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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
1
pubmed:dateCreated
2002-1-28
pubmed:abstractText
Coronary microembolization is a frequent complication of atherosclerotic plaque rupture in acute coronary syndromes and during coronary interventions. Experimental coronary microembolization results in progressive contractile dysfunction associated with a local inflammation. We studied the causal role of tumor necrosis factor-alpha (TNF-alpha) in the progressive contractile dysfunction resulting from coronary microembolization. Anesthetized dogs were subjected to either coronary microembolization with infusion of 3.000 microspheres (42 microm diameter) per ml coronary inflow into the left circumflex coronary artery (n=9), or to intracoronary infusion of recombinant human TNF-alpha without microembolization (n=4), or to treatment with anti-murine TNF-alpha sheep antibodies prior to microembolization (n=4). Posterior systolic wall thickening (PWT; sonomicrometry) decreased from 21.1+/-5.3% (s.d.) at baseline to 5.5+/-2.2% (P<0.05) at 8 h after microembolization. Infarct size (1.8+/-1.9%; TTC and histology) and the amount of apoptosis (<0.1%; TUNEL and DNA-laddering) were small. TNF-alpha at the protein level (WEHI cytolytic assay) was increased and localized to leukocytes (immunostaining), which were increased in number (quantitative histology). In situ hybridization for TNF-alpha mRNA identified viable cardiomyocytes surrounding the microinfarcts as the major source of TNF-alpha. Supporting the role of TNF-alpha, infusion of TNF-alpha without microembolization decreased PWT from 27.3+/-6.9% at baseline to 10.1+/-4.9% after 8 h (P<0.05); in contrast, in the presence of TNF-alpha antibodies, microembolization no longer reduced PWT (19.3+/-7.0% at baseline v 16.9+/-5.0% at 8 h). In conclusion, TNF-alpha is the mediator responsible for the profound contractile dysfunction following coronary microembolization.
pubmed:grant
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Jan
pubmed:issn
0022-2828
pubmed:author
pubmed:copyrightInfo
Copyright 2002 Academic Press.
pubmed:issnType
Print
pubmed:volume
34
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
51-62
pubmed:dateRevised
2007-11-14
pubmed:meshHeading
pubmed-meshheading:11812164-Animals, pubmed-meshheading:11812164-Apoptosis, pubmed-meshheading:11812164-Arteriosclerosis, pubmed-meshheading:11812164-Coronary Circulation, pubmed-meshheading:11812164-Dogs, pubmed-meshheading:11812164-Immunohistochemistry, pubmed-meshheading:11812164-In Situ Hybridization, pubmed-meshheading:11812164-In Situ Nick-End Labeling, pubmed-meshheading:11812164-Leukocytes, pubmed-meshheading:11812164-Microcirculation, pubmed-meshheading:11812164-Microscopy, Fluorescence, pubmed-meshheading:11812164-Myocardial Contraction, pubmed-meshheading:11812164-Myocardial Infarction, pubmed-meshheading:11812164-Necrosis, pubmed-meshheading:11812164-RNA, Messenger, pubmed-meshheading:11812164-Regional Blood Flow, pubmed-meshheading:11812164-Time Factors, pubmed-meshheading:11812164-Tumor Necrosis Factor-alpha
pubmed:year
2002
pubmed:articleTitle
Coronary microembolization: the role of TNF-alpha in contractile dysfunction.
pubmed:affiliation
Abteilungen für Pathophysiologie, Universitätsklinikum Essen, Essen, Germany.
pubmed:publicationType
Journal Article, Research Support, U.S. Gov't, P.H.S., Research Support, Non-U.S. Gov't