Journal article
Inhibition of brain proinflammatory cytokine synthesis reduces hypothalamic excitation in rats with ischemia-induced heart failure
American journal of physiology. Heart and circulatory physiology, Vol.295(1), pp.H227-H236
07/2008
DOI: 10.1152/ajpheart.01157.2007
PMCID: PMC2494768
PMID: 18487441
Abstract
The expression of proinflammatory cytokines increases in the hypothalamus of rats with heart failure (HF). The pathophysiological significance of this observation is unknown. We hypothesized that hypothalamic proinflammatory cytokines upregulate the activity of central neural systems that contribute to increased sympathetic nerve activity in HF, specifically, the brain renin-angiotensin system (RAS) and the hypothalamic-pituitary-adrenal (HPA) axis. Rats with HF induced by coronary ligation and sham-operated controls (SHAM) were treated for 4 wk with a continuous intracerebroventricular infusion of the cytokine synthesis inhibitor pentoxifylline (PTX, 10 μg/h) or artificial cerebrospinal fluid (VEH). In VEH-treated HF rats, compared with VEH-treated SHAM rats, the hypothalamic expression of proinflammatory cytokines was increased, along with key components of the brain RAS (renin, angiotensin-converting enzyme, angiotensin type 1 receptor) and corticotropin-releasing hormone, the central indicator of HPA axis activation, in the paraventricular nucleus (PVN) of the hypothalamus. The expression of other inflammatory/excitatory mediators (superoxide, prostaglandin E
2
) was also increased, along with evidence of chronic neuronal excitation in PVN. VEH-treated HF rats had higher plasma levels of norepinephrine, ANG II, interleukin (IL)-1β, and adrenocorticotropic hormone, increased left ventricular end-diastolic pressure, and increased wet lung-to-body weight ratio. With the exception of plasma IL-1β, an indicator of peripheral proinflammatory cytokine activity, all measures of neurohumoral excitation were significantly lower in HF rats treated with intracerebroventricular PTX. These findings suggest that the increase in brain proinflammatory cytokines observed in rats with ischemia-induced HF is functionally significant, contributing to neurohumoral excitation by activating brain RAS and the HPA axis.
Details
- Title: Subtitle
- Inhibition of brain proinflammatory cytokine synthesis reduces hypothalamic excitation in rats with ischemia-induced heart failure
- Creators
- Yu-Ming Kang - Department of Internal Medicine, Roy J. and Lucille A. Carver College of Medicine andZhi-Hua Zhang - Department of Internal Medicine, Roy J. and Lucille A. Carver College of Medicine andBaojian Xue - Department of Internal Medicine, Roy J. and Lucille A. Carver College of Medicine andRobert M Weiss - Department of Internal Medicine, Roy J. and Lucille A. Carver College of Medicine andRobert B Felder - Department of Internal Medicine, Roy J. and Lucille A. Carver College of Medicine and
- Resource Type
- Journal article
- Publication Details
- American journal of physiology. Heart and circulatory physiology, Vol.295(1), pp.H227-H236
- DOI
- 10.1152/ajpheart.01157.2007
- PMID
- 18487441
- PMCID
- PMC2494768
- NLM abbreviation
- Am J Physiol Heart Circ Physiol
- ISSN
- 0363-6135
- eISSN
- 1522-1539
- Publisher
- American Physiological Society
- Language
- English
- Date published
- 07/2008
- Academic Unit
- Psychological and Brain Sciences; Iowa Neuroscience Institute; Cardiovascular Medicine; Neurology (Pediatrics); Internal Medicine
- Record Identifier
- 9984065491902771
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