期刊
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY
卷 46, 期 11, 页码 2116-2124出版社
ELSEVIER SCIENCE INC
DOI: 10.1016/j.jacc.2005.08.045
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资金
- NCRR NIH HHS [M01 RR00827] Funding Source: Medline
- NHLBI NIH HHS [R01 HL70852] Funding Source: Medline
OBJECTIVES The aim of this research was to test whether constitutive expression of hypoxia-inducible factor 1-alpha (HIF-1 alpha) influences infarction size and cardiac performance after myocardial infarction. BACKGROUND A major question in clinical medicine is whether infarction size and border zone remodeling of the heart can be influenced by the overexpression of specific genes in the peri-infarction region. METHODS We investigated the role of constitutive HIF-1 alpha expression in acute myocardial infarction using a transgenic model. Transgenic mice containing the HIF-1 alpha gene under the control of-myosin heavy chain promoter were constructed. Myocardial was produced by the a coronary ligation in HIF-1 alpha transgenic mice and control animals. Extent of infarction was then quantitated by two-dimensional and M-mode echocardiography as well as by molecular and pathologic analysis of heart samples in infarct, peri-infarct, and remote heart regions at serial time points. RESULTS Constitutive overexpression of HIF-1 alpha in the murine heart resulted in attenuated infarct size and improved cardiac function 4 weeks after myocardial infarction. Significantly, we found an increase in both capillary density as well as vascular endothelial growth factor and inducible nitric oxide synthase expression in peri-infarct and infarct regions in the hearts of constitutive HIF-1 alpha-expressing animals compared to control animals. CONCLUSIONS These observations suggest the involvement of HIF-1 alpha in myocardial remodeling and peri-infarct vascularization. Our results show that supranormal amounts of this peptide protect against extension of infarction and improve border zone survival in myocardial infarction.
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