PMID- 22800987 OWN - NLM STAT- MEDLINE DCOM- 20130110 LR - 20141120 IS - 1879-1220 (Electronic) IS - 0960-0760 (Linking) VI - 132 IP - 3-5 DP - 2012 Nov TI - The vitamin D receptor activator paricalcitol prevents fibrosis and diastolic dysfunction in a murine model of pressure overload. PG - 282-9 LID - S0960-0760(12)00124-0 [pii] LID - 10.1016/j.jsbmb.2012.06.004 [doi] AB - BACKGROUND: Activation of the vitamin D-vitamin D receptor (VDR) axis has been shown to reduce blood pressure and left ventricular (LV) hypertrophy. Besides cardiac hypertrophy, cardiac fibrosis is a key element of adverse cardiac remodeling. We hypothesized that activation of the VDR by paricalcitol would prevent fibrosis and LV diastolic dysfunction in an established murine model of cardiac remodeling. METHODS: Mice were subjected to transverse aortic constriction (TAC) to induce cardiac hypertrophy. Mice were treated with paricalcitol, losartan, or a combination of both for a period of four consecutive weeks. RESULTS: The fixed aortic constriction caused similar increase in blood pressure, both in untreated and paricalcitol- or losartan-treated mice. TAC significantly increased LV weight compared to sham operated animals (10.2+/-0.7 vs. 6.9+/-0.3 mg/mm, p<0.05). Administration of either paricalcitol (10.5+/-0.7), losartan (10.8+/-0.4), or a combination of both (9.2+/-0.6) did not reduce LV weight. Fibrosis was significantly increased in mice undergoing TAC (5.9+/-1.0 vs. sham 2.4+/-0.8%, p<0.05). Treatment with losartan and paricalcitol reduced fibrosis (paricalcitol 1.6+/-0.3% and losartan 2.9+/-0.6%, both p<0.05 vs. TAC). This reduction in fibrosis in paricalcitol treated mice was associated with improved indices of LV contraction and relaxation, e.g. dPdtmax and dPdtmin and lower LV end diastolic pressure, and relaxation constant Tau. Also, treatment with paricalcitol and losartan reduced mRNA expression of ANP, fibronectin, collagen III and TIMP-1. DISCUSSION: Treatment with the selective VDR activator paricalcitol reduces myocardial fibrosis and preserves diastolic LV function due to pressure overload in a mouse model. This is associated with a reduced percentage of fibrosis and a decreased expression of ANP and several other tissue markers. CI - Copyright (c) 2012 Elsevier Ltd. All rights reserved. FAU - Meems, Laura M G AU - Meems LM AD - Department of Cardiology, University of Groningen, University Medical Center Groningen, P.O. Box 30.001, Postal code AB43, 9700 RB Groningen, The Netherlands. FAU - Cannon, Megan V AU - Cannon MV FAU - Mahmud, Hasan AU - Mahmud H FAU - Voors, Adriaan A AU - Voors AA FAU - van Gilst, Wiek H AU - van Gilst WH FAU - Sillje, Herman H W AU - Sillje HH FAU - Ruifrok, Willem P T AU - Ruifrok WP FAU - de Boer, Rudolf A AU - de Boer RA LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20120716 PL - England TA - J Steroid Biochem Mol Biol JT - The Journal of steroid biochemistry and molecular biology JID - 9015483 RN - 0 (Collagen Type III) RN - 0 (Ergocalciferols) RN - 0 (Fibronectins) RN - 0 (Tissue Inhibitor of Metalloproteinase-1) RN - 6702D36OG5 (paricalcitol) RN - 85637-73-6 (Atrial Natriuretic Factor) RN - JMS50MPO89 (Losartan) SB - IM MH - Animals MH - Aorta/drug effects MH - Atrial Natriuretic Factor/genetics MH - Blood Pressure/drug effects MH - Collagen Type III/genetics MH - Disease Models, Animal MH - Ergocalciferols/*pharmacology MH - Fibronectins/genetics MH - Fibrosis/prevention & control MH - Gene Expression Regulation/drug effects MH - Hypertrophy, Left Ventricular/*drug therapy/etiology/pathology MH - Losartan/pharmacology MH - Male MH - Mice MH - Mice, Inbred C57BL MH - Myocardium/pathology MH - Tissue Inhibitor of Metalloproteinase-1/genetics MH - Ventricular Function, Left/drug effects MH - Ventricular Pressure MH - Ventricular Remodeling/*drug effects EDAT- 2012/07/18 06:00 MHDA- 2013/01/11 06:00 CRDT- 2012/07/18 06:00 PHST- 2012/02/15 00:00 [received] PHST- 2012/06/21 00:00 [revised] PHST- 2012/06/24 00:00 [accepted] PHST- 2012/07/18 06:00 [entrez] PHST- 2012/07/18 06:00 [pubmed] PHST- 2013/01/11 06:00 [medline] AID - S0960-0760(12)00124-0 [pii] AID - 10.1016/j.jsbmb.2012.06.004 [doi] PST - ppublish SO - J Steroid Biochem Mol Biol. 2012 Nov;132(3-5):282-9. doi: 10.1016/j.jsbmb.2012.06.004. Epub 2012 Jul 16.