Key result
Dexmedetomidine treatment improved left ventricular systolic function, decreased fibrotic changes, and reduced apoptosis and NOX-derived oxidative stress in post-myocardial infarction mice.
Why the study?
Dexmedetomidine has shown potential cardioprotective effects, but the underlying mechanisms remain to be fully illuminated.
Does dexmedetomidine improve cardiac function and protect against maladaptive remodeling in a mouse model of myocardial infarction?
Does dexmedetomidine improve cardiac function and protect against maladaptive remodeling in a mouse model of myocardial infarction?
p-value: p=<0.05
Dexmedetomidine demonstrates cardioprotective effects in a mouse model of myocardial infarction by improving systolic function and reducing fibrosis, apoptosis, and oxidative stress.
Hypothesis-generating for dexmedetomidine in post-MI remodeling; should not change practice until human trials.
Dexmedetomidine (DEX), a highly specific and selective α2 adrenergic receptor agonist, has been demonstrated to possess potential cardioprotective effects. However, the mechanisms underlying this process remain to be fully illuminated. In the present study, a myocardial infarction (MI) animal model was generated by permanently ligating the left anterior descending coronary artery in mice. Cardiac function and collagen content were evaluated by transthoracic echocardiography and picrosirius red staining, respectively. Apoptosis was determined by the relative expression levels of Bax and Bcl‑2 and the myocardial caspase‑3 activity. Additionally, nicotinamide adenine dinucleotide phosphate oxidase (NOX)‑derived oxidative stress was evaluated by the relative expression of Nox2 and Nox4, along with the myocardial contents of malondialdehyde (MDA) and superoxide dismutase (SOD) activity. It was demonstrated that intraperitoneal DEX treatment (20 µg/kg/day) improved the systolic function of the left ventricle, and decreased the fibrotic changes in post‑myocardial infarction mice, which was paralleled by a decrease in the levels of apoptosis. Subsequent experiments indicated that the restoration of redox signaling was achieved by DEX administration, and the over‑activation of NOXs, including Nox2 and Nox4, was markedly inhibited. In conclusion, this present study suggested that DEX was cardioprotective and limited the excess production of NOX‑derived ROS in ischemic heart disease, implying that DEX is a promising novel drug, especially for patients who have suffered MI.
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Han et al. (2019) studied Myocardial infarction (n=55). Dexmedetomidine vs. Normal saline was evaluated on Cardiac function (ejection fraction and fractional shortening) (p=<0.05). Dexmedetomidine treatment improved left ventricular systolic function, decreased fibrotic changes, and reduced apoptosis and NOX-derived oxidative stress in post-myocardial infarction mice.
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