Effects of eplerenone and salt intake on left ventricular remodeling after myocardial infarction in rats

Nature

Effects of eplerenone and salt intake on left ventricular remodeling after myocardial infarction in rats"


Play all audios:

Loading...

ABSTRACT Eplerenone, a selective aldosterone blocker, has been shown to attenuate cardiac fibrosis and decrease cardiovascular events in both experimental and clinical studies. We examined


the cardioprotective effect of eplerenone in myocardial infarction (MI) rats receiving different levels of salt in their diet. The MI rats were randomly divided into five groups: Group CL,


animals received a low-salt diet (0.015%); Group EpL, a low-salt diet with eplerenone (100 mg/kg/day in food); Group CH, a high-salt diet (0.9%); Group EpH, a high-salt diet with eplerenone;


and Group C, a normal salt diet (0.3%). These diets were continued for 4 weeks. Echocardiographic and histomorphological examinations revealed that the administration of eplerenone


significantly improved the cardiac function, significantly suppressed compensatory cardiac hypertrophy and significantly reduced cardiac fibrosis in both the interstitial and the


perivascular areas in the high-salt diet group (Group EpH). However, eplerenone had no observable effects in the low-salt diet group (Group EpL). Also, these examinations demonstrated that


the left ventricular remodeling after MI was suppressed and the cardiac function was improved in the group receiving a low-salt diet without eplerenone (Group CL), even though there was a


significant increase of aldosterone level in blood, in comparison to the group receiving a high-salt diet without eplerenone (Group CH). These results indicate that the cardioprotective


effect of eplerenone varies depending on the salt intake. SIMILAR CONTENT BEING VIEWED BY OTHERS COMPARISON OF THE EFFECTS OF RENAL DENERVATION AT EARLY OR ADVANCED STAGES OF HYPERTENSION ON


CARDIAC, RENAL, AND ADIPOSE TISSUE PATHOLOGY IN DAHL SALT-SENSITIVE RATS Article Open access 15 February 2024 ESAXERENONE: BLOOD PRESSURE REDUCTION AND CARDIORENAL PROTECTION WITHOUT REFLEX


SYMPATHETIC ACTIVATION IN SALT-LOADED STROKE-PRONE SPONTANEOUSLY HYPERTENSIVE RATS Article 27 May 2024 COMPARISON OF THE ANTIREMODELING EFFECTS OF LOSARTAN AND MIRABEGRON IN A RAT MODEL OF


UREMIC CARDIOMYOPATHY Article Open access 01 September 2021 ARTICLE PDF REFERENCES * Pitt B, Zannad F, Remme WJ, _et al_, Randomized Aldactone Evaluation Study Investigators : The effect of


spironolactone on morbidity and mortality in patients with severe heart failure. _N Engl J Med_ 1999; 341: 709–717. Article  CAS  PubMed  Google Scholar  * Pitt B, Remme W, Zannad F, _et


al_: Eplerenone, a selective aldosterone blocker, in patients with left ventricular dysfunction after myocardial infarction. _N Engl J Med_ 2003; 348: 1309–1321. Article  CAS  PubMed  Google


Scholar  * Brown NJ : Eplerenone: cardiovascular protection. _Circulation_ 2003; 107: 2512–2518. Article  CAS  PubMed  Google Scholar  * Takeda Y : Pleiotropic actions of aldosterone and


the effects of eplerenone, a selective mineralocorticoid receptor antagonist. _Hypertens Res_ 2004; 27: 781–789. Article  CAS  PubMed  Google Scholar  * Young M, Funder JW : Eplerenone, but


not steroid withdrawal, reverses cardiac fibrosis in deoxycorticosterone/salt-treated rats. _Endocrinology_ 2004; 145: 3153–3157. Article  CAS  PubMed  Google Scholar  * Rocha R,


Martin-Berger CL, Yang P, Scherrer R, Delyani J, McMahon E : Selective aldosterone blockade prevents angiotensin II/salt-induced vascular inflammation in the rat heart. _Endocrinology_ 2002;


143: 4828–4836. Article  CAS  PubMed  Google Scholar  * Rajagopalan S, Duquaine D, King S, Pitt B, Patel P : Mineralocorticoid receptor antagonism in experimental atherosclerosis.


_Circulation_ 2002; 105: 2212–2216. Article  CAS  PubMed  Google Scholar  * Sato A, Saruta T : Aldosterone-induced organ damage: plasma aldosterone level and inappropriate salt status.


_Hypertens Res_ 2004; 27: 303–310. Article  CAS  PubMed  Google Scholar  * Conlin PR : Interactions of high salt intake and the response of the cardiovascular system to aldosterone. _Cardiol


Rev_ 2005; 13: 118–124. Article  PubMed  Google Scholar  * Funder J : Mineralocorticoids and cardiac fibrosis: the decade in review. _Clin Exp Pharmacol Physiol_ 2001; 28: 1002–1006.


