PMID- 18262563 OWN - NLM STAT- MEDLINE DCOM- 20080417 LR - 20151119 IS - 0022-4804 (Print) IS - 0022-4804 (Linking) VI - 145 IP - 2 DP - 2008 Apr TI - Improved exercise capacity and reduced systemic inflammation after adenoviral-mediated SERCA-2a gene transfer. PG - 257-65 LID - 10.1016/j.jss.2007.03.081 [doi] AB - BACKGROUND: We hypothesized that sarcoplasmic reticulum Ca2+ ATPase pump (SERCA-2a) gene delivery would have beneficial effects upon exercise capacity and markers of inflammation in the setting of heart failure. MATERIALS AND METHODS: A pressure-overload model of experimental heart failure was used in rats. Following a decrease in fractional shortening of >or=25%, animals underwent intracoronary adenoviral-mediated gene transfection using SERCA-2a. Heart failure animals were randomized to receive the SERCA-2a gene, the beta galactosidase (control) gene, or followed without any further intervention. Exercise and hemodynamic testing were performed, and myocardial and systemic markers of inflammation were assayed after 7 and 21 d. RESULTS: Animals receiving Ad.SERCA-2a showed an increase in exercise tolerance (499.0 +/- 14.9 versus 312.8 +/- 10.5 s, P < 0.0001) relative to Ad.Gal group. Groups treated with Ad.SERCA-2a had significantly decreased serum levels of the inflammatory markers interleukin-1, interleukin-6, and tumor necrosis factor-alpha compared with Ad.Gal-treated animals. Serum levels of atrial natriuretic peptide were decreased in animals receiving Ad.SERCA-2a compared with animals receiving Ad.Gal at day 7 (0.35 +/- 0.03 versus 0.52 +/- 0.11 pg/mL, P = 0.001). Myocardial levels of the proapoptotic protein bax were reduced in Ad.SERCA-2a -treated animals compared with those receiving Ad.Gal at day 7 (protein level/actin: 0.24 +/- 0.05 versus 0.33 +/- 0.04, P = 0.04) and day 21 (protein level/actin: 0.61 +/- 0.04 versus 0.69 +/- 0.01, P = 0.001). CONCLUSIONS: Genetic modulation of heart failure using the SERCA-2a gene was associated with improvement in cardiac function and exercise capacity as well as improvements in heart-failure associated inflammatory markers. FAU - Gupta, Dipin AU - Gupta D AD - Department of Cardiac and Thoracic Surgery, Temple University School of Medicine, Philadelphia, Pennsylvania 19140, USA. FAU - Palma, Jon AU - Palma J FAU - Molina, Ezequiel AU - Molina E FAU - Gaughan, John P AU - Gaughan JP FAU - Long, Walter AU - Long W FAU - Houser, Steven AU - Houser S FAU - Macha, Mahender AU - Macha M LA - eng PT - Journal Article DEP - 20080211 PL - United States TA - J Surg Res JT - The Journal of surgical research JID - 0376340 RN - 0 (Biomarkers) RN - EC 3.6.3.8 (Sarcoplasmic Reticulum Calcium-Transporting ATPases) SB - IM MH - Adenoviridae/genetics MH - Animals MH - Apoptosis MH - Biomarkers/metabolism MH - Cardiomyopathies/immunology/physiopathology/therapy MH - Diastole MH - Genetic Therapy/*methods MH - Heart Failure/immunology/physiopathology/*therapy MH - Heart Rate MH - Inflammation/immunology/physiopathology/*therapy MH - Male MH - Myocardium/pathology MH - *Physical Conditioning, Animal MH - Rats MH - Rats, Sprague-Dawley MH - Sarcoplasmic Reticulum Calcium-Transporting ATPases/*genetics MH - Systole MH - Water-Electrolyte Imbalance EDAT- 2008/02/12 09:00 MHDA- 2008/04/18 09:00 CRDT- 2008/02/12 09:00 PHST- 2006/12/28 00:00 [received] PHST- 2007/03/21 00:00 [revised] PHST- 2007/03/24 00:00 [accepted] PHST- 2008/02/12 09:00 [pubmed] PHST- 2008/04/18 09:00 [medline] PHST- 2008/02/12 09:00 [entrez] AID - S0022-4804(07)00242-9 [pii] AID - 10.1016/j.jss.2007.03.081 [doi] PST - ppublish SO - J Surg Res. 2008 Apr;145(2):257-65. doi: 10.1016/j.jss.2007.03.081. Epub 2008 Feb 11.