Key result
Propranolol treatment in rats with myocardial infarction reduced brown adipose tissue D2 activity by 44% and serum T3 by 66%, and improved cardiac function by 57% at 12 weeks (P<0.05).
Why the study?
The authors hypothesized that type 2 deiodinase activity could modulate thyroid hormone status and constitute a possible target for beta-adrenergic blocking agents following myocardial infarction.
Does propranolol modulate brown adipose tissue D2 activity, thyroid hormone status, and cardiac function in a rat model of myocardial infarction?
Does propranolol modulate brown adipose tissue D2 activity, thyroid hormone status, and cardiac function in a rat model of myocardial infarction?
p-value: p=<0.05
In a rat model of myocardial infarction, propranolol treatment maintained a low T3 state by inhibiting BAT D2 hyperactivity and improved cardiac function.
D2 modulation by β-blockers in rat MI remains hypothesis-generating; human studies needed before any clinical consideration.
Considering the recognized role of thyroid hormones on the cardiovascular system during health and disease, we hypothesized that type 2 deiodinase (D2) activity, the main activation pathway of thyroxine (T4)-to-triiodothyronine (T3), could be an important site to modulate thyroid hormone status, which would then constitute a possible target for β-adrenergic blocking agents in a myocardial infarction (MI) model induced by left coronary occlusion in rats. Despite a sustained and dramatic fall in serum T4 concentrations (60-70%), the serum T3 concentration fell only transiently in the first week post-infarction (53%) and returned to control levels at 8 and 12 weeks after surgery compared to the Sham group (P<0.05). Brown adipose tissue (BAT) D2 activity (fmol T4·min-1·mg ptn-1) was significantly increased by approximately 77% in the 8th week and approximately 100% in the 12th week in the MI group compared to that of the Sham group (P<0.05). Beta-blocker treatment (0.5 g/L propranolol given in the drinking water) maintained a low T3 state in MI animals, dampening both BAT D2 activity (44% reduction) and serum T3 (66% reduction in serum T3) compared to that of the non-treated MI group 12 weeks after surgery (P<0.05). Propranolol improved cardiac function (assessed by echocardiogram) in the MI group compared to the non-treated MI group by 40 and 57%, 1 and 12 weeks after treatment, respectively (P<0.05). Our data suggested that the beta-adrenergic pathway may contribute to BAT D2 hyperactivity and T3 normalization after MI in rats. Propranolol treatment maintained low T3 state and improved cardiac function additionally.
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Seara et al. (2019) studied Myocardial infarction. Propranolol vs. Non-treated MI group was evaluated on Brown adipose tissue D2 activity and serum T3 levels (p=<0.05). Propranolol treatment in rats with myocardial infarction reduced brown adipose tissue D2 activity by 44% and serum T3 by 66%, and improved cardiac function by 57% at 12 weeks (P<0.05).
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