Article  CAS  PubMed  Google Scholar  * Yoshida K, Kim-Mitsuyama S, Wake R, _et al_: Excess aldosterone under normal salt diet induces cardiac hypertrophy and infiltration _via_ oxidative


stress. _Hypertens Res_ 2005; 28: 447–455. Article  CAS  PubMed  Google Scholar  * Martinez DV, Rocha R, Matsumura M, _et al_: Cardiac damage prevention by eplerenone: comparison with low


sodium diet or potassium loading. _Hypertension_ 2002; 39: 614–618. Article  CAS  PubMed  Google Scholar  * Lal A, Veinot JP, Leenen FH : Prevention of high salt diet–induced cardiac


hypertrophy and fibrosis by spironolactone. _Am J Hypertens_ 2003; 16: 319–323. Article  CAS  PubMed  Google Scholar  * Nakano S, Kobayashi N, Yoshida K, Ohno T, Matsuoka H :


Cardioprotective mechanisms of spironolactone associated with the angiotensin-converting enzyme/epidermal growth factor receptor/extracellular signal-regulated kinases, NAD(P)H


oxidase/lectin-like oxidized low-density lipoprotein receptor-1, and Rho-kinase pathways in aldosterone/salt-induced hypertensive rats. _Hypertens Res_ 2005; 28: 925–936. Article  CAS 


PubMed  Google Scholar  * Endemann DH, Touyz RM, Iglarz M, Savoia C, Schiffrin EL : Eplerenone prevents salt-induced vascular remodeling and cardiac fibrosis in stroke-prone spontaneously


hypertensive rats. _Hypertension_ 2004; 43: 1252–1257. Article  CAS  PubMed  Google Scholar  * Izumi T, Saito Y, Kishimoto I, _et al_: Blockade of the natriuretic peptide receptor guanylyl


cyclase-A inhibits NF-kappaB activation and alleviates myocardial ischemia/reperfusion injury. _J Clin Invest_ 2001; 108: 203–213. Article  CAS  PubMed  PubMed Central  Google Scholar  *


Tanaka Y, Nagai M, Date T, _et al_: Effects of bradykinin on cardiovascular remodeling in renovascular hypertensive rats. _Hypertens Res_ 2004; 27: 865–875. Article  CAS  PubMed  Google


Scholar  * Delyani JA, Robinson EL, Rudolph AE : Effect of a selective aldosterone receptor antagonist in myocardial infarction. _Am J Physiol Heart Circ Physiol_ 2001; 281: H647–H654.


Article  CAS  PubMed  Google Scholar  * Fraccarollo D, Galuppo P, Hildemann S, Christ M, Ertl G, Bauersachs J : Additive improvement of left ventricular remodeling and neurohormonal


activation by aldosterone receptor blockade with eplerenone and ACE inhibition in rats with myocardial infarction. _J Am Coll Cardiol_ 2003; 42: 1666–1673. Article  CAS  PubMed  Google


Scholar  * Brilla CG, Weber KT : Mineralocorticoid excess, dietary sodium, and myocardial fibrosis. _J Lab Clin Med_ 1992; 120: 893–901. CAS  PubMed  Google Scholar  * Brilla CG, Weber KT :


Reactive and reparative myocardial fibrosis in arterial hypertension in the rat. _Cardiovasc Res_ 1992; 26: 671–677. Article  CAS  PubMed  Google Scholar  * Weber KT, Janicki JS, Pick R,


Capasso J, Anversa P : Myocardial fibrosis and pathologic hypertrophy in the rat with renovascular hypertension. _Am J Cardiol_ 1990; 65: 1G–7G. Article  CAS  PubMed  Google Scholar  * Young


M, Fullerton M, Dilley R, Funder J : Mineralocorticoids, hypertension, and cardiac fibrosis. _J Clin Invest_ 1994; 93: 2578–2583. Article  CAS  PubMed  PubMed Central  Google Scholar  *


Rocha R, Rudolph AE, Frierdich GE, _et al_: Aldosterone induces a vascular inflammatory phenotype in the rat heart. _Am J Physiol Heart Circ Physiol_ 2002; 283: H1802–H1810. Article  CAS 


PubMed  Google Scholar  * Rogacz S, Williams GH, Hollenberg NK : Time course of enhanced adrenal responsiveness to angiotensin on a low salt diet. _Hypertension_ 1990; 15: 376–380. Article 


CAS  PubMed  Google Scholar  * Yoshimura M, Nakamura S, Ito T, _et al_: Expression of aldosterone synthase gene in failing human heart: quantitative analysis using modified real-time


polymerase chain reaction. _J Clin Endocrinol Metab_ 2002; 87: 3936–3940. Article  CAS  PubMed  Google Scholar  * Suzuki G, Morita, Mishima T, _et al_: Effects of long-term monotherapy with


eplerenone, a novel aldosterone blocker, on progression of left ventricular dysfunction and remodeling in dogs with heart failure. _Circulation_ 2002; 106: 2967–2972. Article  CAS  PubMed 


Google Scholar  * Takeda Y, Yoneda T, Demura M, Miyamori I, Mabuchi H : Cardiac aldosterone production in genetically hypertensive rats. _Hypertension_ 2000; 36: 495–500. Article  CAS 


PubMed  Google Scholar  * Takeda Y, Yoneda T, Demura M, Miyamori I, Mabuchi H : Sodium-induced cardiac aldosterone synthesis causes cardiac hypertrophy. _Endocrinology_ 2000; 141: 1901–1904.


