Please use this identifier to cite or link to this item: http://hdl.handle.net/1843/56256
Type: Artigo de Periódico
Title: Increased cholinergic activity under conditions of low estrogen leads to adverse cardiac remodeling
Authors: Vanessa Pereira Teixeira
Itamar Couto Guedes de Jesus
Anderson Kenedy Santos
Mauro de Oliveira
Raphael Escorsim Szawka
Helio Salgado
Marco Antonio Máximo Prado
Maristela Poletini
Silvia Guatimosim
Kiany Miranda
Sergio Scalzo
Cibele Rocha Resende
Mário Morais Silva
Geisa C. S. V. Tezini
Marcos Melo
Fernando Pedro Souza Neto
Kaoma Silva
Abstract: Cholinesterase inhibitors are used in postmenopausal women for the treatment of neurodegenerative diseases. Despite their widespread use in the clinical practice, little is known about the impact of augmented cholinergic signaling on cardiac function under reduced estrogen conditions. To address this gap, we subjected a genetically engineered murine model of systemic vesicular acetylcholine transporter overexpression (Chat-ChR2) to ovariectomy and evaluated cardiac parameters. Left-ventricular function was similar between Chat-ChR2 and wild-type (WT) mice. Following ovariectomy, WT mice showed signs of cardiac hypertrophy. Conversely, ovariectomized (OVX) Chat-ChR2 mice evolved to cardiac dilation and failure. Transcript levels for cardiac stress markers atrial natriuretic peptide (ANP) and B-type natriuretic peptide (BNP) were similarly upregulated in WT/OVX and Chat-ChR2/OVX mice. 17b-Estradiol (E2) treatment normalized cardiac parameters in Chat-ChR2/OVX to the Chat-ChR2/SHAM levels, providing a link between E2 status and the aggravated cardiac response in this model. To investigate the cellular basis underlying the cardiac alterations, ventricular myocytes were isolated and their cellular area and contractility were assessed. Myocytes from WT/OVX mice were wider than WT/SHAM, an indicative of concentric hypertrophy, but their fractional shortening was similar. Conversely, Chat-ChR2/OVX myocytes were elongated and presented contractile dysfunction. E2 treatment again prevented the structural and functional changes in Chat-ChR2/OVX myocytes. We conclude that hypercholinergic mice under reduced estrogen conditions do not develop concentric hypertrophy, a critical compensatory adaptation, evolving toward cardiac dilation and failure. This study emphasizes the importance of understanding the consequences of cholinesterase inhibition, used clinically to treat dementia, for cardiac function in postmenopausal women.
Subject: Coração
Hipertrofia
language: por
metadata.dc.publisher.country: Brasil
Publisher: Universidade Federal de Minas Gerais
Publisher Initials: UFMG
metadata.dc.publisher.department: ICB - DEPARTAMENTO DE FISIOLOGIA E BIOFÍSICA
Rights: Acesso Restrito
metadata.dc.identifier.doi: https://doi.org/10.1152/ajpcell.00142.2020
URI: http://hdl.handle.net/1843/56256
Issue Date: 2021
metadata.dc.url.externa: https://journals.physiology.org/doi/full/10.1152/ajpcell.00142.2020
metadata.dc.relation.ispartof: American Journal of Physiology-Cell Physiology
Appears in Collections:Artigo de Periódico

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