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Am J Physiol Heart Circ Physiol (April 11, 2008). doi:10.1152/ajpheart.00215.2008
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Submitted on February 29, 2008
Revised on April 4, 2008
Accepted on April 8, 2008

Angiotensin II Receptor Antagonism Reverts the Selective Cardiac BNP Upregulation and Secretion Observed in Myocarditis

Tsuneo Ogawa1, John P Veinot2, Mercedes L. Kuroski de Bold2, Tina Georgalis2, and Adolfo J de Bold2*

1 University of Ottawa Heart institute
2 University of Ottawa Heart Institute

* To whom correspondence should be addressed. E-mail: adebold{at}ottawaheart.ca.

The cardiac natriuretic peptides ANF and BNP are discoordinately regulated in myocardial inflammation associated with acute allograft rejection in humans and during in vitro exposure of cardiocyte cultures to some pro-inflammatory cytokines. We used experimental autoimmune myocarditis (EAM) to determine if the discoordinate regulation of ANF and BNP was specific to situations above or was generally associated with other types of myocardial inflammation. The dependency of this process to angiotensin signaling was also determined given that previous work demonstrated beneficial effects of the angiotensin receptor blocker Olmesartan in myocarditis. Histopathological changes, plasma and cardiac ANF, BNP and selected cytokines gene expression as well as plasma cytokine levels using a cytokine array were determined in EAM, angiotensin receptor blocker-treated and control rats. It was found that EAM specifically increases BNP, but not ANF circulating levels, thus mimicking the findings in acute cardiac allograft rejection and the effect of some pro-inflammatory cytokines on cardiocyte cultures in vitro. Plasma cytokine array and real-time PCR revealed that lipopolysaccharide-induced CXC chemokine (LIX), monocyte chemotactic protein-1 (MCP-1) and tissue inhibitor of metalloproteinase-1 (TIMP-1) were increased in plasma and in the myocardium of EAM rats. Olmesartan treatment reversed virtually all neuroendocrine and histopathological cardiac changes induced by EAM thus providing a mechanistic insight into this phenomenon. It is concluded that the inflammatory process contribute specific cytokines leading to the disregulation of cardiac ANF and BNP production observed during myocardial inflammation and that this process is angiotensin receptor 1-dependent.







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