Search NEL Online

Comparative Study 2007; 28(4): 427-432 PubMed PMID: 17693973 Citation  Keywords:  Adipokines:blood, Adipose Tissue:metabolism, Angioplasty, Balloon, Coronary, Blood Glucose:metabolism, C-Reactive Protein:metabolism, Cholesterol, HDL:blood, Humans, Male, Middle Aged, Myocardial Infarction:blood, Obesity:blood, Regression Analysis, Risk .   

UNLABELLED: Adipose tissue appears to be a key regulator of CRP levels. C-reactive protein (CRP), a marker of systemic inflammation, predicts the occurrence of diabetes, the metabolic syndrome and atherosclerotic diseases. Adipokines, the proteins produced by adipocytes are additional factors thought to be involved in the chronic, subclinical inflammatory state of adiposity.

AIM: The aim of the study was to assess the impact of obesity on the blood CRP levels and the relation of CRP to coronary risk factors and adipokines in men with acute myocardial infarction (AMI).

METHODS: The study was performed in 37 obese (BMI> or =30) and 33 lean patients (BMI<25) with first AMI treated with percutaneous coronary intervention within the initial 6 hours of AMI. Clinical data, anthropometric measurements, biochemical parameters and blood adipokines concentration were analyzed.

RESULTS: Values of the following parameters were significantly higher in obese than in lean patients: CRP, fasting glucose, glucose at admission, leptin and resistin, whereas HDL-cholesterol and adiponectin levels were lower. In univariate regression analysis CRP was related to obesity, HDL-cholesterol, fasting glucose, glucose at admission and adipokines but only glucose at admission and resistin were the independent positive factors and adiponectin an independent negative factor associated with CRP levels (R2= 51.1%).

CONCLUSIONS: In the early stage of AMI inflammation is more pronounced in obese than in lean patients. The pleiotropic association between CRP and obesity, adipokines and cardiovascular risk factors might prove it to be an important link between inflammatory reaction and atherogenesis in which adipose tissue hormones are involved....

Read abstract  Full text PDF

Comparative Study 2007; 28(2): 182-186 PubMed PMID: 17435665 Citation  Keywords:  Adult, Aged, Gonadal Steroid Hormones:blood, Humans, Lipoproteins:blood, Male, Middle Aged, Myocardial Infarction:blood,.   

OBJECTIVE: To compare the serum levels of total testosterone(TT), free testosterone (FT), estradiol, sex hormone binding globulin (SHBG), and androstenedione (AS) in patients with acute myocardial infarction (AMI) at the time of hospitalization, patients with old myocardial infarction (OMI), and patients with normal coronary arteries (NC) admitted for diagnostic coronary angiography.

METHODS: Serum sex hormones and lipid profile were measured in 79 male patients; 30 patients with AMI, 21 patient with OMI and 28 patients with NC. Ages ranged from 33-68 years. Androstenedione, estrogen, both total and free testosterone levels were quantified using coat-a-count radioimmunoassay kits. Sex hormone binding globulin was analyzed using immunoradiometric assay (IRMA)-count kits.

RESULTS: The levels of serum estradiol in the AMI were significantly higher and serum levels of TT, FT, and SHBG were significantly lower in AMI than in OMI and NC but there was no difference found for the levels of AS in all groups. Estradiol level was also higher in OMI than in control group but no significant changes found for other sex hormones in OMI and control group. Also triglyceride, high density and low density lipoprotein in AMI were significantly different from that in OMI and control groups.

CONCLUSIONS: Serum estradiol and low density lipoprotein levels are increased but TT, FT and SHBG levels are decreased in men with AMI compared with patients with NC....

Read abstract  Full text PDF

Comparative Study 2006; 27(Suppl 2): 144-147 PubMed PMID: 17159801 Citation  Keywords:  Acetylcholine:pharmacology, Animals, Diabetes Mellitus, Experimental:complications, Diabetic Angiopathies:complications, Evoked Potentials:drug effects, Heart:drug effects, Male, Myocardial Ischemia:complications, Rats, Rats, Wistar, Reperfusion Injury:co.   

OBJECTIVES: To investigate the effect of acetylcholine (ACh) and ischaemia/reperfusion injury on functional changes and dysrhythmias of the isolated diabetic rat heart.

METHODS AND RESULTS: On retrogradely perfused hearts isolated from 10-week-old diabetic rats (streptozotocin 30 mg/kg b.w. for three consecutive days i.p.), two types of experiments were done: /1/ The effect of acetylcholine (ACh; 3 x 10(-7) mol/l) was evaluated both during and after infusion, and /2/ the influence of the ischaemia/reperfusion injury (I/R) was studied. At the end of both experiments the hearts were electrically stimulated to evoke sustained ventricular fibrillation (VF). An increase of coronary arterial pressure, bradycardia and decreased total number of severe dysrhythmias of both types, spontaneous and evoked ones, were recorded in the diabetic hearts. ACh increased the force of contraction (LVP) and induced vasoconstriction, which persisted in the diabetic hearts even after removal of ACh from the perfusion solution.

