Key result
Nicorandil prevents isoproterenol-induced LV dilation, dysfunction, and fibrosis in a Duchenne muscular dystrophy mouse model.
Why the study?
Duchenne muscular dystrophy-associated cardiomyopathy is a major cause of morbidity and mortality, and nicorandil had shown benefit in an in vitro model.
Does nicorandil prevent isoproterenol-induced cardiac dysfunction in mdx mice?
Does nicorandil prevent isoproterenol-induced cardiac dysfunction in mdx mice?
Absolute Event Rate: 74.8% vs 68.1%
Nicorandil prevents isoproterenol-induced cardiac dysfunction and fibrosis in a mouse model of Duchenne muscular dystrophy, highlighting its potential as a cardioprotective therapy.
Hypothesis-generating in DMD cardiomyopathy; human trials required before any clinical consideration.
BACKGROUND: Duchenne muscular dystrophy (DMD) associated cardiomyopathy is a major cause of morbidity and mortality. In an in vitro DMD cardiomyocyte model, nicorandil reversed stress-induced cell injury through multiple pathways implicated in DMD. We aimed to test the efficacy of nicorandil on the progression of cardiomyopathy in mdx mice following a 10-day treatment protocol. METHODS: A subset of mdx mice was subjected to low-dose isoproterenol injections over 5 days to induce a cardiac phenotype and treated with vehicle or nicorandil for 10 days. Baseline and day 10 echocardiograms were obtained to assess cardiac function. At 10 days, cardiac tissue was harvested for further analysis, which included histologic analysis and assessment of oxidative stress. Paired student's t test was used for in group comparison, and ANOVA was used for multiple group comparisons. RESULTS: Compared to vehicle treated mice, isoproterenol decreased ejection fraction and fractional shortening on echocardiogram. Nicorandil prevented isoproterenol induced cardiac dysfunction. Isoproterenol increased cardiac fibrosis, which nicorandil prevented. Isoproterenol increased gene expression of NADPH oxidase, which decreased to baseline with nicorandil treatment. Superoxide dismutase 2 protein expression increased in those treated with nicorandil, and xanthine oxidase activity decreased in mice treated with nicorandil during isoproterenol stress compared to all other groups. CONCLUSIONS: In conclusion, nicorandil is cardioprotective in mdx mice and warrants continued investigation as a therapy for DMD associated cardiomyopathy.
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Sullivan et al. (2021) studied Duchenne muscular dystrophy associated cardiomyopathy (mdx mouse model) (n=48). Nicorandil vs. Vehicle (ddH2O) or Isoproterenol alone was evaluated on Ejection fraction at day 10. In an mdx mouse model of Duchenne muscular dystrophy, nicorandil prevented isoproterenol-induced left ventricular dilation, cardiac dysfunction, and myocardial fibrosis.
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