Investigation of the Antihypertrophic and Antifibrotic Effects of Losartan in a Rat Model of Radiation-Induced Heart Disease

Radiation-induced heart disease (RIHD) is a potential late side-effect of thoracic radiotherapy resulting in left ventricular hypertrophy (LVH) and fibrosis due to a complex pathomechanism leading to heart failure. Angiotensin-II receptor blockers (ARBs), including losartan, are frequently used to c...

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Main Authors: Mónika Gabriella Kovács, Zsuzsanna Z. A. Kovács, Zoltán Varga, Gergő Szűcs, Marah Freiwan, Katalin Farkas, Bence Kővári, Gábor Cserni, András Kriston, Ferenc Kovács, Péter Horváth, Imre Földesi, Tamás Csont, Zsuzsanna Kahán, Márta Sárközy
Format: Article
Language:English
Published: MDPI AG 2021-11-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/22/23/12963
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author Mónika Gabriella Kovács
Zsuzsanna Z. A. Kovács
Zoltán Varga
Gergő Szűcs
Marah Freiwan
Katalin Farkas
Bence Kővári
Gábor Cserni
András Kriston
Ferenc Kovács
Péter Horváth
Imre Földesi
Tamás Csont
Zsuzsanna Kahán
Márta Sárközy
author_facet Mónika Gabriella Kovács
Zsuzsanna Z. A. Kovács
Zoltán Varga
Gergő Szűcs
Marah Freiwan
Katalin Farkas
Bence Kővári
Gábor Cserni
András Kriston
Ferenc Kovács
Péter Horváth
Imre Földesi
Tamás Csont
Zsuzsanna Kahán
Márta Sárközy
author_sort Mónika Gabriella Kovács
collection DOAJ
description Radiation-induced heart disease (RIHD) is a potential late side-effect of thoracic radiotherapy resulting in left ventricular hypertrophy (LVH) and fibrosis due to a complex pathomechanism leading to heart failure. Angiotensin-II receptor blockers (ARBs), including losartan, are frequently used to control heart failure of various etiologies. Preclinical evidence is lacking on the anti-remodeling effects of ARBs in RIHD, while the results of clinical studies are controversial. We aimed at investigating the effects of losartan in a rat model of RIHD. Male Sprague-Dawley rats were studied in three groups: (1) control, (2) radiotherapy (RT) only, (3) RT treated with losartan (per os 10 mg/kg/day), and were followed for 1, 3, or 15 weeks. At 15 weeks post-irradiation, losartan alleviated the echocardiographic and histological signs of LVH and fibrosis and reduced the overexpression of chymase, connective tissue growth factor, and transforming growth factor-beta in the myocardium measured by qPCR; likewise, the level of the SMAD2/3 protein determined by Western blot decreased. In both RT groups, the pro-survival phospho-AKT/AKT and the phospho-ERK1,2/ERK1,2 ratios were increased at week 15. The antiremodeling effects of losartan seem to be associated with the repression of chymase and several elements of the TGF-β/SMAD signaling pathway in our RIHD model.
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spelling doaj.art-73344728c8fc424f8272582801ccd5e02023-11-23T02:31:13ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672021-11-0122231296310.3390/ijms222312963Investigation of the Antihypertrophic and Antifibrotic Effects of Losartan in a Rat Model of Radiation-Induced Heart DiseaseMónika Gabriella Kovács0Zsuzsanna Z. A. Kovács1Zoltán Varga2Gergő Szűcs3Marah Freiwan4Katalin Farkas5Bence Kővári6Gábor Cserni7András Kriston8Ferenc Kovács9Péter Horváth10Imre Földesi11Tamás Csont12Zsuzsanna Kahán13Márta Sárközy14Interdisciplinary Center of Excellence and MEDICS Research Group, Department of Biochemistry, Albert Szent-Györgyi Medical School, University of Szeged, H-6720 Szeged, HungaryInterdisciplinary Center of Excellence and MEDICS Research Group, Department of Biochemistry, Albert Szent-Györgyi Medical School, University of Szeged, H-6720 Szeged, HungaryDepartment of Oncotherapy, Albert Szent-Györgyi Medical School, University of Szeged, H-6720 Szeged, HungaryInterdisciplinary Center of Excellence and MEDICS Research Group, Department of Biochemistry, Albert Szent-Györgyi Medical School, University of Szeged, H-6720 Szeged, HungaryInterdisciplinary Center of Excellence and MEDICS Research Group, Department of Biochemistry, Albert Szent-Györgyi Medical School, University of Szeged, H-6720 Szeged, HungaryDepartment of Laboratory Medicine, Albert Szent-Györgyi Medical School, University of