Article  CAS  PubMed  Google Scholar  * Ye P, Kenyon CJ, Mackenzie SM, _et al_: The aldosterone synthase (CYP11B2) and 11beta-hydroxylase (CYP11B1) genes are not expressed in the rat heart.


_Endocrinology_ 2005; 146: 5287–5293. Article  CAS  PubMed  Google Scholar  * Fujisawa G, Okada K, Muto S, _et al_: Na/H exchange isoform 1 is involved in mineralocorticoid/salt-induced


cardiac injury. _Hypertension_ 2003; 41: 493–498. Article  CAS  PubMed  Google Scholar  * Michea L, Delpiano AM, Hitschfeld C, Lobos L, Lavandero S, Marusic ET : Eplerenone blocks nongenomic


effects of aldosterone on the Na+/H+ exchanger, intracellular Ca2+ levels, and vasoconstriction in mesenteric resistance vessels. _Endocrinology_ 2005; 146: 973–980. Article  CAS  PubMed 


Google Scholar  Download references AUTHOR INFORMATION AUTHORS AND AFFILIATIONS * Division of Cardiology, Department of Internal Medicine, the Jikei University School of Medicine, Tokyo,


Japan Akihiro Urabe, Takehiko Izumi, Yuichi Abe, Ikuo Taniguchi & Seibu Mochizuki Authors * Akihiro Urabe View author publications You can also search for this author inPubMed Google


Scholar * Takehiko Izumi View author publications You can also search for this author inPubMed Google Scholar * Yuichi Abe View author publications You can also search for this author


inPubMed Google Scholar * Ikuo Taniguchi View author publications You can also search for this author inPubMed Google Scholar * Seibu Mochizuki View author publications You can also search


for this author inPubMed Google Scholar CORRESPONDING AUTHOR Correspondence to Akihiro Urabe. RIGHTS AND PERMISSIONS Reprints and permissions ABOUT THIS ARTICLE CITE THIS ARTICLE Urabe, A.,


Izumi, T., Abe, Y. _et al._ Effects of Eplerenone and Salt Intake on Left Ventricular Remodeling after Myocardial Infarction in Rats. _Hypertens Res_ 29, 627–634 (2006).


https://doi.org/10.1291/hypres.29.627 Download citation * Received: 21 February 2006 * Accepted: 18 April 2006 * Issue Date: 01 August 2006 * DOI: https://doi.org/10.1291/hypres.29.627 SHARE


THIS ARTICLE Anyone you share the following link with will be able to read this content: Get shareable link Sorry, a shareable link is not currently available for this article. Copy to


clipboard Provided by the Springer Nature SharedIt content-sharing initiative KEYWORDS * selective aldosterone blocker * salt intake * left ventricular remodeling * myocardial infarction


Trending News

Soft ground conditions a concern in east lothian - farmers weekly

Soft ground conditions are concerning James Grant-Suttie at Balgone Farms, North Berwick, East Lothian, but he hopes to ...

More than 100 veterans memorialized at last roll call on nov. 12, 2022. | va wichita health care | veterans affairs

Associate Director Alicia Miller began the Last Roll Call ceremony on Sat., Nov. 12, by invoking the words of Abraham Li...

Heart attack symptoms: is it a panic attack or heart attack?

Although both can take your breath away, a heart attack and panic attack have two very different outcomes. A panic attac...

Ed slott answers ira savers’ rmd questions

Alamy Stock Photo En español ASK ED SLOTT Confused about IRAs, 401(k)s, Roths, taxes and more related to saving for reti...

Nomenclature of Viruses | Nature

ARTICLE PDF RIGHTS AND PERMISSIONS Reprints and permissions ABOUT THIS ARTICLE CITE THIS ARTICLE Nomenclature of Viruses...

Latests News

Effects of eplerenone and salt intake on left ventricular remodeling after myocardial infarction in rats

ABSTRACT Eplerenone, a selective aldosterone blocker, has been shown to attenuate cardiac fibrosis and decrease cardiova...

M&s launches new initiative that will feed your kids for £15 a week

Marks and Spencer is accepting the £15 food vouchers that have been issued for the government’s free school meals scheme...

Javascript support required...

Melania trump has shown up her husband with move, says jennifer selway

"She just wants to go home," someone in the know told CNN. She's been packing things up and moving them o...

Mcdonald's to boost local produce - farmers weekly

MCDONALD’S HAS hinted at a change in the way it markets its food during a conference at the Royal Show. The burger chain...

Top