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April 26, 2005CirculationOpen Access

Persistent Cardiac Aldosterone Synthesis in Angiotensin II Type 1A Receptor–Knockout Mice After Myocardial Infarction

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Key result

In AT1A-KO mice with induced myocardial infarction, treatment with spironolactone (20 mg/kg per day) almost normalized LV remodeling, cardiac dysfunction, and cardiac gene expression.

Why the study?

Does spironolactone improve post-MI LV remodeling in angiotensin II type 1A receptor-knockout mice?

Population

Wild-type and angiotensin II type 1A receptor-knockout mice subjected to acute myocardial infarction by…

Comparison

Spironolactone (20 mg/kg per day) vs Untreated AT1A-KO mice and WT mice

Design

Preclinical

Follow-up

28 days

Authors

JKJun KatadaPfizer (Japan)TMTomomi MeguroInternational University of Health and WelfareHSHitomi SaitoTokyo Medical University

Discussion

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Implication

May warrant targeting Ang II-independent pathways post-MI; leaves open clinical translation pending human data.

Structured PICO

Does spironolactone improve post-MI LV remodeling in angiotensin II type 1A receptor-knockout mice?

P
Population
Wild-type and AT1A-KO mice with acute MI induced by coronary ligation, evaluated on day 28.
I
Intervention
Spironolactone (20 mg/kg per day)
C
Comparator
Untreated AT1A-KO mice and WT mice
O
Outcome
Left ventricular (LV) geometry, hemodynamics, and cardiac gene expression on day 28surrogate

Spironolactone normalizes post-MI LV remodeling in AT1A-KO mice, demonstrating that cardiac aldosterone plays a critical role in Ang II-independent remodeling.

Cite This Study

Katada et al. (2005) studied Myocardial Infarction. Spironolactone vs. Untreated AT1A-KO mice and wild-type mice was evaluated on Left ventricular (LV) geometry, hemodynamics, and cardiac gene expression. In AT1A-KO mice with induced myocardial infarction, treatment with spironolactone (20 mg/kg per day) almost normalized LV remodeling, cardiac dysfunction, and cardiac gene expression.

synapsesocial.com/papers/6a65519d792083995339e97ahttps://doi.org/10.1161/01.cir.0000163562.82134.8e
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Angiotensin II Type 1a Receptor-deficient Mice with Hypotension and Hyperreninemia1995 · 372 citations
  2. 2Overview of randomized trials of angiotensin-converting enzyme inhibitors on mortality and morbidity in patients with heart failure. Collaborative Group on ACE Inhibitor Trials1995 · 1,773 citations
  3. 3The Effect of Spironolactone on Morbidity and Mortality in Patients with Severe Heart Failure2000 · 2,932 citations
  4. 4Angiotensin II Type 1A Receptor Knockout Mice Display Less Left Ventricular Remodeling and Improved Survival After Myocardial Infarction1999 · 203 citations
  5. 5Aldosterone receptor blockade improves left ventricular remodeling and increases ventricular fibrillation threshold in experimental heart failure2003 · 64 citations