Protection of Sacubitril/Valsartan against Pathological Cardiac Remodeling by Inhibiting the NLRP3 Inflammasome after Relief of Pressure Overload in Mice

Springer Science and Business Media LLC - Tập 34 - Trang 629-640 - 2020
Xueling Li1, Qin Zhu2, Qingcheng Wang3, Qinggang Zhang1, Yaru Zheng1, Lihong Wang1, Qinyang Jin1
1Department of Cardiology, Zhejiang provincial People’s Hospital, People’s Hospital of Hangzhou Medical College, Hangzhou, China
2Department of Nephrology, Hangzhou Hospital of Traditional Chinese Medicine, Hangzhou, China
3Department of Cardiology, Hangzhou Yuhang Hospital of Traditional Chinese Medicine, Hangzhou, China

Tóm tắt

The persistent existence of pathological cardiac remodeling, resulting from aortic stenosis, is related to poor clinical prognosis after successful transcatheter aortic valve replacement (TAVR). Sacubitril/valsartan (Sac/Val), comprising an angiotensin receptor blocker and a neprilysin inhibitor, has been demonstrated to have a beneficial effect against pathological cardiac remodeling, including cardiac fibrosis and inflammation in heart failure. The aim of this study was to determine whether Sac/Val exerts a cardioprotective effect after pressure unloading in mice. Male C57BL/6 J mice were subjected to debanding (DB) surgery after 8 weeks (wk) of aortic banding (AB). Cardiac function was assessed by echocardiography, which indicated a protective effect of Sac/Val after DB. After treatment with Sac/Val post DB, decreased heart weight and myocardial cell size were observed in mouse hearts. In addition, histological analysis, immunofluorescence, and western blot results showed that Sac/Val attenuated cardiac fibrosis and inflammation after DB. Finally, our data indicated that Sac/Val treatment could significantly suppress NF-κB signaling and NLRP3 inflammasome activation in mice after relief of pressure overload. Sac/Val exerted its beneficial effects to prevent maladaptive cardiac fibrosis and dysfunction in mice following pressure unloading, which was at least partly due to the inhibition of NLRP3 inflammasome activation.

Tài liệu tham khảo

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