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B improves left ventricular remodeling and cardiac dysfunction after myocardial infarction
1 Cardiovascular Medicine, Tokyo Medical and Dental University, Tokyo, Japan
2 Medical Molecular Design, Inc., Tokyo, Japan
* To whom correspondence should be addressed. E-mail: isobemi.cvm{at}tmd.ac.jp.
Background -Several studies have demonstrated that NF-
B is substantially involved in the progression of cardiac remodeling; however, it remains uncertain whether the continuous inhibition of NF-
B is effective for the prevention of myocardial remodeling.
Methods -Myocardial infarction (MI) was produced by ligation of the left anterior coronary artery of rats. IMD-0354 (10 mg/kg/day), a novel phosphorylation inhibitor of I
B that acts via inhibition of IKK
, was injected intraperitoneally starting 24 hours after induction of MI for 28 days.
Results - After 28 days, IMD-0354-treated group showed significantly improved survival rate compared to that of vehicle-treated group (p < 0.05). Although infarct size was similar in both groups, improved left ventricular (LV) remodeling and diastolic dysfunction, as indicated by smaller LV cavity (LV end-diastolic area: vehicle, 74.13 ± 3.57 mm2; IMD-0354, 55.00 ± 3.73 mm2; p < 0.05), smaller E/A ratio (vehicle, 3.87 ± 0.26; IMD-0354, 2.61 ± 0.24; p < 0.05), and lower plasma brain natriuretic peptide level (vehicle, 167.63 ± 14.87 pg/ml; IMD-0354, 110.75 ± 6.41 pg/ml; p < 0.05), were observed in the IMD-0354-treated group. Moreover, fibrosis, accumulation of macrophages and expression of several factors (TGF-
1, MCP-1, MMP-9 and MMP-2) in the noninfarcted myocardium was remarkably inhibited by IMD-0354.
Conclusions - Inhibition of NF-
B activation may reduce the proinflammatory reactions and modulate the extracellular matrix and provide an effective approach to prevent adverse cardiac remodeling after MI.
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