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Am J Physiol Heart Circ Physiol (June 2, 2006). doi:10.1152/ajpheart.00043.2006
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Submitted on January 9, 2006
Accepted on May 26, 2006

Selective Inhibition of p38{alpha} MAPK Improves Cardiac Function and Reduces Myocardial Apoptosis in Rat Model of Myocardial Injury

Zhihe Li1*, Jing Ying Ma1, Irene Kerr1, Sarvajit Chakravarty1, Sundeep Dugar1, George Schreiner1, and Andrew A Protter1

1 Pharmacology, Scios Inc., Fremont, California, United States

* To whom correspondence should be addressed. E-mail: zli9{at}scius.jnj.com.

p38 mitogen-activated protein kinase (MAPK) is activated during heart diseases which might associate with myocardial damage and deterioration of cardiac function. In a rat model of myocardial injury, we have investigated cardioprotective effects of the inhibition of p38 MAPK using a novel, oral available p38{alpha} MAPK inhibitor. Rats were treated with Nw-nitro-L-arginine methyl ester (L-NAME, 40 mg/kg/day) in drinking water plus 1% salt for 14 days and angiotensin II (AngII, 0.5 mg/kg/day) for 3 days. A selective p38{alpha} MAPK inhibitor, SD-282 (60 mg/kg) was administrated orally, twice a day for 4 days, starting a day prior to AngII administration. The cardioprotective effects of p38{alpha} MAPK inhibition were evaluated by improvement of cardiac function, reduction of inflammatory cell infiltration and cardiomyocyte apoptosis. SD-282 significantly improved cardiac function indicated by increasing stroke volume (SV), cardiac output (CO), ejection fraction (EF), stroke work (SW) and significantly decreasing arterial elastance (Ea). SD-282 also significantly reduced macrophage infiltration as judged by reduction of a specific marker, ED-1 positive staining cells (p<0.05) in the myocardium. Furthermore, cardiomyocyte apoptosis as indicated by caspase-3 immunohistochemical staining was abolished by SD-282 and this effect may contribute to the reduction of myocardial damage evaluated by imaging analysis (p<0.05 in both cases). Data suggest that p38{alpha} MAPK may play a critical role in the pathogenesis of cardiac dysfunction. Inhibition of p38{alpha} MAPK may be used as a novel cardioprotective strategy in attenuation of inflammatory response and deterioration of cardiac function that occurs in acute cardiovascular disease such as myocardial infarction.




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