Original articleMinocycline improves cardiac function after myocardial infarction in rats by inhibiting activation of PARP-1
Introduction
With the wide application of emergency thrombolysis, emergency percutaneous transluminal coronary angioplasty (PTCA) and emergency coronary artery bypass surgery, the mortality rate of acute myocardial infarction has been greatly reduced, but the incidence rate of heart failure after myocardial infarction has been increasingly higher. Changes in hemodynamics, neuroendocrine activation, inflammatory response and apoptosis after myocardial ischemic and anoxic necrosis will contribute to the ventricular remodeling and lead to abnormalities in the cardiac structure and function. Myocardial remodeling after myocardial infarction is the main pathogenic factor of heart failure [1], [2], seriously affecting the life quality and survival rate of patients. Apoptosis [3], [4] and inflammatory response [5], [6] play important roles in the occurrence and development of ventricular remodeling.
Poly-(ADP-ribose) polymerase-1 (PARP-1) is involved in the physiological and pathological processes of damage repair of a variety of cells [7], [8]. It is closely related to the occurrence and development of many cardiovascular diseases [9], [10]. PARP-1 is a kind of DNA repair enzyme existing in most eucaryons, which regulate the cell survival and apoptosis. It can identify the damaged DNA and bind to it, and then participate in the DNA damage repair. PARP-1 lose the enzyme activity after cleaved by Caspase, which is the core member of apoptosis, and thus affecting the stability of cells and promoting the occurrence of apoptosis. The excessive activation of PARP-1 will lead to the rapid consumption of intracellular NAD+ and ATP, eventually causing dysfunction and necrosis of cells due to energy depletion. In addition, PARP-l can also regulate the expressions of a variety of inflammatory factors, among which nuclear factor-κB (NF-κB) is involved mostly in these processes. The activation of PARP-1 is associated with the pathological process of various cardiovascular and cerebrovascular diseases, including congestive heart failure, hypertensive stroke, diabetes mellitus, cerebral ischemia, atherosclerotic endothelial dysfunction, heart failure after myocardial infarction and cancer, etc. But the inhibition of PARP-1 expression can protect the vascular endothelial functions in hypertension, atherosclerosis and stroke, etc., and improve the cardiac function, which is also helpful for the treatment of diabetes mellitus and cancer [11], [12].
Minocycline is a kind of tetracycline derivative, clinically used primarily for the treatment of acne and other skin infections. In addition to the antibacterial capability, it has been shown in recent years that Minocycline has the anti-inflammatory and cytoprotective effects [13], [14]. As a kind of neuroprotective agent, Minocycline has a protective effect in various experimental models of neurological diseases [15], [16]. In these studies, Minocycline was thought to have a direct effect of reducing inflammation and apoptosis. Recently, it has been reported that Minocycline has a protective effect on myocardial cell injury model. Studies have shown that Minocycline can protect neurons from DNA damage through inhibiting PARP-1 [17]. But whether Minocycline can protect myocardial cells after myocardial infarction by inhibiting PARP-1 is not clear, so this study aimed to establish the rat model of myocardial infarction, so as to study whether Minocycline could reduce the apoptosis, alleviate the inflammation, thereby protecting the myocardial cells after myocardial infarction, improving the myocardial remodeling and improving cardiac function through inhibiting the PARP-1 activity.
Section snippets
Experimental animals
Fifty 4-month-old male Wistar rats weighing 250–340 g were provided by Animal Experimental Center of Beijing Chao-Yang Hospital. They were fed under the constant temperature (20 ± 2 °C) and constant humidity (50–60%) without special pathogen. The drinking water and standard fodder for animals were sterilized.
Establishment of myocardial infarction model
After Wistar rats were weighed, they were anesthetized intraperitoneally with 1.5% pentobarbital sodium (50 mg/kg), and the ECG was connected, followed by trachea cannula after general
Minocycline improved cardiac function in rats after myocardial infarction
The rats were anesthetized rats at 3 d, 14 d and 28 d after ligation of coronary artery. The transthoracic two-dimensional ultrasonography and color Doppler were used to collect the indexes of cardiac functions, including LVIDs, LVIDd, EF and FS. And the left ventricular diastolic and systolic function data were collected from rats in the Sham control group. Multi-group data measured many times were collected. It was found that LVIDs and LVIDd at 28 d after operation in rats in myocardial
Discussion
Myocardial infarction is the most dangerous in the progression of coronary heart disease. Its acute-stage mortality rate is higher if there is no timely and effective treatment, and there will be irreversible heart failure due to ventricular remodeling later. Therefore, saving the dying myocardium, early containment of ventricular remodeling and improving the cardiac function are particularly important in the treatment of myocardial infarction. The interaction between apoptosis and inflammatory
Conclusion
This study showed that a series of pathophysiological reactions occur after myocardial infarction, leading to the myocardial remodeling and affecting the cardiac function. Moreover, Minocycline can inhibit the activity of a variety of apoptosis and inflammatory factors, reduce the apoptosis, alleviate the inflammatory response, improve the ventricular remodeling and protect the cardiac function through inhibiting PARP-1.
Conflict of interest
None.
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