific and Technological Development (CNPq), the Rio de Janeiro State Research Foundation (FAPERJ), the Coordination for the Improvement of Higher Education Personnel (CAPES).
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11033_2020_5907_MOESM1_ESM.tif
Fig. S1 Antioxidant enzymes mRNA expression levels were restored by NAC therapy in infarcted hearts. mRNA expression levels of SOD1 (a), SOD2 (b), catalase (c), GPX1 (d), and GPX3 (e) were compared between Sham-operated (white bars) and MI rats (black bars) treated with placebo or NAC therapy (n = 5-7/group). Data are expressed as mean ± S.E.M. ***p < 0.001 versus Sham + Placebo group; #p < 0.05 versus MI + Placebo group (TIF 102 kb)
11033_2020_5907_MOESM2_ESM.tif
Fig. S2 NGF mRNA expression levels were attenuated by NAC therapy. mRNA expression levels of β1-adrenergic receptor (a), type 2 muscarinic receptor (b), and NGF (c) were compared between Sham-operated (white bars) and MI rats (black bars) treated with placebo or NAC therapy (n = 6/group). ***p < 0.001 versus Sham + Placebo group (TIF 95 kb)
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Costa, C.R.M., Seara, F.A.C., Peixoto, M.S. et al. Progression of heart failure is attenuated by antioxidant therapy with N-acetylcysteine in myocardial infarcted female rats. Mol Biol Rep 47, 8645–8656 (2020). https://doi.org/10.1007/s11033-020-05907-4
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DOI: https://doi.org/10.1007/s11033-020-05907-4