Key result
Myocardial infarction impairs local mitochondrial processes while upregulating immune system genes in remote tissue.
Why the study?
The study was designed to unravel differences in the molecular profile between ischemic and remote myocardium after acute myocardial infarction in an experimental model.
In a swine model of acute myocardial infarction, ischemic myocardium showed impaired mitochondrial processes while remote myocardium exhibited upregulated immune system genes, highlighting potential therapeutic targets for cardiac remodeling.
Mitochondrial and immune pathways may represent targets for post-MI remodeling; hypothesis-generating in swine and requires clinical validation.
Acute myocardial infarction (AMI) is the consequence of an acute interruption of myocardial blood flow delimiting an area with ischemic necrosis. The loss of cardiomyocytes initiates cardiac remodeling in the myocardium, leading to molecular changes in an attempt to recover myocardial function. The purpose of this study was to unravel the differences in the molecular profile between ischemic and remote myocardium after AMI in an experimental model. To mimic human myocardial infarction, healthy pigs were subjected to occlusion of the mid-left anterior descending coronary artery, and myocardial tissue was collected from ischemic and remote zones for omics techniques. Comparative transcriptome analysis of both areas was accurately validated by proteomic analysis, resulting in mitochondrion-related biological processes being the most impaired mechanisms in the infarcted area. Moreover, Immune system process-related genes were up-regulated in the remote tissue, mainly due to the increase of neutrophil migration in this area. These results provide valuable information regarding differentially expressed genes and their biological functions between ischemic and remote myocardium after AMI, which could be useful for establishing therapeutic targets for the development of new treatments.
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Pulido et al. (2023) studied Acute myocardial infarction. Ischemic myocardium vs. Remote myocardium was evaluated on Transcriptome profile differences. Comparative transcriptome analysis revealed that mitochondrion-related biological processes were most impaired in the infarcted area, while immune system genes were up-regulated in remote tissue.
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