Histone Deacetylase Inhibition Has Cardiac and Vascular Protective Effects in Rats with Pressure Overload Cardiac Hypertrophy
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Physiol. Res. 68: 727-737, 2019 https://doi.org/10.33549/physiolres.934110 Histone Deacetylase Inhibition has Cardiac and Vascular Protective Effects in Rats With Pressure Overload Cardiac Hypertrophy H. JUNG1*, E. LEE2,3,4,5*, I. KIM2,3,4,5, J. H. SONG6, G. J. KIM1 * These authors contributed equally to this work. 1Department of Thoracic and Cardiovascular Surgery, School of Medicine, Kyungpook National University, Kyungpook National University Hospital, Daegu, Republic of Korea, 2Department of Pharmacology, School of Medicine, Kyungpook National University, Daegu, Republic of Korea, 3BK21 PLUS KNU Biomedical Convergence Program, School of Medicine, Kyungpook National University, Daegu, Republic of Korea, 4Cardiovascular Research Institute, Kyungpook National University, Daegu, Republic of Korea, 5Cell and Matrix Research Institute, Kyungpook National University, Daegu, Republic of Korea, 6Division of Public Health Medical Service, Kyungpook National University Hospital, Daegu, Republic of Korea Received December 26, 2018 Accepted June 3, 2019 Epub Ahead of Print August 19, 2019 Summary Corresponding author Histone deacetylase (HDAC) inhibitors have shown beneficial G. J. Kim, Department of Thoracic and Cardiovascular Surgery, effects in animal models of cardiovascular diseases. We Kyungpook National University Hospital, Kyungpook National hypothesized that HDAC inhibitor, sodium valproate (VPA), has University, 130 Dongdeok-ro, Jung-gu, Daegu 41944, Republic of cardiac and vascular protective effects in rats with pressure Korea. E-mail: [email protected] overload cardiac hypertrophy induced by transverse aortic constriction (TAC). Sections of the heart were visualized after Introduction hematoxylin and eosin staining, picrosirius red staining and immunohistochemistry. The expression of genes related to Heart failure is a serious consequence of cardiac cardiac hypertrophy, fibrosis, and oxidative stress was hypertrophy, and it has no cure with current therapies, determined by quantitative real-time polymerase chain reaction. which only aim at delaying the disease progression (Ooi The aortic ring tension analysis was conducted using both the et al. 2015). Cardiac remodeling initially occurs by ascending aorta and descending thoracic aorta. TAC increased compensatory response to increased hemodynamic the expression of hypertrophic, fibrotic, and oxidative stress pressure overload, which initially alters the heart genes, which was attenuated by VPA. In the ascending aorta performance. This gradually decreases ventricular with intact endothelium, there was a significant decrease in the compliance together with cardiac hypertrophy in the left relaxation response, which was recovered by VPA treatment. ventricle (LV) and endothelial dysfunction, ultimately These results indicate that VPA has cardiac and vascular exceeds the limit of compensation, and eventually leads protective effects in rats with pressure overload cardiac to heart failure (Iyer et al. 2010). Thus, there is hypertrophy. a continuous effort to identify substances that can prevent or reverse cardiac remodeling in heart disease (Simko Key words et al. 2017). Cardiac hypertrophy • Fibrosis • Histone deacetylase inhibitors • Several studies have proved that angiotensin- Oxidative stress • Vascular endothelium • Ventricular remodeling converting enzyme inhibitors and angiotensin II type 1 receptor blockers improve hemodynamics under heart disease conditions by the dilatation of peripheral blood PHYSIOLOGICAL RESEARCH • ISSN 0862-8408 (print) • ISSN 1802-9973 (online) 2019 Institute of Physiology of the Czech Academy of Sciences, Prague, Czech Republic Fax +420 241 062 164, e-mail: [email protected], www.biomed.cas.cz/physiolres 728 Jung et al. Vol. 68 vessels, eventually reducing afterload. However, these disorder (Gurvich et al. 2004). Therefore, it will not be effects might be caused by the indirect effects on blood difficult to extend the therapeutic application of VPA to vessels, instead of direct regulation of cardiac remodeling cardiovascular diseases (Cho et al. 2010). Spontaneously (Chen et al. 1998). Histone deacetylase (HDAC) hypertensive rats, Dahl salt sensitive rats, and inhibitors, currently used as anti-tumor agents, act by the pharmacologically induced (such as DOCA-salt direct regulation of cardiac protective effect, providing hypertensive rats, angiotensin II infusion rats and a novel therapeutic strategy for heart diseases. Studies isoprenaline-induced cardiac hypertrophic rats) cardiac have shown the ability of various HDAC inhibitors in hypertrophic animal models take long period of time to different cardiac hypertrophic animal models. progress