PMID- 22556331 OWN - NLM STAT- MEDLINE DCOM- 20121009 LR - 20220331 IS - 1524-4636 (Electronic) IS - 1079-5642 (Linking) VI - 32 IP - 8 DP - 2012 Aug TI - Brain-derived neurotrophic factor protects against cardiac dysfunction after myocardial infarction via a central nervous system-mediated pathway. PG - 1902-9 LID - 10.1161/ATVBAHA.112.248930 [doi] AB - OBJECTIVE: The central nervous system is thought to influence the regulation of the cardiovascular system in response to humoral and neural signals from peripheral tissues, but our understanding of the molecular mechanisms involved is still quite limited. METHODS AND RESULTS: Here, we demonstrate a central nervous system-mediated mechanism by which brain-derived neurotrophic factor (BDNF) has a protective effect against cardiac remodeling after myocardial infarction (MI). We generated conditional BDNF knockout mice, in which expression of BDNF was systemically reduced, by using the inducible Cre-loxP system. Two weeks after MI was induced surgically in these mice, systolic function was significantly impaired and cardiac size was markedly increased in conditional BDNF knockout mice compared with controls. Cardiomyocyte death was increased in these mice, along with decreased expression of survival molecules. Deletion of the BDNF receptor (tropomyosin-related kinase B) from the heart also led to the exacerbation of cardiac dysfunction after MI. The plasma levels of BDNF were markedly increased after MI, and this increase was associated with the upregulation of BDNF expression in the brain, but not in the heart. Ablation of afferent nerves from the heart or genetic disruption of neuronal BDNF expression inhibited the increase of plasma BDNF after MI and led to the exacerbation of cardiac dysfunction. Peripheral administration of BDNF significantly restored the cardiac phenotype of neuronal BDNF-deficient mice. CONCLUSIONS: These results suggest that BDNF expression is upregulated by neural signals from the heart after MI and then protects the myocardium against ischemic injury. FAU - Okada, Sho AU - Okada S AD - Department of Cardiovascular Science and Medicine, Chiba University Graduate School of Medicine, 1-8-1 Inohana, Chuo-ku, Chiba 260-8670, Japan. FAU - Yokoyama, Masataka AU - Yokoyama M FAU - Toko, Haruhiro AU - Toko H FAU - Tateno, Kaoru AU - Tateno K FAU - Moriya, Junji AU - Moriya J FAU - Shimizu, Ippei AU - Shimizu I FAU - Nojima, Aika AU - Nojima A FAU - Ito, Takashi AU - Ito T FAU - Yoshida, Yohko AU - Yoshida Y FAU - Kobayashi, Yoshio AU - Kobayashi Y FAU - Katagiri, Hideki AU - Katagiri H FAU - Minamino, Tohru AU - Minamino T FAU - Komuro, Issei AU - Komuro I LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20120503 PL - United States TA - Arterioscler Thromb Vasc Biol JT - Arteriosclerosis, thrombosis, and vascular biology JID - 9505803 RN - 0 (Brain-Derived Neurotrophic Factor) RN - EC 2.7.10.1 (Receptor, trkB) SB - IM CIN - Arterioscler Thromb Vasc Biol. 2012 Aug;32(8):1749-50. PMID: 22815337 MH - Animals MH - Brain/*physiology MH - Brain-Derived Neurotrophic Factor/blood/*physiology MH - Mice MH - Mice, Knockout MH - Myocardial Infarction/*physiopathology MH - Receptor, trkB/physiology MH - Signal Transduction MH - Systole MH - Ventricular Remodeling EDAT- 2012/05/05 06:00 MHDA- 2012/10/10 06:00 CRDT- 2012/05/05 06:00 PHST- 2012/05/05 06:00 [entrez] PHST- 2012/05/05 06:00 [pubmed] PHST- 2012/10/10 06:00 [medline] AID - ATVBAHA.112.248930 [pii] AID - 10.1161/ATVBAHA.112.248930 [doi] PST - ppublish SO - Arterioscler Thromb Vasc Biol. 2012 Aug;32(8):1902-9. doi: 10.1161/ATVBAHA.112.248930. Epub 2012 May 3.