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1 Cardiovascular Division,
Endothelin
(ET)-1 has a positive inotropic effect and induces hypertrophy in
cardiomyocytes. We previously reported that the peptide level of ET-1
is increased in the failing heart of rats with chronic heart failure
(CHF) and that treatment with an
ETA-receptor antagonist greatly
improves survival in rats with CHF. However, precise analysis for
alteration of the myocardial ET system in the failing heart is not
known. In this study, we used rats with CHF due to chronic myocardial
infarction. Sham-operated rats served as a control. The results showed
that the level of preproendothelin (preproET)-1 mRNA and the peptide
level of ET-1 were markedly increased in the heart of rats with CHF,
whereas the expression of endothelin-converting enzyme (ECE)-1 mRNA in
the heart did not differ between CHF and control rats. The intensity of
ET-1 staining (ET-1-like immunoreactivity) in cardiomyocytes was
markedly stronger in rats with CHF than in control rats, and the
fibrotic tissues of the infarcted area were not stained. The mRNA and
protein levels of both ETA and
ETB receptors in the heart were
significantly higher in rats with CHF than in control rats. The present
study suggests that the increase in ET-1 peptide level in the heart of
the rats with CHF originated from upregulation of preproET-1 mRNA,
which was not attendant with the alteration of ECE-1 mRNA expression,
and that both the ETA- and
ETB-receptor systems are greatly
accelerated in the failing heart.
heart failure; endothelin-receptor subtypes; endothelin-converting enzyme; angiotensin-converting enzyme
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