Szeged, H-6720 Szeged, HungaryDepartment of Pathology, Albert Szent-Györgyi Medical School, University of Szeged, H-6720 Szeged, HungaryDepartment of Pathology, Albert Szent-Györgyi Medical School, University of Szeged, H-6720 Szeged, HungarySynthetic and Systems Biology Unit, Biological Research Centre, Eötvös Loránd Research Network, H-6726 Szeged, HungarySynthetic and Systems Biology Unit, Biological Research Centre, Eötvös Loránd Research Network, H-6726 Szeged, HungarySynthetic and Systems Biology Unit, Biological Research Centre, Eötvös Loránd Research Network, H-6726 Szeged, HungaryDepartment of Laboratory Medicine, Albert Szent-Györgyi Medical School, University of Szeged, H-6720 Szeged, HungaryInterdisciplinary Center of Excellence and MEDICS Research Group, Department of Biochemistry, Albert Szent-Györgyi Medical School, University of Szeged, H-6720 Szeged, HungaryDepartment of Oncotherapy, Albert Szent-Györgyi Medical School, University of Szeged, H-6720 Szeged, HungaryInterdisciplinary Center of Excellence and MEDICS Research Group, Department of Biochemistry, Albert Szent-Györgyi Medical School, University of Szeged, H-6720 Szeged, HungaryRadiation-induced heart disease (RIHD) is a potential late side-effect of thoracic radiotherapy resulting in left ventricular hypertrophy (LVH) and fibrosis due to a complex pathomechanism leading to heart failure. Angiotensin-II receptor blockers (ARBs), including losartan, are frequently used to control heart failure of various etiologies. Preclinical evidence is lacking on the anti-remodeling effects of ARBs in RIHD, while the results of clinical studies are controversial. We aimed at investigating the effects of losartan in a rat model of RIHD. Male Sprague-Dawley rats were studied in three groups: (1) control, (2) radiotherapy (RT) only, (3) RT treated with losartan (per os 10 mg/kg/day), and were followed for 1, 3, or 15 weeks. At 15 weeks post-irradiation, losartan alleviated the echocardiographic and histological signs of LVH and fibrosis and reduced the overexpression of chymase, connective tissue growth factor, and transforming growth factor-beta in the myocardium measured by qPCR; likewise, the level of the SMAD2/3 protein determined by Western blot decreased. In both RT groups, the pro-survival phospho-AKT/AKT and the phospho-ERK1,2/ERK1,2 ratios were increased at week 15. The antiremodeling effects of losartan seem to be associated with the repression of chymase and several elements of the TGF-β/SMAD signaling pathway in our RIHD model.https://www.mdpi.com/1422-0067/22/23/12963onco-cardiologyradiation-induced heart diseasediastolic dysfunctionleft ventricular hypertrophyfibrosisheart failure
spellingShingle Mónika Gabriella Kovács
Zsuzsanna Z. A. Kovács
Zoltán Varga
Gergő Szűcs
Marah Freiwan
Katalin Farkas
Bence Kővári
Gábor Cserni
András Kriston
Ferenc Kovács
Péter Horváth
Imre Földesi
Tamás Csont
Zsuzsanna Kahán
Márta Sárközy
Investigation of the Antihypertrophic and Antifibrotic Effects of Losartan in a Rat Model of Radiation-Induced Heart Disease
International Journal of Molecular Sciences
onco-cardiology
radiation-induced heart disease
diastolic dysfunction
left ventricular hypertrophy
fibrosis
heart failure
title Investigation of the Antihypertrophic and Antifibrotic Effects of Losartan in a Rat Model of Radiation-Induced Heart Disease
title_full Investigation of the Antihypertrophic and Antifibrotic Effects of Losartan in a Rat Model of Radiation-Induced Heart Disease
title_fullStr Investigation of the Antihypertrophic and Antifibrotic Effects of Losartan in a Rat Model of Radiation-Induced Heart Disease
title_full_unstemmed Investigation of the Antihypertrophic and Antifibrotic Effects of Losartan in a Rat Model of Radiation-Induced Heart Disease
title_short Investigation of the Antihypertrophic and Antifibrotic Effects of Losartan in a Rat Model of Radiation-Induced Heart Disease
title_sort investigation of the antihypertrophic and antifibrotic effects of losartan in a rat model of radiation induced heart disease
topic onco-cardiology
radiation-induced heart disease
diastolic dysfunction
left ventricular hypertrophy
fibrosis
heart failure
url https://www.mdpi.com/1422-0067/22/23/12963
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