PMID- 12039650 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200930 IS - 0928-4680 (Print) IS - 0928-4680 (Linking) VI - 8 IP - 3 DP - 2002 Jun TI - Early and persistent activation of myocardial apoptosis, bax and caspases: insights into mechanisms of progression of heart failure. PG - 183-192 AB - The aim of this study was to test the hypothesis that persistent myocardial apoptosis contributes to progression of heart failure in a canine model of pacing-induced cardiomyopathy. Dogs were paced at 250 beats per minute for 1 week (n=9), 3 weeks (n=14) and 4 weeks (n=14) with normal dogs served as controls (n=12). Myocardial apoptosis was assessed by multiple methods including DNA fragmentation and in situ terminal deoxynucleotidyl transferase-mediated dUTP nick end labeling (TUNEL) staining, bax and bcl-2 protein expression, and caspase activity. Pacing produced a progressive increase in left ventricular (LV) end diastolic pressure (LVEDP) and plasma norepinephrine levels with no significant increase in LV mass. The number of apoptotic cells was markedly increased after 1 week of pacing and remained increased at 4 weeks of pacing with characteristic DNA laddering. The increase in apoptosis was associated with bax protein expression and caspase activation while there was no detectable changes in bcl-2 protein expression. The estimated total number of apoptotic cells correlated with cardiac output and LVEDP (r=-0.69 and 0.59, respectively, P<0.001). Plasma norepinephrine and bax protein expression correlated significantly with the estimated total number of apoptotic myocytes (r=0.62 and 0.42, respectively, P<0.01). In conclusion, an early and persistent activation of myocardial apoptosis and pro-apoptotic factors is likely an important mechanism that contributes to the progression of heart failure in canine pacing-induced cardiomyopathy. FAU - Moe, Gordon W AU - Moe GW AD - Department of Medicine, Division of Cardiology, St. Michael's Hospital, Terrence Donnelly Heart Center, University of Toronto, 30 Bond Street, Ontario, M5B1W8, Toronto, Canada FAU - Naik, George AU - Naik G FAU - Konig, Andrea AU - Konig A FAU - Lu, Xiangru AU - Lu X FAU - Feng, Qingping AU - Feng Q LA - eng PT - Journal Article PL - Switzerland TA - Pathophysiology JT - Pathophysiology : the official journal of the International Society for Pathophysiology JID - 9433813 EDAT- 2002/06/01 10:00 MHDA- 2002/06/01 10:01 CRDT- 2002/06/01 10:00 PHST- 2002/06/01 10:00 [pubmed] PHST- 2002/06/01 10:01 [medline] PHST- 2002/06/01 10:00 [entrez] AID - S0928468002000081 [pii] AID - 10.1016/s0928-4680(02)00008-1 [doi] PST - ppublish SO - Pathophysiology. 2002 Jun;8(3):183-192. doi: 10.1016/s0928-4680(02)00008-1.