Key result
Cholinergic stimulation with pyridostigmine significantly increased anti-inflammatory M2 macrophages, improved antioxidant enzyme activity, and reduced inflammatory cytokines in rats 7 days after myocardial infarction.
Why the study?
Does pyridostigmine improve oxidative stress and inflammation in Wistar rats with experimental myocardial infarction?
Does pyridostigmine improve oxidative stress and inflammation in Wistar rats with experimental myocardial infarction?
In a rat model of myocardial infarction, cholinergic stimulation with pyridostigmine reduced oxidative stress and inflammatory cytokine production during the proliferative phase of cardiac repair.
Answers are grounded in this paper and cite their sources.
PY enhances M2 macrophage recruitment and curbs oxidative stress/cytokines post-MI in rats; extends acute-phase data but leaves clinical translation open.
We previously reported that cholinergic stimulation with pyridostigmine (PY) induces anti-inflammatory cell recruitment soon after myocardial infarction (MI). In this study, we evaluated the anti-inflammatory effects of PY during the proliferative phase of cardiac repair by analyzing the infiltration of macrophages, Treg lymphocytes, oxidative stress and inflammatory cytokines. Wistar rats underwent control sham surgery or ligation of the left coronary artery and were randomly allocated to remain untreated (untreated infarcted group, I) or to receive PY (30 mg·kg(-1)·day(-1)) in the supplied water (infarcted treated group, I + PY). Blood pressure and heart rate variability were registered at day 5 post-MI. The animals were euthanized 7 days after thoracotomy, when the hearts were removed and processed for immunohistochemistry (CD68, CD206, FOXP3), cytokines (IL-1β, IL-6, IL-10, TNF-α) and oxidative stress (superoxide dismutase, catalase, glutathione peroxidase, lipidic and protein peroxidation). PY treatment increased parasympathetic modulation, M2 macrophages and the anti-oxidant enzyme activity but reduced protein oxidation (carbonyls) and the concentration of IL-1β, IL-6, TNF-α and IL-10. Cholinergic stimulation induces parasympathetic neuro-immune modulation and anti-inflammatory cell enrollment as well as prevents oxidative stress and cytokine production after MI.
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Bezerra et al. (2017) studied Myocardial Infarction (n=40). Pyridostigmine vs. Untreated (vehicle) was evaluated on M2 macrophage (CD206+) infiltration in the infarcted and peri-infarcted zones (p=0.04). Cholinergic stimulation with pyridostigmine significantly increased anti-inflammatory M2 macrophages, improved antioxidant enzyme activity, and reduced inflammatory cytokines in rats 7 days after myocardial infarction.
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