cardiac hypertrophy (Gomes et al. 2013). Trichostatin A, sodium valproate (VPA), and SK-7041 Meanwhile, transverse aortic constriction (TAC) with block cardiac hypertrophy in angiotensin Ⅱ infusion- well-established surgical technique induces pressure induced cardiac hypertrophic mice or rats (Kee et al. overload in the LV, and it was first described by 2006). VPA attenuates cardiac remodeling in Rockman et al. (1991). The sudden onset of systemic spontaneously hypertensive rats (Cardinale et al. 2010, hypertension achieved with TAC results in the rapid Kang et al. 2015). VPA (Iyer et al. 2010, Kee et al. 2013) development of LV hypertrophy, allowing the and CG200475 (Lee et al. 2016) suppress cardiac examination of influence of pharmacological or hypertrophy and fibrosis in DOCA-salt hypertensive rats. molecular interventions (Tavakoli et al. 2017). HDAC Palmatine (Yuan et al. 2017) and tubacin (Tao et al. inhibitor Trichostatin A (Ooi et al. 2015) and sodium 2016) attenuate isoprenaline-induced cardiac phenylbutyrate (Ma et al. 2016) have been examined in hypertrophic rats. TAC-induced pressure overload cardiac hypertrophic Both classes of HDACs, class I (1, 2, 3, and 8) rats. and class IIa (4, 5, 7, and 9), are associated with cardiac In the present study, we hypothesized that hypertrophy; however, these HDACs perform completely HDAC inhibitor, VPA, has cardiac and vascular opposite roles (Yoon and Eom 2016). The roles of the protective effects in the rat with pressure overload cardiac HDAC inhibitors in cardiac hypertrophy are being widely hypertrophy induced by TAC. studied. For example, the expression of HDAC2 is increased by palmatine in isoprenaline-induced Methods hypertrophic rat model (Yuan et al. 2017). In DOCA-salt induced hypertrophic heart rat model, the enzyme activity Animals of HDAC6 and HDAC8 was up-regulated, and their The investigation was conducted in accordance activities were inhibited by VPA (Kee et al. 2013). with the National Institutes of Health Guide for the Care Moreover, in hypertrophied heart of spontaneously and Use of Laboratory Animals and was approved by the hypertensive rats, VPA administration lowered global Institutional Review Board of Kyungpook National HDAC activity level compared with that in the respective University. Male Sprague-Dawley rats were housed in controls (Cardinale et al. 2010). HDAC inhibitors also a cage at 20-23 ℃ with a 12-h light/dark cycle. effectively block cardiac fibrosis. Mocetinostat Minimally invasive TAC was performed by the following (MGCD0103), class I HDAC and HDAC11 inhibitor, protocol (Tavakoli et al. 2017). Ten-week-old rats, reverse cardiac fibrosis in congestive heart failure model weighing 350-400 g, were placed in the supine position (Nural-Guvener et al. 2014). When treated with tubacin, under the effect of anesthesia containing a mixture of a class IIb HDAC (6 and 10) inhibitor, the expression of ketamine (150 mg/kg, intraperitoneally; Yuhan, Seoul, cardiac fibrosis marker genes was attenuated in Republic of Korea) and xylazine (18 mg/kg, isoprenaline-induced heart dysfunction rats (Tao et al. intraperitoneally; Bayer, Seoul, Republic of Korea). 2016). HDAC inhibitors show many beneficial effects Under sterile conditions, partial sternotomy was carefully that control heart failures. However, the definite performed not to rip the mediastinum pleura. The mechanisms of these effects remain elusive (McKinsey transverse aorta was tied with 5-0 silk suture using 2011). Taken together, pan-HDAC inhibitors are helpful a 22-gauge needle between the innominate artery and left for improving cardiac hypertrophy and fibrosis. common carotid artery. The needle was then immediately VPA, a short-chain branched fatty acid HDAC removed, forming a constricted transverse aorta (Luo inhibitor, is an anticonvulsant that is clinically widely et al. 2015). Sham-operated (sham) rats were subjected used in the treatment of seizure, migraine, and bipolar to the same procedure without tying the transverse aorta. 2019 Sodium Valproate has Cardiac and Vascular Protective Effects 729 After TAC and sham operation, the sternum was closed, the addition of 50 mmol/l KCl. Isometric responses were and the rats were allowed to recover overnight before recorded using a computerized data acquisition system being randomly assigned to one of the following four (PowerLab/8SP; AD Instruments, Castle Hill, NSW, groups: sham (n=6), sham plus VPA (n=6), TAC (n=6), Australia). Cumulative contractile responses were and TAC plus VPA (n=6). The rats had free access to determined after the serial addition of phenylephrine drinking water with or without 0.71 % VPA. The rats (PE). Cumulative vasorelaxant responses were were euthanized using pentobarbital sodium determined in the aortic rings with or without (ENTOBAR®, 0.5 ml/kg, intraperitoneally; Hanlim endothelium by