Key result
Metabolic syndrome induced by a 30% sucrose diet in rats increased the incidence of ventricular fibrillation under isoproterenol challenge by nearly twofold compared to controls.
Why the study?
Do serum proinflammatory mediators in metabolic syndrome contribute to ventricular arrhythmias and contractile dysfunction?
Do serum proinflammatory mediators in metabolic syndrome contribute to ventricular arrhythmias and contractile dysfunction?
Proinflammatory cytokines in metabolic syndrome serum may directly impair cardiomyocyte calcium handling and provide a substrate for ventricular arrhythmias.
May implicate inflammation in metabolic syndrome arrhythmogenesis; hypothesis-generating for targeted therapies pending human confirmation.
Metabolic syndrome (MS) increases cardiovascular risk and is associated with cardiac dysfunction and arrhythmias, although the precise mechanisms are still under study. Chronic inflammation in MS has emerged as a possible cause of adverse cardiac events. Male Wistar rats fed with 30% sucrose in drinking water and standard chow for 25–27 weeks were compared to a control group. The MS group showed increased weight, visceral fat, blood pressure, and serum triglycerides. The most important increases in serum cytokines included IL‐1 β (7‐fold), TNF‐ α (84%), IL‐6 (41%), and leptin (2‐fold), the latter also showing increased gene expression in heart tissue (35‐fold). Heart function ex vivo in MS group showed a decreased mechanical performance response to isoproterenol challenge (ISO). Importantly, MS hearts under ISO showed nearly twofold the incidence of ventricular fibrillation. Healthy rat cardiomyocytes exposed to MS group serum displayed impaired contractile function and Ca 2+ handling during ISO treatment, showing slightly decreased cell shortening and Ca 2+ transient amplitude (23%), slower cytosolic calcium removal (17%), and more frequent spontaneous Ca 2+ release events (7.5‐fold). As spontaneous Ca 2+ releases provide a substrate for ventricular arrhythmias, our study highlights the possible role of serum proinflammatory mediators in the development of arrhythmic events during MS.
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Fernández-Sada et al. (2017) studied Metabolic syndrome. 30% sucrose in drinking water vs. control group was evaluated on incidence of ventricular fibrillation under isoproterenol challenge. Metabolic syndrome induced by a 30% sucrose diet in rats increased the incidence of ventricular fibrillation under isoproterenol challenge by nearly twofold compared to controls.
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