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Am J Physiol Heart Circ Physiol 293: H599-H609, 2007. First published April 6, 2007; doi:10.1152/ajpheart.00286.2007
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TNF-{alpha} blockade decreases oxidative stress in the paraventricular nucleus and attenuates sympathoexcitation in heart failure rats

Anuradha Guggilam,1 Masudul Haque,1 Edmund Kenneth Kerut,2 Elizabeth McIlwain,2 Pamela Lucchesi,2 Inder Seghal,1 and Joseph Francis1,2

1Comparative Biomedical Sciences, School of Veterinary Medicine, Louisiana State University, Baton Rouge; and 2Department of Pharmacology, Louisiana State University Health Sciences Center, New Orleans, Louisiana

Submitted 7 March 2007 ; accepted in final form 30 March 2007

Oxidative stress plays an important role in the pathophysiology of cardiovascular disease. Recent evidence suggests that cytokines induce oxidative stress and contribute to cardiac dysfunction. In this study, we investigated whether increased circulating and tissue levels of tumor necrosis factor (TNF)-{alpha} in congestive heart failure (CHF) modulate the expression of NAD(P)H oxidase subunits, Nox2 and its isoforms, in the paraventricular nucleus (PVN) of the hypothalamus and contribute to exaggerated sympathetic drive in CHF. Heart failure was induced in Sprague-Dawly rats by coronary artery ligation and was confirmed using echocardiography. Pentoxifylline (PTX) was used to block the production of cytokines for a period of 5 wk. CHF induced a significant increase in the production of reactive oxygen species (ROS) in the left ventricle (LV) and in the PVN. The mRNA and protein expression of TNF-{alpha}, Nox1, Nox2, and Nox4 was significantly increased in the LV and PVN of CHF rats. CHF also decreased ejection fraction, increased Tei index, and increased circulating catecholamines (epinephrine and norepinephrine) and renal sympathetic activity (RSNA). In contrast, treatment with PTX in CHF rats completely blocked oxidative stress and decreased the production of TNF-{alpha} and Nox2 isoforms both in the LV and PVN. PTX treatment also decreased catecholamines and RSNA and prevented further decrease in cardiac function. In summary, TNF-{alpha} blockade attenuates ROS and sympathoexcitation in CHF. This study unveils new mechanisms by which cytokines play a role in the pathogenesis of CHF, thus underscoring the importance of targeting cytokines in heart failure.

congestive heart failure; nervous system; cytokines; reactive oxygen species; tumor necrosis factor-{alpha}



Address for reprint requests and other correspondence: J. Francis, Louisiana State Univ., School of Veterinary Medicine, Comparative Biomedical Sciences Dept., 1909 Skip Bertman Dr., Baton Rouge, LA 70803 (e-mail: jfrancis{at}lsu.edu)




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