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Sildenafil ameliorates left ventricular T-tubule remodeling in a pressure overload-induced murine heart failure model
Journal article   Open access   Peer reviewed

Sildenafil ameliorates left ventricular T-tubule remodeling in a pressure overload-induced murine heart failure model

Chun-kai Huang, Bi-yi Chen, Ang Guo, Rong Chen, Yan-qi Zhu, William Kutschke, Jiang Hong and Long-sheng Song
Acta pharmacologica Sinica, Vol.37(4), pp.473-482
04/2016
DOI: 10.1038/aps.2016.13
PMCID: PMC4820805
PMID: 26972492
url
https://europepmc.org/articles/pmc4820805View
Published (Version of record) Open Access

Abstract

Sildenafil, a phosphodiesterase 5 (PDE5) inhibitor, has been shown to exert beneficial effects in heart failure. The purpose of this study was to test whether sildenafil suppressed transverse-tubule (T-tubule) remodeling in left ventricular (LV) failure and thereby providing the therapeutic benefits. A pressure overload-induced murine heart failure model was established in mice by thoracic aortic banding (TAB). One day after TAB, the mice received sildenafil (100 mg·kg(-1)·d(-1), sc) or saline for 5 weeks. At the end of treatment, echocardiography was used to examine LV function. Then the intact hearts were dissected out and placed in Langendorff-perfusion chamber for in situ confocal imaging of T-tubule ultrastructure from epicardial myocytes. TAB surgery resulted in heart failure accompanied by remarkable T-tubule remodeling. Sildenafil treatment significantly attenuated TAB-induced cardiac hypertrophy and congestive heart failure, improved LV contractile function, and preserved T-tubule integrity in LV cardiomyocytes. But sildenafil treatment did not significantly affect the chamber dilation. The integrity of LV T-tubule structure was correlated with cardiac hypertrophy (R(2)=0.74, P<0.01) and global LV function (R(2)=0.47, P<0.01). Sildenafil effectively ameliorates LV T-tubule remodeling in TAB mice, revealing a novel mechanism underlying the therapeutic benefits of sildenafil in heart failure.
Animals Cardiomegaly - drug therapy Cardiomegaly - pathology Heart Failure - drug therapy Heart Failure - pathology Heart Failure - physiopathology Male Mice, Inbred C57BL Phosphodiesterase 5 Inhibitors - therapeutic use Sildenafil Citrate - therapeutic use Ventricular Function, Left - drug effects Ventricular Remodeling - drug effects

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