PMID- 18753699 OWN - NLM STAT- MEDLINE DCOM- 20081231 LR - 20211203 IS - 1346-9843 (Print) IS - 1346-9843 (Linking) VI - 72 IP - 10 DP - 2008 Oct TI - Angiotensin-receptor blockade reduces border zone myocardial monocyte chemoattractant protein-1 expression and macrophage infiltration in post-infarction ventricular remodeling. PG - 1685-92 AB - BACKGROUND: Monocyte chemoattractant protein-1 (MCP-1) is a key mediator of left ventricular (LV) remodeling during the early phase of myocardial infarction (MI). The hypothesis tested was that myocardial MCP-1 expression would increase during the chronic phase of MI and an angiotensin-II type 1 receptor blocker (ARB) would attenuate macrophage infiltration through decreased myocardial MCP-1 expression. METHODS AND RESULTS: MI was produced by ligation of the left coronary artery in Wistar rats, which were then randomized to treatment with vehicle (MI/C), candesartan (10 mg.kg(-1).day(-1)) for 6 weeks (MI/ARB0-6W), or candesartan for 2 weeks, starting 4 weeks after MI (MI/ARB4-6W). LV systolic and end-diastolic pressures 6 weeks after MI were decreased in MI/ARB0-6W compared with MI/C or MI/ARB4-6W, however, there were no differences in other hemodynamic or echocardiographic parameters among infarcted rat groups. Both long- and short-term treatments with ARB similarly reduced mRNA expressions of MCP-1, transforming growth factor-beta1, and procollagen type I and III, macrophage infiltration, and myocardial fibrosis in the border zone. CONCLUSIONS: In post-MI heart failure, ARB attenuated MCP-1 expression and macrophage infiltration in the border zone, resulting in less myocardial fibrosis. ARB may exert its beneficial effect, at least in part, by inhibiting myocardial macrophage-related inflammation. FAU - Kohno, Takashi AU - Kohno T AD - Division of Cardiology, Department of Medicine, Keio University School of Medicine, Tokyo, Japan. FAU - Anzai, Toshihisa AU - Anzai T FAU - Naito, Kotaro AU - Naito K FAU - Sugano, Yasuo AU - Sugano Y FAU - Maekawa, Yuichiro AU - Maekawa Y FAU - Takahashi, Toshiyuki AU - Takahashi T FAU - Yoshikawa, Tsutomu AU - Yoshikawa T FAU - Ogawa, Satoshi AU - Ogawa S LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20080828 PL - Japan TA - Circ J JT - Circulation journal : official journal of the Japanese Circulation Society JID - 101137683 RN - 0 (Angiotensin II Type 1 Receptor Blockers) RN - 0 (Angiotensin Receptor Antagonists) RN - 0 (Benzimidazoles) RN - 0 (Biphenyl Compounds) RN - 0 (Ccl2 protein, rat) RN - 0 (Chemokine CCL2) RN - 0 (DNA Primers) RN - 0 (RNA, Messenger) RN - 0 (Tetrazoles) RN - 63231-63-0 (RNA) RN - 9007-34-5 (Collagen) RN - S8Q36MD2XX (candesartan) SB - IM MH - Angiotensin II Type 1 Receptor Blockers/*therapeutic use MH - *Angiotensin Receptor Antagonists MH - Animals MH - Benzimidazoles/*therapeutic use MH - Biphenyl Compounds MH - Chemokine CCL2/*genetics MH - Collagen/metabolism MH - DNA Primers MH - Disease Models, Animal MH - Male MH - Myocardial Infarction/*pathology/prevention & control MH - RNA/genetics MH - RNA, Messenger/genetics MH - Rats MH - Rats, Wistar MH - Reverse Transcriptase Polymerase Chain Reaction MH - Tetrazoles/*therapeutic use MH - Ventricular Remodeling/drug effects/*physiology EDAT- 2008/08/30 09:00 MHDA- 2009/01/01 09:00 CRDT- 2008/08/30 09:00 PHST- 2008/08/30 09:00 [pubmed] PHST- 2009/01/01 09:00 [medline] PHST- 2008/08/30 09:00 [entrez] AID - JST.JSTAGE/circj/CJ-08-0115 [pii] AID - 10.1253/circj.cj-08-0115 [doi] PST - ppublish SO - Circ J. 2008 Oct;72(10):1685-92. doi: 10.1253/circj.cj-08-0115. Epub 2008 Aug 28.