Skip to main content
Erschienen in: Pediatric Cardiology 5/2015

01.06.2015 | Original Article

Pathophysiology of Infantile Pulmonary Arterial Hypertension Induced by Monocrotaline

verfasst von: Marina Dias-Neto, Ana Luísa-Neves, Sónia Pinho, Nádia Gonçalves, Maria Mendes, Catarina Eloy, José M. Lopes, Daniel Gonçalves, Manuel Ferreira-Pinto, Adelino F. Leite-Moreira, Tiago Henriques-Coelho

Erschienen in: Pediatric Cardiology | Ausgabe 5/2015

Einloggen, um Zugang zu erhalten

Abstract

Pediatric pulmonary arterial hypertension (PAH) presents certain specific features. In this specific age group, experimental models to study the pathophysiology of PAH are lacking. To characterize hemodynamic, morphometric, and histological progression as well as the expression of neurohumoral factors and regulators of cardiac transcription in an infantile model of PAH induced by monocrotaline (MCT), eight-day-old Wistar rats were randomly injected with MCT (30 mg/kg, sc, n = 95) or equal volume of saline solution (n = 92). Animals were instrumented for biventricular hemodynamic recording 7, 14, and 21 days after MCT, whereas samples were collected at 1, 3, 7, 14, and 21 days after MCT. Different time point postinjections were defined for further analysis. Hearts and lungs were collected for morphometric characterization, assessment of right- and left-ventricle (RV and LV) cardiomyocyte diameter and collagen type-I and type-III ratio, RV collagen volume fraction, and pulmonary vessels wall thickness. mRNA quantification was undertaken for brain natriuretic peptide (BNP), endothelin-1 (ET-1), and for cardiac transcription regulators (HOP and Islet1). Animals treated with MCT at the 8th day of life presented RV hypertrophy since day 14 after MCT injection. There were no differences on the RV collagen volume fraction or collagen type-I and type-III ratio. Pulmonary vascular remodelling and PAH were present on day 21, which were accompanied by an increased expression of BNP, ET-1, HOP, and Islet1. The infantile model of MCT-induced PAH can be useful for the study of its pathophysiology and to test new therapeutic targets in pediatric age group.
Literatur
1.
Zurück zum Zitat Adachi S, Ito H, Ohta Y, Tanaka M, Ishiyama S, Nagata M, Toyozaki T, Hirata Y, Marumo F, Hiroe M (1995) Distribution of mRNAs for natriuretic peptides in RV hypertrophy after pulmonary arterial banding. Am J Physiol 268:H162–H169PubMed Adachi S, Ito H, Ohta Y, Tanaka M, Ishiyama S, Nagata M, Toyozaki T, Hirata Y, Marumo F, Hiroe M (1995) Distribution of mRNAs for natriuretic peptides in RV hypertrophy after pulmonary arterial banding. Am J Physiol 268:H162–H169PubMed
2.
Zurück zum Zitat Akazawa H, Komuro I (2003) Roles of cardiac transcription factors in cardiac hypertrophy. Circ Res 92:1079–1088CrossRefPubMed Akazawa H, Komuro I (2003) Roles of cardiac transcription factors in cardiac hypertrophy. Circ Res 92:1079–1088CrossRefPubMed
4.
Zurück zum Zitat Cai CL, Liang X, Shi Y, Chu PH, Pfaff SL, Chen J, Evans S (2003) Isl1 identifies a cardiac progenitor population that proliferates prior to differentiation and contributes a majority of cells to the heart. Dev Cell 5:877–889CrossRefPubMed Cai CL, Liang X, Shi Y, Chu PH, Pfaff SL, Chen J, Evans S (2003) Isl1 identifies a cardiac progenitor population that proliferates prior to differentiation and contributes a majority of cells to the heart. Dev Cell 5:877–889CrossRefPubMed
5.
Zurück zum Zitat Campian ME, Verberne HJ, Hardziyenka M, de Bruin K, Selwaness M, van den Hoff MJ, Ruijter JM, van Eck-Smit BL, de Bakker JM, Tan HL (2009) Serial noninvasive assessment of apoptosis during right ventricular disease progression in rats. J Nucl Med 50:1371–1377CrossRefPubMed Campian ME, Verberne HJ, Hardziyenka M, de Bruin K, Selwaness M, van den Hoff MJ, Ruijter JM, van Eck-Smit BL, de Bakker JM, Tan HL (2009) Serial noninvasive assessment of apoptosis during right ventricular disease progression in rats. J Nucl Med 50:1371–1377CrossRefPubMed
6.
