Upregulation of Heme Oxygenase-1 in an Animal Model of Takotsubo Cardiomyopathy

  • Ueyama Takashi
    Department of Anatomy and Cell Biology, Wakayama Medical University School of Medicine
  • Kawabe Tetsuya
    Center for Educational Research and Development, Wakayama Medical University School of Medicine
  • Hano Takuzo
    Center for Educational Research and Development, Wakayama Medical University School of Medicine
  • Tsuruo Yoshihiro
    Department of Anatomy and Cell Biology, Wakayama Medical University School of Medicine
  • Ueda Kazuki
    Second Department of Internal Medicine, Wakayama Medical University School of Medicine
  • Ichinose Masao
    Second Department of Internal Medicine, Wakayama Medical University School of Medicine
  • Kimura Hiroko
    Department of Forensic Medicine, Juntendo University School of Medicine
  • Yoshida Ken-ichi
    Department of Legal Medicine, Graduate School of Medicine, University of Tokyo

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Abstract

Background: Disturbance of the coronary microcirculation and catecholamine intoxication, which may be responsible for the pathogenesis of takotsubo cardiomyopathy, could trigger an oxidative stress response in the heart. Methods and Results: Expression and localization of inducible heme oxygenase-1 (HO-1), which is an oxidative stress-related factor in the heart of immobilization stressed (IMO) rats, an animal model of takotsubo cardiomyopathy, were investigated by real-time reverse transcriptase-polymerase chain reaction and in situ hybridization histochemistry and immunohistochemistry. In response to IMO, the levels of HO-1 mRNA in the heart and in the aorta were slightly increased at 90 min, and increased 3-fold at 3 h compared with control levels. The signals for HO-1 mRNA were expressed on scatted cells in the myocardium and aortic adventitia. Double fluorescence immunohistochemistry showed that HO-1 immunoreactive cells were also ED1 and ED2 positive, indicating that they were macrophages. The numbers of ED1 and ED2 positive cells were constant, whereas the number of HO-1 positive cells was increased 5-fold at 6 h compared with control levels. Blocking of α- and β-adrenoceptors attenuated IMO-induced upregulation of HO-1 mRNA levels in the heart. Conclusions: Emotional stress and a surge of catecholamine upregulate HO-1 in the cardiac and aortic macrophages. (Circ J 2009; 73: 1141-1146)<br>

Journal

  • Circulation Journal

    Circulation Journal 73 (6), 1141-1146, 2009

    The Japanese Circulation Society

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