Right ventricular myocardial oxygen tension is reduced in monocrotaline-induced pulmonary hypertension in the rat and restored by myo-inositol trispyrophosphate

Abstract Pulmonary hypertension (PH) initially results in compensatory right ventricular (RV) hypertrophy, but eventually in RV failure. This transition is poorly understood, but may be triggered by hypoxia. Measurements of RV oxygen tension (pO2) in PH are lacking. We hypothesized that RV hypoxia o...

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Main Authors: Marta Oknińska, Zuzanna Zambrowska, Karolina Zajda, Aleksandra Paterek, Klaudia Brodaczewska, Urszula Mackiewicz, Cezary Szczylik, Adam Torbicki, Claudine Kieda, Michał Mączewski
Format: Article
Language:English
Published: Nature Portfolio 2021-09-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-021-97470-6
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author Marta Oknińska
Zuzanna Zambrowska
Karolina Zajda
Aleksandra Paterek
Klaudia Brodaczewska
Urszula Mackiewicz
Cezary Szczylik
Adam Torbicki
Claudine Kieda
Michał Mączewski
author_facet Marta Oknińska
Zuzanna Zambrowska
Karolina Zajda
Aleksandra Paterek
Klaudia Brodaczewska
Urszula Mackiewicz
Cezary Szczylik
Adam Torbicki
Claudine Kieda
Michał Mączewski
author_sort Marta Oknińska
collection DOAJ
description Abstract Pulmonary hypertension (PH) initially results in compensatory right ventricular (RV) hypertrophy, but eventually in RV failure. This transition is poorly understood, but may be triggered by hypoxia. Measurements of RV oxygen tension (pO2) in PH are lacking. We hypothesized that RV hypoxia occurs in monocrotaline-induced PH in rats and that myo-inositol trispyrophosphate (ITPP), facilitating oxygen dissociation from hemoglobin, can relieve it. Rats received monocrotaline (PH) or saline (control) and 24 days later echocardiograms, pressure–volume loops were obtained and myocardial pO2 was measured using a fluorescent probe. In PH mean pulmonary artery pressure more than doubled (35 ± 5 vs. 15 ± 2 in control), RV was hypertrophied, though its contractility was augmented. RV and LV pO2 was 32 ± 5 and 15 ± 8 mmHg, respectively, in control rats. In PH RV pO2 was reduced to 18 ± 9 mmHg, while LV pO2 was unchanged. RV pO2 correlated with RV diastolic wall stress (negatively) and LV systolic pressure (positively). Acute ITPP administration did not affect RV or LV pO2 in control animals, but increased RV pO2 to 26 ± 5 mmHg without affecting LV pO2 in PH. RV oxygen balance is impaired in PH and as such can be an important target for PH therapy. ITPP may be one of such potential therapies.
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spelling doaj.art-0b15f5e2c3e6497c9e8a624d3a1b79f02022-12-21T19:27:06ZengNature PortfolioScientific Reports2045-23222021-09-011111910.1038/s41598-021-97470-6Right ventricular myocardial oxygen tension is reduced in monocrotaline-induced pulmonary hypertension in the rat and restored by myo-inositol trispyrophosphateMarta Oknińska0Zuzanna Zambrowska1Karolina Zajda2Aleksandra Paterek3Klaudia Brodaczewska4Urszula Mackiewicz5Cezary Szczylik6Adam Torbicki7Claudine Kieda8Michał Mączewski9Department of Clinical Physiology, Centre of Postgraduate Medical EducationDepartment of Clinical Physiology, Centre of Postgraduate Medical EducationLaboratory of Molecular Oncology and Innovative Therapies, Military Institute of MedicineDepartment of Clinical Physiology, Centre of Postgraduate Medical EducationLaboratory of Molecular Oncology and Innovative Therapies, Military Institute of MedicineDepartment of Clinical Physiology, Centre of Postgraduate Medical EducationDepartment of Oncology, Centre of Postgraduate Medical EducationDepartment of Pulmonary Circulation, Thromboembolic Diseases and Cardiology, Centre of Postgraduate Medical EducationLaboratory of Molecular Oncology and Innovative Therapies, Military Institute of MedicineDepartment of Clinical Physiology, Centre of Postgraduate Medical EducationAbstract Pulmonary hypertension (PH) initially results in compensatory right ventricular (RV) hypertrophy, but eventually in RV failure. This transition is poorly understood, but may be triggered by hypoxia. Measurements of RV oxygen tension (pO2) in PH are lacking. We hypothesized that RV hypoxia occurs in monocrotaline-induced PH in rats and that myo-inositol trispyrophosphate (ITPP), facilitating oxygen dissociation from hemoglobin, can relieve it. Rats received monocrotaline (PH) or saline (control) and 24 days later echocardiograms, pressure–volume loops were obtained and myocardial pO2 was measured using a fluorescent probe. In PH mean pulmonary artery pressure more than doubled (35 ± 5 vs. 15 ± 2 in control), RV was hypertrophied, though its contractility was augmented. RV and LV pO2 was 32 ± 5 and 15 ± 8 mmHg, respectively, in control rats. In PH RV pO2 was reduced to 18 ± 9 mmHg, while LV pO2 was unchanged. RV pO2 correlated with RV diastolic wall stress (negatively) and LV systolic pressure (positively). Acute ITPP administration did not affect RV or LV pO2 in control animals, but increased RV pO2 to 26 ± 5 mmHg without affecting LV pO2 in PH. RV oxygen balance is impaired in PH and as such can be an important target for PH therapy. ITPP may be one of such potential therapies.https://doi.org/10.1038/s41598-021-97470-6
spellingShingle Marta Oknińska
Zuzanna Zambrowska
Karolina Zajda
Aleksandra Paterek
Klaudia Brodaczewska
Urszula Mackiewicz
Cezary Szczylik
Adam Torbicki
Claudine Kieda
Michał Mączewski
Right ventricular myocardial oxygen tension is reduced in monocrotaline-induced pulmonary hypertension in the rat and restored by myo-inositol trispyrophosphate
Scientific Reports
title Right ventricular myocardial oxygen tension is reduced in monocrotaline-induced pulmonary hypertension in the rat and restored by myo-inositol trispyrophosphate
title_full Right ventricular myocardial oxygen tension is reduced in monocrotaline-induced pulmonary hypertension in the rat and restored by myo-inositol trispyrophosphate
title_fullStr Right ventricular myocardial oxygen tension is reduced in monocrotaline-induced pulmonary hypertension in the rat and restored by myo-inositol trispyrophosphate
title_full_unstemmed Right ventricular myocardial oxygen tension is reduced in monocrotaline-induced pulmonary hypertension in the rat and restored by myo-inositol trispyrophosphate
title_short Right ventricular myocardial oxygen tension is reduced in monocrotaline-induced pulmonary hypertension in the rat and restored by myo-inositol trispyrophosphate
title_sort right ventricular myocardial oxygen tension is reduced in monocrotaline induced pulmonary hypertension in the rat and restored by myo inositol trispyrophosphate
url https://doi.org/10.1038/s41598-021-97470-6
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