Key result
Streptozotocin-induced diabetes in rats with myocardial infarction significantly blunted the increase in right ventricular BNP mRNA expression compared to nondiabetic rats (200% vs 350%, P<0.01).
Diabetic rats with myocardial infarction exhibit an impaired ability to upregulate BNP gene expression, a defect that can be reversed with insulin therapy.
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May blunt post-MI BNP upregulation in diabetic rats; leaves open relevance to human HF biomarker interpretation.
Accordingly, we induced streptozotocin diabetes in rats and evaluated the effects of ligating the coronary artery to produce myocardial infarct by analyzing hemodynamics and the expression of brain natriuretic peptide (BNP) messenger (m) RNA. Eight-week diabetic rats and age-matched nondiabetic rats underwent ligation of the coronary artery for 1 week. Left ventricular end-diastolic pressure (LVEDP) was not statistically different between diabetic rats (15+/-6 mmHg) and nondiabetic rats (13+/-9 mmHg) 1 week after coronary ligation, size of infarct, systolic blood pressure were also similar in both groups after coronary ligation. The BNP mRNA/beta-actin mRNA ratio in right ventricle of nondiabetic rats with MI was increased to 350+/-60%, however, in diabetic rats with MI, that was slightly increased to 200+/-50% (P < 0.01). The level of BNP mRNA in the left ventricle of diabetic rats with MI was not increased significantly (120+/-30% versus that in diabetic rats without MI), although that in left ventricle of nondiabetic rats with MI was increased to 280+/-40% versus nondiabetic rats without MI (P < 0.01). Cardiac BNP synthesis in diabetic rats completely reverted to control levels after insulin therapy.
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Inoue et al. (2009) studied Diabetes and myocardial infarction. Streptozotocin-induced diabetes vs. Nondiabetic rats was evaluated on BNP mRNA/beta-actin mRNA ratio in right ventricle (p=<0.01). Streptozotocin-induced diabetes in rats with myocardial infarction significantly blunted the increase in right ventricular BNP mRNA expression compared to nondiabetic rats (200% vs 350%, P<0.01).
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