Zurück zum Zitat Correia-Pinto J, Henriques-Coelho T, Roncon-Albuquerque R Jr, Lourenco AP, Melo-Rocha G, Vasques-Novoa F, Gillebert TC, Leite-Moreira AF (2009) Time course and mechanisms of left ventricular systolic and diastolic dysfunction in monocrotaline-induced pulmonary hypertension. Basic Res Cardiol 104:535–545CrossRefPubMed Correia-Pinto J, Henriques-Coelho T, Roncon-Albuquerque R Jr, Lourenco AP, Melo-Rocha G, Vasques-Novoa F, Gillebert TC, Leite-Moreira AF (2009) Time course and mechanisms of left ventricular systolic and diastolic dysfunction in monocrotaline-induced pulmonary hypertension. Basic Res Cardiol 104:535–545CrossRefPubMed
7.
Zurück zum Zitat Epstein JA, Parmacek MS (2005) Recent advances in cardiac development with therapeutic implications for adult cardiovascular disease. Circulation 112:592–597CrossRefPubMed Epstein JA, Parmacek MS (2005) Recent advances in cardiac development with therapeutic implications for adult cardiovascular disease. Circulation 112:592–597CrossRefPubMed
8.
Zurück zum Zitat Falcao-Pires I, Goncalves N, Henriques-Coelho T, Moreira-Goncalves D, Roncon-Albuquerque R Jr, Leite-Moreira AF (2009) Apelin decreases myocardial injury and improves right ventricular function in monocrotaline-induced pulmonary hypertension. Am J Physiol Heart Circ Physiol 296:H2007–H2014CrossRefPubMed Falcao-Pires I, Goncalves N, Henriques-Coelho T, Moreira-Goncalves D, Roncon-Albuquerque R Jr, Leite-Moreira AF (2009) Apelin decreases myocardial injury and improves right ventricular function in monocrotaline-induced pulmonary hypertension. Am J Physiol Heart Circ Physiol 296:H2007–H2014CrossRefPubMed
9.
Zurück zum Zitat Frank L, Bucher JR, Roberts RJ (1978) Oxygen toxicity in neonatal and adult animals of various species. J Appl Physiol 45:699–704PubMed Frank L, Bucher JR, Roberts RJ (1978) Oxygen toxicity in neonatal and adult animals of various species. J Appl Physiol 45:699–704PubMed
10.
11.
Zurück zum Zitat Garciarena CD, Pinilla OA, Nolly MB, Laguens RP, Escudero EM, Cingolani HE, Ennis IL (2009) Endurance training in the spontaneously hypertensive rat: conversion of pathological into physiological cardiac hypertrophy. Hypertension 53:708–714CrossRefPubMed Garciarena CD, Pinilla OA, Nolly MB, Laguens RP, Escudero EM, Cingolani HE, Ennis IL (2009) Endurance training in the spontaneously hypertensive rat: conversion of pathological into physiological cardiac hypertrophy. Hypertension 53:708–714CrossRefPubMed
12.
Zurück zum Zitat Henriques-Coelho T, Correia-Pinto J, Roncon-Albuquerque R Jr, Baptista MJ, Lourenco AP, Oliveira SM, Brandao-Nogueira A, Teles A, Fortunato JM, Leite-Moreira AF (2004) Endogenous production of ghrelin and beneficial effects of its exogenous administration in monocrotaline-induced pulmonary hypertension. Am J Physiol Heart Circ Physiol 287:H2885–H2890CrossRefPubMed Henriques-Coelho T, Correia-Pinto J, Roncon-Albuquerque R Jr, Baptista MJ, Lourenco AP, Oliveira SM, Brandao-Nogueira A, Teles A, Fortunato JM, Leite-Moreira AF (2004) Endogenous production of ghrelin and beneficial effects of its exogenous administration in monocrotaline-induced pulmonary hypertension. Am J Physiol Heart Circ Physiol 287:H2885–H2890CrossRefPubMed
13.
Zurück zum Zitat Ismat FA, Zhang M, Kook H, Huang B, Zhou R, Ferrari VA, Epstein JA, Patel VV (2005) Homeobox protein Hop functions in the adult cardiac conduction system. Circ Res 96:898–903CrossRefPubMedCentralPubMed Ismat FA, Zhang M, Kook H, Huang B, Zhou R, Ferrari VA, Epstein JA, Patel VV (2005) Homeobox protein Hop functions in the adult cardiac conduction system. Circ Res 96:898–903CrossRefPubMedCentralPubMed
14.
Zurück zum Zitat Jasmin JF, Lucas M, Cernacek P, Dupuis J (2001) Effectiveness of a nonselective ET(A/B) and a selective ET(A) antagonist in rats with monocrotaline-induced pulmonary hypertension. Circulation 103:314–318CrossRefPubMed Jasmin JF, Lucas M, Cernacek P, Dupuis J (2001) Effectiveness of a nonselective ET(A/B) and a selective ET(A) antagonist in rats with monocrotaline-induced pulmonary hypertension. Circulation 103:314–318CrossRefPubMed
15.
