Myocardial infarction causes inflammation and leukocyte recruitment at remote sites in the myocardium and in the renal glomerulus

Rationale and Objective Acute myocardial infarction (AMI) results in the recruitment of leukocytes to injured myocardium. Additionally, myocardium remote to the infarct zone also becomes inflamed and is associated with adverse left ventricular remodelling. Renal ischaemic syndromes have been associa...

Full description

Bibliographic Details
Main Authors: Ruparelia, N, Digby, J, Jefferson, A, Medway, D, Neubauer, S, Lygate, C, Choudhury, R
Format: Journal article
Language:English
Published: 2013
_version_ 1797058409893199872
author Ruparelia, N
Digby, J
Jefferson, A
Medway, D
Neubauer, S
Lygate, C
Choudhury, R
author_facet Ruparelia, N
Digby, J
Jefferson, A
Medway, D
Neubauer, S
Lygate, C
Choudhury, R
author_sort Ruparelia, N
collection OXFORD
description Rationale and Objective Acute myocardial infarction (AMI) results in the recruitment of leukocytes to injured myocardium. Additionally, myocardium remote to the infarct zone also becomes inflamed and is associated with adverse left ventricular remodelling. Renal ischaemic syndromes have been associated with remote organ inflammation and impaired function. Here, we tested the hypothesis that AMI results in remote organ (renal) inflammation. Methods Mice were subjected to either AMI, sham procedure or no procedure and the inflammatory response in peripheral blood, injured and remote myocardium, and kidneys was studied at 24 h. Results AMI resulted in increased circulating neutrophils (P < 0.001) and monocytes (P < 0.001). mRNA for inflammatory mediators significantly increased in infarcted myocardium and in remote myocardium. VCAM-1 mRNA was increased in both infarcted and remote myocardium. VCAM-1 protein was also increased in the kidneys of AMI mice (P < 0.05) and immunofluorescence revealed localisation of VCAM-1 to glomeruli, associated with leukocyte infiltration and increased local inflammatory mRNA expression. Conclusions We conclude that in addition to local inflammation, AMI results in remote organ inflammation evidenced by (1) increased expression of mRNA for inflammatory cytokines, (2) marked upregulation of VCAM-1 in renal glomeruli, and (3) the recruitment and infiltration of leukocytes in the kidney. © The Author(s) 2013.
first_indexed 2024-03-06T19:50:08Z
format Journal article
id oxford-uuid:23b097f5-48a9-4997-90cc-c97cb146f1c6
institution University of Oxford
language English
last_indexed 2024-03-06T19:50:08Z
publishDate 2013
record_format dspace
spelling oxford-uuid:23b097f5-48a9-4997-90cc-c97cb146f1c62022-03-26T11:45:38ZMyocardial infarction causes inflammation and leukocyte recruitment at remote sites in the myocardium and in the renal glomerulusJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:23b097f5-48a9-4997-90cc-c97cb146f1c6EnglishSymplectic Elements at Oxford2013Ruparelia, NDigby, JJefferson, AMedway, DNeubauer, SLygate, CChoudhury, RRationale and Objective Acute myocardial infarction (AMI) results in the recruitment of leukocytes to injured myocardium. Additionally, myocardium remote to the infarct zone also becomes inflamed and is associated with adverse left ventricular remodelling. Renal ischaemic syndromes have been associated with remote organ inflammation and impaired function. Here, we tested the hypothesis that AMI results in remote organ (renal) inflammation. Methods Mice were subjected to either AMI, sham procedure or no procedure and the inflammatory response in peripheral blood, injured and remote myocardium, and kidneys was studied at 24 h. Results AMI resulted in increased circulating neutrophils (P < 0.001) and monocytes (P < 0.001). mRNA for inflammatory mediators significantly increased in infarcted myocardium and in remote myocardium. VCAM-1 mRNA was increased in both infarcted and remote myocardium. VCAM-1 protein was also increased in the kidneys of AMI mice (P < 0.05) and immunofluorescence revealed localisation of VCAM-1 to glomeruli, associated with leukocyte infiltration and increased local inflammatory mRNA expression. Conclusions We conclude that in addition to local inflammation, AMI results in remote organ inflammation evidenced by (1) increased expression of mRNA for inflammatory cytokines, (2) marked upregulation of VCAM-1 in renal glomeruli, and (3) the recruitment and infiltration of leukocytes in the kidney. © The Author(s) 2013.
spellingShingle Ruparelia, N
Digby, J
Jefferson, A
Medway, D
Neubauer, S
Lygate, C
Choudhury, R
Myocardial infarction causes inflammation and leukocyte recruitment at remote sites in the myocardium and in the renal glomerulus
title Myocardial infarction causes inflammation and leukocyte recruitment at remote sites in the myocardium and in the renal glomerulus
title_full Myocardial infarction causes inflammation and leukocyte recruitment at remote sites in the myocardium and in the renal glomerulus
title_fullStr Myocardial infarction causes inflammation and leukocyte recruitment at remote sites in the myocardium and in the renal glomerulus
title_full_unstemmed Myocardial infarction causes inflammation and leukocyte recruitment at remote sites in the myocardium and in the renal glomerulus
title_short Myocardial infarction causes inflammation and leukocyte recruitment at remote sites in the myocardium and in the renal glomerulus
title_sort myocardial infarction causes inflammation and leukocyte recruitment at remote sites in the myocardium and in the renal glomerulus
work_keys_str_mv AT ruparelian myocardialinfarctioncausesinflammationandleukocyterecruitmentatremotesitesinthemyocardiumandintherenalglomerulus
AT digbyj myocardialinfarctioncausesinflammationandleukocyterecruitmentatremotesitesinthemyocardiumandintherenalglomerulus
AT jeffersona myocardialinfarctioncausesinflammationandleukocyterecruitmentatremotesitesinthemyocardiumandintherenalglomerulus
AT medwayd myocardialinfarctioncausesinflammationandleukocyterecruitmentatremotesitesinthemyocardiumandintherenalglomerulus
AT neubauers myocardialinfarctioncausesinflammationandleukocyterecruitmentatremotesitesinthemyocardiumandintherenalglomerulus
AT lygatec myocardialinfarctioncausesinflammationandleukocyterecruitmentatremotesitesinthemyocardiumandintherenalglomerulus
AT choudhuryr myocardialinfarctioncausesinflammationandleukocyterecruitmentatremotesitesinthemyocardiumandintherenalglomerulus