Key result
Oral dantrolene reduces LV fibrotic area ~50% and improves diastolic function in HFpEF rats.
Why the study?
LV diastolic dysfunction is increasingly common in HFpEF and new drug therapy is desired, prompting investigation into dantrolene's effect on LV diastolic properties in a hypertensive HFpEF rat model.
Does dantrolene improve left ventricular diastolic properties in a mineralocorticoid-salt-induced hypertensive rat model of HFpEF?
Does dantrolene improve left ventricular diastolic properties in a mineralocorticoid-salt-induced hypertensive rat model of HFpEF?
Dantrolene improves left ventricular diastolic properties, including myocardial relaxation and chamber stiffness, in a rat model of HFpEF.
Answers are grounded in this paper and cite their sources.
Hypothesis-generating for dantrolene in experimental HFpEF; prospective human trials needed before clinical adoption.
Left ventricular (LV) diastolic dysfunction is increasingly common in heart failure with preserved ejection fraction (HFpEF), and new drug therapy is desired. We recently reported that dantrolene (DAN) attenuates pressure-overload induced hypertrophic signaling through stabilization of tetrameric structure of cardiac ryanodine receptor (RyR2). Because cardiac hypertrophy substantially affects LV diastolic properties, we investigated the effect of DAN on LV diastolic properties in mineralocorticoid-salt–induced hypertensive rat model exhibiting the HFpEF phenotype. Male Sprague-Dawley (SD) rats (8 weeks old) received an uninephrectomy (UNX), subcutaneous implantation of a 200 mg pellet of deoxycorticosterone acetate (DOCA), and 0.9% NaCl water (UNX + DOCA-salt). UNX, a control pellet, and water without NaCl served as controls (UNX control). The effect of oral administration of 100 mg/kg/d DAN was examined in UNX control and UNX + DOCA-salt groups (UNX + DAN and UNX + DOCA-salt + DAN). UNX + DOCA-salt treatment resulted in mild hypertension. Chronic administration of DAN to UNX + DOCA-salt rats (UNX + DOCA-salt + DAN) did not affect blood pressure. DAN treatment increased the mitral annular early relaxation velocity in the UNX + DOCA-salt group. The size of cardiomyocytes increased in the UNX + DOCA-salt group, whereas the increase was suppressed by DAN treatment. LV fibrotic area was significantly smaller in the UNX + DOCA-salt + DAN group than in the UNX + DOCA-salt group (2.0 ± 0.2% vs 4.0 ± 0.4%). The LV chamber stiffness significantly increased in the UNX + DOCA-salt group, whereas the increase was suppressed by DAN treatment. DAN treatment normalized the CaM-RyR2 interaction and inhibited aberrant Ca2+ release. DAN improved left ventricular diastolic properties with respect to both myocardial relaxation and chamber stiffness. DAN may be a new treatment option for HFpEF.
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Nawata et al. (2023) studied Heart failure with preserved ejection fraction (HFpEF) / Hypertension. Dantrolene vs. UNX + DOCA-salt control was evaluated on Left ventricular fibrotic area. Oral administration of dantrolene improved left ventricular diastolic properties and significantly reduced LV fibrotic area (2.0% vs 4.0%) in a hypertensive rat model of HFpEF.
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