CONCLUSIONS: The isolated diabetic rat heart was more resistant against severe dysrhythmias. After washing out the ACh, the vasoconstriction of coronary arteries still lasted, along with increased inotropic effect on the left ventricle....

Read abstract

Comparative Study 2005; 26(6): 795-798 PubMed PMID: 16380688 Citation  Keywords:  Animals, Antioxidants:metabolism, Brain:enzymology, Glutathione:metabolism, Hyperthyroidism:metabolism, Lipid Peroxidation:physiology, Liver:enzymology, Male, Malondialdehyde:metabolism, Myocardium:enzymology, Pineal Gland:physiology, Rats, Rats, Sprague-.   

OBJECTIVE: Thyroid hormones regulate energy metabolism and act on the mitochondria, which is an important source of free radicals in the cell. Reactive oxygen types play a significant role in physiological mechanisms, but in excessive amounts they can cause oxidative damage in molecules. The aim of the present study was to determine levels of lipid peroxidation caused by induced hyperthyroidism in cerebral, hepatic and cardiac tissues of pinealectomized rats.

METHODS: Experimental animals used in the study were allocated to three groups as general control group, hyperthyroidism-sham pinealectomy group and hyperthyroidism-pinealectomy group. GSH and MDA levels in cerebral, hepatic and cardiac tissues were evaluated at the end of the 3-week study period.

RESULTS: It was found that MDA levels in cerebral, hepatic and cardiac tissues were the highest in hyperthyroidism and pinealectomy group and that these values were higher in hyperthyroidism-sham pinealectomy group than in the control group (p<0.001). It was seen that tissue GSH levels significantly increased in hyperthyroidism-sham pinealectomy group (p<0.001) and that the increase in hyperthyroidism and pinealectomy group was higher than the increase in the control group only (p<0.001).

CONCLUSION: Results of our study show that MDA and GSH levels in cerebral, hepatic and cardiac tissues increased due to hyperthyroidism and that the increase in MDA levels became more evident and GSH levels were significantly suppressed after pinealectomy....

Read abstract  Full text PDF

Comparative Study 2004; 25(1-2): 87-93 PubMed PMID: 15159690 Citation  Keywords:  Animals, Cerebral Cortex:metabolism, DNA, Complementary:analysis, Dipeptides:physiology, Female, Gene Expression, Gene Expression Profiling, Melatonin:physiology, Mice, Mice, Inbred CBA, Myocardium:metabolism, Oligonucleotide Array Sequence Analysis, Olig.   

OBJECTIVES: Aging is associated with significant alterations in gene expression in numerous organs and tissues. Anti-aging therapy with peptide bioregulators holds much promise for the correction of age-associated changes, making a screening for their molecular targets in tissues an important question of modern gerontology. The synthetic tetrapeptide Cortagen (Ala-Glu-Asp-Pro) was obtained by directed synthesis based on amino acid analysis of natural brain cortex peptide preparation Cortexin. In humans, Cortagen demonstrated a pronounced therapeutic effect upon the structural and functional posttraumatic recovery of peripheral nerve tissue. Importantly, other effects were also observed in cardiovascular and cerebrovascular parameters.

DESIGN: Based on these latter observations, we hypothesized that acute course of Cortagen treatment, large-scale transcriptome analysis, and identification of transcripts with altered expression in heart would facilitate our understanding of the mechanisms responsible for this peptide biological effects. We therefore analyzed the expression of 15,247 transcripts in the heart of female 6-months CBA mice receiving injections of Cortagen for 5 consecutive days was studied by cDNA microarrays.

RESULTS: Comparative analysis of cDNA microarray hybridisation with heart samples from control and experimental group revealed 234 clones (1,53% of the total number of clones) with significant changes of expression that matched 110 known genes belonging to various functional categories. Maximum up- and down-regulation was +5.42 and -2.86, respectively.

CONCLUSION: Intercomparison of changes in cardiac expression profile induced by synthetic peptides (Cortagen, Vilon, Epitalon) and pineal peptide hormone melatonin revealed both common and specific effects of Cortagen upon gene expression in heart....

Read abstract  Full text PDF

Journal Article 2003; 24(5): 355-380 PubMed PMID: 14647013 Citation  Keywords:  Circadian Rhythm, Epilepsy:physiopathology, Humans, Models, Biological, Myocardial Infarction:physiopathology,.   

...