Zurück zum Zitat Junqueira LC, Bignolas G, Brentani RR (1979) Picrosirius staining plus polarization microscopy, a specific method for collagen detection in tissue sections. Histochem J 11:447–455CrossRefPubMed Junqueira LC, Bignolas G, Brentani RR (1979) Picrosirius staining plus polarization microscopy, a specific method for collagen detection in tissue sections. Histochem J 11:447–455CrossRefPubMed
16.
Zurück zum Zitat Kook H, Lepore JJ, Gitler AD, Lu MM, Yung WWM, Mackay J, Zhou R, Ferrari V, Gruber P, Epstein JA (2003) Cardiac hypertrophy and histone deacetylase-dependent transcriptional repression mediated by the atypical homeodomain protein Hop. J Clin Invest 112:863–871CrossRefPubMedCentralPubMed Kook H, Lepore JJ, Gitler AD, Lu MM, Yung WWM, Mackay J, Zhou R, Ferrari V, Gruber P, Epstein JA (2003) Cardiac hypertrophy and histone deacetylase-dependent transcriptional repression mediated by the atypical homeodomain protein Hop. J Clin Invest 112:863–871CrossRefPubMedCentralPubMed
17.
Zurück zum Zitat Lalich JJ, Merkow L (1961) Pulmonary arteritis produced in rat by feeding Crotalaria spectabilis. Lab Invest 10:744–750PubMed Lalich JJ, Merkow L (1961) Pulmonary arteritis produced in rat by feeding Crotalaria spectabilis. Lab Invest 10:744–750PubMed
18.
Zurück zum Zitat Laugwitz KL, Moretti A, Lam J, Gruber P, Chen Y, Woodard S, Lin LZ, Cai CL, Lu MM, Reth M, Platoshyn O, Yuan JX, Evans S, Chien KR (2005) Postnatal isl1 + cardioblasts enter fully differentiated cardiomyocyte lineages. Nature 433:647–653CrossRefPubMed Laugwitz KL, Moretti A, Lam J, Gruber P, Chen Y, Woodard S, Lin LZ, Cai CL, Lu MM, Reth M, Platoshyn O, Yuan JX, Evans S, Chien KR (2005) Postnatal isl1 + cardioblasts enter fully differentiated cardiomyocyte lineages. Nature 433:647–653CrossRefPubMed
19.
Zurück zum Zitat Loscalzo J (1992) Endothelial dysfunction in pulmonary hypertension. N Engl J Med 327:117–119CrossRefPubMed Loscalzo J (1992) Endothelial dysfunction in pulmonary hypertension. N Engl J Med 327:117–119CrossRefPubMed
21.
Zurück zum Zitat Miyauchi T, Yorikane R, Sakai S, Sakurai T, Okada M, Nishikibe M, Yano M, Yamaguchi I, Sugishita Y, Goto K (1993) Contribution of endogenous endothelin-1 to the progression of cardiopulmonary alterations in rats with monocrotaline-induced pulmonary hypertension. Circ Res 73:887–897CrossRefPubMed Miyauchi T, Yorikane R, Sakai S, Sakurai T, Okada M, Nishikibe M, Yano M, Yamaguchi I, Sugishita Y, Goto K (1993) Contribution of endogenous endothelin-1 to the progression of cardiopulmonary alterations in rats with monocrotaline-induced pulmonary hypertension. Circ Res 73:887–897CrossRefPubMed
22.
Zurück zum Zitat Piepoli MF, Capucci A (2009) Cardiac regeneration by progenitor cells: what is it known as and what is it still to be known as? Cardiovasc Hematol Agents Med Chem 7:127–136CrossRefPubMed Piepoli MF, Capucci A (2009) Cardiac regeneration by progenitor cells: what is it known as and what is it still to be known as? Cardiovasc Hematol Agents Med Chem 7:127–136CrossRefPubMed
23.
Zurück zum Zitat Rabinovitch M, Gamble WJ, Miettinen OS, Reid L (1981) Age and sex influence on pulmonary hypertension of chronic hypoxia and on recovery. Am J Physiol 240:H62–H72PubMed Rabinovitch M, Gamble WJ, Miettinen OS, Reid L (1981) Age and sex influence on pulmonary hypertension of chronic hypoxia and on recovery. Am J Physiol 240:H62–H72PubMed
24.
Zurück zum Zitat Rabinovitch M, Keane JF, Norwood WI, Castaneda AR, Reid L (1984) Vascular structure in lung tissue obtained at biopsy correlated with pulmonary hemodynamic findings after repair of congenital heart defects. Circulation 69:655–667CrossRefPubMed Rabinovitch M, Keane JF, Norwood WI, Castaneda AR, Reid L (1984) Vascular structure in lung tissue obtained at biopsy correlated with pulmonary hemodynamic findings after repair of congenital heart defects. Circulation 69:655–667CrossRefPubMed
25.
Zurück zum Zitat Reffelmann T, Kloner RA (2009) Intracoronary blood- or bone marrow-derived cell transplantation in patients with ischemic heart disease. Regen Med 4:709–719CrossRefPubMed Reffelmann T, Kloner RA (2009) Intracoronary blood- or bone marrow-derived cell transplantation in patients with ischemic heart disease. Regen Med 4:709–719CrossRefPubMed
26.
