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Am J Physiol Heart Circ Physiol (July 20, 2007). doi:10.1152/ajpheart.00303.2007
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Submitted on March 11, 2007
Accepted on July 17, 2007

Amlodipine inhibits granulation tissue cell apoptosis through reducing calcineurin activity to attenuate postinfarction cardiac remodeling

Atsushi Ogino1, Genzou Takemura1*, Hiromitsu Kanamori1, Hideshi Okada1, Rumi Maruyama1, Shusaku Miyata1, Masayasu Esaki1, Munehiro Nakagawa1, Takuma Aoyama1, Hiroaki Ushikoshi1, Masanori Kawasaki1, Shinya Minatoguchi1, Takako Fujiwara2, and Hisayoshi Fujiwara1

1 Second Department of Internal Medicine, Gifu University School of Medicine, Gifu, Japan
2 Department of Food Science, Kyoto Women's University, Kyoto, Japan

* To whom correspondence should be addressed. E-mail: gt{at}gifu-u.ac.jp.

Although amlodipine, a long-acting L-type calcium channel blocker, reportedly prevents left ventricular remodeling and dysfunction after myocardial infarction, the mechanism responsible is not yet well understood. Myocardial infarction was induced in mice by ligating the left coronary artery. Treating mice with amlodipine (10 mg/kg/day), beginning on the 3rd day postinfarction, significantly improved survival and attenuated left ventricular dilatation and dysfunction 4 weeks postinfarction, as compared to treatment with saline or hydralazine. Although infarct size did not differ among the groups, infarcted wall thickness was greater and the infarct segment length was smaller in the amlodipine-treated group, and cellular components, including vessels and myofibroblasts, were abundant within the infarcted area. Ten days postinfarction (the subacute stage), proliferation of granulation tissue cells in the infarcted area was similar among the groups, but the incidence of apoptosis was significantly lower in the amlodipine-treated group, where Bad, a proapoptotic Bcl-2 family protein, was significantly phosphorylated (inactivated). Calcineurin, which dephosphorylates (activates) Bad, was upregulated in infarcted hearts, but its levels were significantly reduced by amlodipine treatment. In vitro, Fas stimulation augmented calcineurin activity and induced apoptosis among infarct tissue-derived myofibroblasts; both of those effects were strongly inhibited by amlodipine, two other calcium channel blockers (verapamil or nifedipine), and two calcineurin inhibitors (cyclosporin A or FK506). Amlodipine inhibits Fas-mediated granulation tissue cell apoptosis in infarcted hearts, possibly by attenuating the activities of calcineurin and Bad. These findings may provide new insight into the mechanism by which calcium channel blockers attenuate postinfarction cardiac remodeling and dysfunction.




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Am. J. Physiol. Heart Circ. Physiol.Home page
L. Li, H. Okada, G. Takemura, K.-i. Kosai, H. Kanamori, M. Esaki, T. Takahashi, K. Goto, A. Tsujimoto, R. Maruyama, et al.
Postinfarction gene therapy with adenoviral vector expressing decorin mitigates cardiac remodeling and dysfunction
Am J Physiol Heart Circ Physiol, October 1, 2009; 297(4): H1504 - H1513.
[Abstract] [Full Text] [PDF]




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