Read abstract  Full text PDF

Comparative Study 2002; 23(5-6): 391-395 PubMed PMID: 12500159 Citation  Keywords:  Animals, Coloring Agents, Cytoprotection:drug effects, DNA:analysis, Disease Models, Animal, Drug Evaluation, Preclinical, Drug Therapy, Combination, Growth Hormone:therapeutic use, Heart:drug effects, Male, Melatonin:therapeutic use, Myocardial Infarctio.   

OBJECTIVE: To examine the cytoprotective effect of melatonin or recombinant human growth hormone (hGH) on the early phase of a running myocardial infarction in rats by using the Feulgen staining.

METHODS: Rats were subjected to surgical ligature of the left coronary artery or its sham-operation and were studied 1.5 3 h later. Melatonin was administered in the drinking water (100 microg/ml water) for 7 days before surgery. Recombinant hGH (2 IU/kg) was given ip at the time of surgery. Feulgen-stained histological cardiac sections were examined by light microscopy and image analysis.

RESULTS: Infarcted rats receiving vehicle exhibited large, diffuse cardiac lesions with a marked positivity for Feulgen reaction. About 18 20% of the total area recorded became injured 1.5 or 3 h after infarction, respectively. Infarcted rats treated with melatonin or hGH, or the combination of both, and killed 3 h after surgery, showed cardiac sections with scattered lesions and only a few isolated injured muscle fibers. A similar effectiveness of melatonin and hGH, alone or in combination, to decrease injured area by 86 87% and the number of cardiac lesions by 75 80% was observed.

CONCLUSION: A significant cytoprotective effect of melatonin or hGH is demonstrable in an early phase of myocardial infarction in rats....

Read abstract  Full text PDF

Journal Article 2002; 23(2): 133-140 PubMed PMID: 12011799 Citation  Keywords:  Biomarkers, Bites and Stings:complications, Child, Creatine Kinase:blood, Creatine Kinase, MB Form, Female, Heart Diseases:etiology, Humans, Interleukin-8:blood, Isoenzymes:blood, L-Lactate Dehydrogenase:blood, Male, Myocardium:metabolism, Scorpion Venoms.   

OBJECTIVES: (1) To investigate the significance of assessment of serum levels of cardiac troponin I (cTnI) and interleukin-8 (IL-8) beside other biomarkers of myocardial injury in scorpion envenomed children. (2) To find the correlation between these biochemical indices with clinical status, prognosis and outcome of these cases.

METHODS: Forty-one children in Upper Egypt were admitted to Pediatric Intensive Care Unit, Assiut University Hospital, for scorpion envenomation. They were compared with fifteen apparently healthy children of matching age as controls. The victims and controls were subjected to complete clinical examination, full blood count and arterial blood gases analysis. According to severity of scorpion envenomation, 17 children had manifestations of severe envenomation and clinical signs of toxic myocarditis (severe cases), 14 children had moderate manifestations of envenomation without clinical evidence of carditis (moderate cases) and 10 cases showing only mild symptoms of envenomation (mild cases). The serum levels of cTnI and IL-8 beside the enzymatic activities of creatine phosphokinase (CPK), CPK-MB isoenzyme (CPK-MB) and lactate dehydrogenase (LDH) were determined once for mild cases and controls on admission and twice for severe and moderate cases on admission and after 24 hrs. The measurements of electrocardiography (ECG), echocardiographic measurement of % fractional shortening of left ventricule (%SF), left ventricular ejection fraction (LVEF) and cardiac chambers dilatation were done for severe and moderate cases.

RESULTS: All the envenomed victims showed significantly higher mean values of CPK, CPK-MB, LDH, and IL-8 on admission in comparison to control group. cTnI was not detectable in the sera of control group as well as patients with mild envenomation. The mean values of CPK, CPK-MB, LDH, and IL-8 were significantly higher in severe cases while only IL-8 and CPK-MB were significantly higher in moderate cases in comparison with mild cases. The mean values of IL-8, cTnI, CPK, CPK-MB and LDH were significantly higher in severe cases both on admission and on follow-up comparing with moderate cases. The case fatality rate was 12.5% and all were from severe cases with toxic myocarditis (5/41=12.5%). The non-survivors victims showed significant higher mean values of only cTnI on admission and both cTnI and IL-8 on follow up in comparison to the survivors. Significant reduction of % SF and LVEF were noticed among the non-survivors in comparison to survivors. The cTnI showed 100% specificity and sensitivity for diagnosis of myocardial injury in relation to Echo finding in the envenomed victims. In severe cases, cTnI was positively correlated with IL-8 while negatively correlated with %SF and LVEF.

CONCLUSION: it may be suggested that cTnI is the most specific marker for diagnosis of myocardial injury in scorpion envenomation, which is almost associated with skeletal muscle injury. Other biochemical markers did not show such specificity. Also, IL-8 may be involved in the pathogenesis of myocardial injury of scorpion envenomation. Both cTnI and IL-8 may be useful to forecast the fatal outcome in scorpion envenomation....

Read abstract