Zurück zum Zitat Reid MJ, Lame MW, Morin D, Wilson DW, Segall HJ (1998) Involvement of cytochrome P450 3A in the metabolism and covalent binding of 14C-monocrotaline in rat liver microsomes. J Biochem Mol Toxicol 12:157–166CrossRefPubMed Reid MJ, Lame MW, Morin D, Wilson DW, Segall HJ (1998) Involvement of cytochrome P450 3A in the metabolism and covalent binding of 14C-monocrotaline in rat liver microsomes. J Biochem Mol Toxicol 12:157–166CrossRefPubMed
27.
Zurück zum Zitat Rosenzweig EB, Barst RJ (2008) Pulmonary arterial hypertension in children: a medical update. Curr Opin Pediatr 20:288–293CrossRefPubMed Rosenzweig EB, Barst RJ (2008) Pulmonary arterial hypertension in children: a medical update. Curr Opin Pediatr 20:288–293CrossRefPubMed
28.
Zurück zum Zitat Rosenzweig EB, Widlitz AC, Barst RJ (2004) Pulmonary arterial hypertension in children. Pediatr Pulmonol 38:2–22CrossRefPubMed Rosenzweig EB, Widlitz AC, Barst RJ (2004) Pulmonary arterial hypertension in children. Pediatr Pulmonol 38:2–22CrossRefPubMed
29.
Zurück zum Zitat Stamm C, Choi YH, Nasseri B, Hetzer R (2009) A heart full of stem cells: the spectrum of myocardial progenitor cells in the postnatal heart. Ther Adv Cardiovasc Dis 3:215–229CrossRefPubMed Stamm C, Choi YH, Nasseri B, Hetzer R (2009) A heart full of stem cells: the spectrum of myocardial progenitor cells in the postnatal heart. Ther Adv Cardiovasc Dis 3:215–229CrossRefPubMed
30.
Zurück zum Zitat Su X, Brower G, Janicki JS, Chen YF, Oparil S, Dell’Italia LJ (1999) Differential expression of natriuretic peptides and their receptors in volume overload cardiac hypertrophy in the rat. J Mol Cell Cardiol 31:1927–1936CrossRefPubMed Su X, Brower G, Janicki JS, Chen YF, Oparil S, Dell’Italia LJ (1999) Differential expression of natriuretic peptides and their receptors in volume overload cardiac hypertrophy in the rat. J Mol Cell Cardiol 31:1927–1936CrossRefPubMed
31.
Zurück zum Zitat Tatebe S, Miyamura H, Sugawara M, Watanabe H, Eguchi S (1996) Induction of right ventricular hypertrophy in neonatal guinea pigs by monocrotaline. Jpn Circ J 60:604–608CrossRefPubMed Tatebe S, Miyamura H, Sugawara M, Watanabe H, Eguchi S (1996) Induction of right ventricular hypertrophy in neonatal guinea pigs by monocrotaline. Jpn Circ J 60:604–608CrossRefPubMed
32.
Zurück zum Zitat Todd L, Mullen M, Olley PM, Rabinovitch M (1985) Pulmonary toxicity of monocrotaline differs at critical periods of lung development. Pediatr Res 19:731–737CrossRefPubMed Todd L, Mullen M, Olley PM, Rabinovitch M (1985) Pulmonary toxicity of monocrotaline differs at critical periods of lung development. Pediatr Res 19:731–737CrossRefPubMed
33.
Zurück zum Zitat Ueno M, Miyauchi T, Sakai S, Kobayashi T, Goto K, Yamaguchi I (1999) Effects of physiological or pathological pressure load in vivo on myocardial expression of ET-1 and receptors. Am J Physiol 277:R1321–R1330PubMed Ueno M, Miyauchi T, Sakai S, Kobayashi T, Goto K, Yamaguchi I (1999) Effects of physiological or pathological pressure load in vivo on myocardial expression of ET-1 and receptors. Am J Physiol 277:R1321–R1330PubMed
34.
Zurück zum Zitat Zuo XR, Wang Q, Cao Q, Yu YZ, Wang H, Bi LQ, Xie WP, Wang H (2012) Nicorandil prevents right ventricular remodeling by inhibiting apoptosis and lowering pressure overload in rats with pulmonary arterial hypertension. PLoS One 7:e44485CrossRefPubMedCentralPubMed Zuo XR, Wang Q, Cao Q, Yu YZ, Wang H, Bi LQ, Xie WP, Wang H (2012) Nicorandil prevents right ventricular remodeling by inhibiting apoptosis and lowering pressure overload in rats with pulmonary arterial hypertension. PLoS One 7:e44485CrossRefPubMedCentralPubMed
Metadaten
Titel
Pathophysiology of Infantile Pulmonary Arterial Hypertension Induced by Monocrotaline
verfasst von
Marina Dias-Neto
Ana Luísa-Neves
Sónia Pinho
Nádia Gonçalves
Maria Mendes
Catarina Eloy
José M. Lopes
Daniel Gonçalves
Manuel Ferreira-Pinto
Adelino F. Leite-Moreira
Tiago Henriques-Coelho
Publikationsdatum
01.06.2015
Verlag
Springer US
Erschienen in
Pediatric Cardiology / Ausgabe 5/2015
Print ISSN: 0172-0643
Elektronische ISSN: 1432-1971
DOI
https://doi.org/10.1007/s00246-015-1111-y

