Why the study?
Angiotensin IV possesses biological properties that are not yet completely understood, prompting investigation into its function and mechanism in acute myocardial infarction.
Does Angiotensin IV reduce infarction size and improve cardiac function in preclinical models of acute myocardial infarction?
Does Angiotensin IV reduce infarction size and improve cardiac function in preclinical models of acute myocardial infarction?
In preclinical models, Angiotensin IV reduced inflammation, autophagy, and fibrosis, leading to decreased infarct size and improved cardiac function after acute myocardial infarction.
Acute myocardial infarction (AMI) is a major cause of morbidity and mortality worldwide. Angiotensin (Ang) IV possesses many biological properties that are not yet completely understood. Therefore, we investigated the function and mechanism of Ang IV in AMI in in vivo and in vitro conditions. AMI was performed by ligation of the left anterior descending coronary artery (LAD) in male C57 mice. Ang IV was continuously infused by a minipump 3 d before AMI for 33 d. The neonatal rat ventricular myocytes (NRVCs) were stimulated with Ang IV and cultured under hypoxic conditions. In vivo , Ang IV infusion significantly reduced the mortality after AMI. By the 7 th day after AMI, compared with the AMI group, Ang IV reduced the inflammatory cytokine expression. Moreover, terminal deoxyribonucleotidyl transferase‐ (TDT‐) mediated dUTP nick‐end labeling (TUNEL) assay showed that Ang IV infusion reduced AMI‐induced cardiomyocyte apoptosis. Compared with AMI, Ang IV reduced autophagosomes in cardiomyocytes and improved mitochondrial swelling and disarrangement, as assessed by transmission electron microscopy. By 30 th day after AMI, Ang IV significantly reduced the ratio of heart weight to body weight. Echocardiography showed that Ang IV improved impaired cardiac function. Hematoxylin and eosin (H&E) and Masson staining showed that Ang IV infusion reduced the infarction size and myocardial fibrosis. In vitro , dihydroethidium (DHE) staining and comet assay showed that, compared with the hypoxia group, Ang IV reduced oxidative stress and DNA damage. Enzyme‐linked immunosorbent assay (ELISA) showed that Ang IV reduced hypoxia‐induced secretion of the tumor necrosis factor‐ (TNF‐) ɑ and interleukin‐ (IL‐) 1 β . In addition, compared with the hypoxia group, Ang IV reduced the transformation of light chain 3‐ (LC3‐) I to LC3‐II but increased p62 expression and decreased cardiomyocyte apoptosis. Overall, the present study showed that Ang IV reduced the inflammatory response, autophagy, and fibrosis after AMI, leading to reduced infarction size and improved cardiac function. Therefore, administration of Ang IV may be a feasible strategy for the treatment of AMI.
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Bai et al. (2021) studied this question.
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