Key result
Kynurenic acid improves post-MI LVEF to ~56% vs 28% in preclinical models.
Why the study?
Renal injury induces major changes in plasma and cardiac metabolites, and it is unclear whether a key metabolite can offer cardiac protection after ischemic events.
Does kynurenic acid protect the heart from ischemic damage in preclinical models of acute kidney injury and myocardial infarction?
Does kynurenic acid protect the heart from ischemic damage in preclinical models of acute kidney injury and myocardial infarction?
Absolute Event Rate: 55.7% vs 28.3%
p-value: p=0.02
Kynurenic acid may serve as a protective metabolite that preserves cardiac function and mitochondrial viability following ischemic injury and acute kidney disease.
Kynurenic acid may protect against post-MI remodeling in mice; leaves open translation to human ischemic heart disease.
BACKGROUND: Renal injury induces major changes in plasma and cardiac metabolites. Using a small- animal in vivo model, we sought to identify a key metabolite whose levels are significantly modified following an acute kidney injury (AKI) and to analyze whether this agent could offer cardiac protection once an ischemic event has occurred. METHODS AND RESULTS: Metabolomics profiling of cardiac lysates and plasma samples derived from rats that underwent AKI 1 or 7 days earlier by 5/6 nephrectomy versus sham-operated controls was performed. We detected 26 differential metabolites in both heart and plasma samples at the two selected time points, relative to sham. Out of which, kynurenic acid (kynurenate, KYNA) seemed most relevant. Interestingly, KYNA given at 10 mM concentration significantly rescued the viability of H9C2 cardiac myoblast cells grown under anoxic conditions and largely increased their mitochondrial content and activity as determined by flow cytometry and cell staining with MitoTracker dyes. Moreover, KYNA diluted in the drinking water of animals induced with an acute myocardial infarction, highly enhanced their cardiac recovery according to echocardiography and histopathology. CONCLUSION: KYNA may represent a key metabolite absorbed by the heart following AKI as part of a compensatory mechanism aiming at preserving the cardiac function. KYNA preserves the in vitro myocyte viability following exposure to anoxia in a mechanism that is mediated, at least in part, by protection of the cardiac mitochondria. A short-term administration of KYNA may be highly beneficial in the treatment of the acute phase of kidney disease in order to attenuate progression to reno-cardiac syndrom and to reduce the ischemic myocardial damage following an ischemic event.
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Bigelman et al. (2023) studied Acute myocardial infarction (n=19). Kynurenic acid vs. Tap water was evaluated on Left ventricular ejection fraction at day 30 (p=0.02). Kynurenic acid administration significantly enhanced cardiac recovery following acute myocardial infarction in mice, increasing left ventricular ejection fraction to 55.7% at 30 days compared to 28.3% in vehicle-treated controls.
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