Weitere Artikel der Ausgabe 5/2015

Pediatric Cardiology 5/2015 Zur Ausgabe

Die „Zehn Gebote“ des Endokarditis-Managements

30.04.2024 Endokarditis Leitlinie kompakt

Worauf kommt es beim Management von Personen mit infektiöser Endokarditis an? Eine Kardiologin und ein Kardiologe fassen die zehn wichtigsten Punkte der neuen ESC-Leitlinie zusammen.

Strenge Blutdruckeinstellung lohnt auch im Alter noch

30.04.2024 Arterielle Hypertonie Nachrichten

Ältere Frauen, die von chronischen Erkrankungen weitgehend verschont sind, haben offenbar die besten Chancen, ihren 90. Geburtstag zu erleben, wenn ihr systolischer Blutdruck < 130 mmHg liegt. Das scheint selbst für 80-Jährige noch zu gelten.

Sind Frauen die fähigeren Ärzte?

30.04.2024 Gendermedizin Nachrichten

Patienten, die von Ärztinnen behandelt werden, dürfen offenbar auf bessere Therapieergebnisse hoffen als Patienten von Ärzten. Besonders gilt das offenbar für weibliche Kranke, wie eine Studie zeigt.

Dihydropyridin-Kalziumantagonisten können auf die Nieren gehen

30.04.2024 Hypertonie Nachrichten

Im Vergleich zu anderen Blutdrucksenkern sind Kalziumantagonisten vom Diyhdropyridin-Typ mit einem erhöhten Risiko für eine Mikroalbuminurie und in Abwesenheit eines RAS-Blockers auch für ein terminales Nierenversagen verbunden.

Update Kardiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.