PMID- 32605184 OWN - NLM STAT- MEDLINE DCOM- 20210319 LR - 20210319 IS - 1422-0067 (Electronic) IS - 1422-0067 (Linking) VI - 21 IP - 13 DP - 2020 Jun 28 TI - Early Elevation of Systemic Plasma Clusterin after Reperfused Acute Myocardial Infarction in a Preclinical Porcine Model of Ischemic Heart Disease. LID - 10.3390/ijms21134591 [doi] LID - 4591 AB - Clusterin exerts anti-inflammatory, cytoprotective and anti-apoptotic effects. Both an increase and decrease of clusterin in acute myocardial infarction (AMI) has been reported. We aimed to clarify the role of clusterin as a systemic biomarker in AMI. AMI was induced by percutaneous left anterior artery (LAD) occlusion for 90 min followed by reperfusion in 24 pigs. Contrast ventriculography was performed after reperfusion to assess left ventricular ejection fraction (LVEF), left ventricular end diastolic volume (LVEDV) and left ventricular end systolic volume (LVESV) and additional cMRI + late enhancement to measure infarct size and LV functions at day 3 and week 6 post-MI. Blood samples were collected at prespecified timepoints. Plasma clusterin and other biomarkers (cTnT, NT-proBNP, neprilysin, NGAL, ET-1, osteopontin, miR21, miR29) were measured by ELISA and qPCR. Gene expression profiles of infarcted and remote region 3 h (n = 5) and 3 days (n = 5) after AMI onset were analysed by RNA-sequencing. AMI led to an increase in LVEDV and LVESV during 6-week, with concomitant elevation of NT-proBNP 3-weeks after AMI. Plasma clusterin levels were increased immediately after AMI and returned to normal levels until 3-weeks. Plasma NGAL, ET-1 and miR29 was significantly elevated at 3 weeks follow-up, miR21 increased after reperfusion and at 3 weeks post-AMI, while circulating neprilysin levels did not change. Elevated plasma clusterin levels 120 min after AMI onset suggest that clusterin might be an additional early biomarker of myocardial ischemia. FAU - Traxler, Denise AU - Traxler D AD - Division of Cardiology, Department of Internal Medicine II, Medical University of Vienna, 1090 Vienna, Austria. FAU - Spannbauer, Andreas AU - Spannbauer A AD - Division of Cardiology, Department of Internal Medicine II, Medical University of Vienna, 1090 Vienna, Austria. FAU - Einzinger, Patrick AU - Einzinger P AD - Institute of Information Systems Engineering, Research Unit of Information and Software Engineering, Vienna University of Technology, 1040 Vienna, Austria. FAU - Mester-Tonczar, Julia AU - Mester-Tonczar J AD - Division of Cardiology, Department of Internal Medicine II, Medical University of Vienna, 1090 Vienna, Austria. FAU - Lukovic, Dominika AU - Lukovic D AD - Division of Cardiology, Department of Internal Medicine II, Medical University of Vienna, 1090 Vienna, Austria. FAU - Winkler, Johannes AU - Winkler J AD - Division of Cardiology, Department of Internal Medicine II, Medical University of Vienna, 1090 Vienna, Austria. FAU - Zlabinger, Katrin AU - Zlabinger K AD - Division of Cardiology, Department of Internal Medicine II, Medical University of Vienna, 1090 Vienna, Austria. FAU - Gugerell, Alfred AU - Gugerell A AD - Division of Cardiology, Department of Internal Medicine II, Medical University of Vienna, 1090 Vienna, Austria. FAU - Mandic, LJubica AU - Mandic L AD - Division of Cardiology, Department of Internal Medicine II, Medical University of Vienna, 1090 Vienna, Austria. FAU - Gyongyosi, Mariann AU - Gyongyosi M AD - Division of Cardiology, Department of Internal Medicine II, Medical University of Vienna, 1090 Vienna, Austria. FAU - Pavo, Noemi AU - Pavo N AD - Division of Cardiology, Department of Internal Medicine II, Medical University of Vienna, 1090 Vienna, Austria. LA - eng PT - Journal Article DEP - 20200628 PL - Switzerland TA - Int J Mol Sci JT - International journal of molecular sciences JID - 101092791 RN - 0 (Clusterin) SB - IM MH - Animals MH - Clusterin/*blood MH - *Disease Models, Animal MH - Female MH - Myocardial Infarction/blood/*pathology/therapy MH - Myocardial Ischemia/blood/*pathology/therapy MH - Reperfusion MH - Stroke Volume MH - Swine MH - Transcriptome MH - Ventricular Remodeling PMC - PMC7369988 OTO - NOTNLM OT - NGS OT - acute myocardial infarction OT - clusterin OT - miRNAs COIS- The authors declare no conflict of interest. EDAT- 2020/07/02 06:00 MHDA- 2021/03/20 06:00 PMCR- 2020/07/01 CRDT- 2020/07/02 06:00 PHST- 2020/05/25 00:00 [received] PHST- 2020/06/14 00:00 [revised] PHST- 2020/06/23 00:00 [accepted] PHST- 2020/07/02 06:00 [entrez] PHST- 2020/07/02 06:00 [pubmed] PHST- 2021/03/20 06:00 [medline] PHST- 2020/07/01 00:00 [pmc-release] AID - ijms21134591 [pii] AID - ijms-21-04591 [pii] AID - 10.3390/ijms21134591 [doi] PST - epublish SO - Int J Mol Sci. 2020 Jun 28;21(13):4591. doi: 10.3390/ijms21134591.