Abstract
Background: Cardiac remodeling after acute myocardial infarction is regulated by components of
the extracellular matrix. The 47 kD heat shock protein 47 (HSP47) is a collagen-specific
molecular chaperone that plays a major role during procollagen processing and/or secretion.
Objective: The purpose of the study was to determine whether HSP47 inhibition can mitigate ligated
left anterior descending (LAD) coronary artery-induced myocardial infarction in rats.
Methods: Rats were randomly divided into four experimental groups and subjected to the following
treatments: 1) intravenous (IV) administration of saline; 2) ligation of the LAD coronary
artery; 3) ligation of the LAD coronary artery + IV administration of HSP47 antisense
oligonucleotides; or 4) IV administration of HSP47 antisense oligonucleotides. We
investigated cardiac histopathology, performed immunoblot and immunohistochemical
analyses, and examined cardiac function. Results: Rats with ligated LAD coronary artery experienced upregulation of HSP47 expression,
remodeling of the left ventricle, and cardiac dysfunction. In contrast, rats with
ligated LAD coronary artery treated with HSP47 antisense oligonucleotides had significantly
reduced HSP47 expression, cardiac remodeling, and improved cardiac function. Intravenous
(IV) administration of HSP47 antisense oligonucleotides alone had no effect on cardiac
morphology. Conclusion: The data strongly support the idea that changes in the extracellular matrix and its
components are important determinants of cardiac remodeling after myocardial infarction.
Key words
myocardial infarction - heart disease - myocardial protection - remodeling - gene
therapy - HSP47 - antisense - rat model
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Dr. Satoshi Hagiwara, MD, PhD
Department of Anesthesiology and Intensive Care Medicine Oita University Faculty of Medicine
1-1 Idaigaoka-Hasamamachi
8795593 Yufu City
Japan
Telefon: +81 9 75 86 59 43
Fax: +81 9 75 86 59 49
eMail: saku@med.oita-u.ac.jp