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2010 ; 53
(2
): 298-306
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Mechanisms of TNFalpha-induced cardiac dysfunction in cholestatic bile
duct-ligated mice: interaction between TNFalpha and endocannabinoids
#MMPMID20626112
Yang YY
; Liu H
; Nam SW
; Kunos G
; Lee SS
J Hepatol
2010[Aug]; 53
(2
): 298-306
PMID20626112
show ga
BACKGROUND & AIMS: Chronic liver disease is associated with endotoxemia,
oxidative stress, increased endocannabinoids and decreased cardiac
responsiveness. Endocannabinoids activate the tumor necrosis factor-alpha
(TNFalpha)-nuclear factor kappaB (NFkappaB) pathway. However, how they interact
with each other remains obscure. We therefore aimed to clarify the relationship
between the TNFalpha-NFkappaB pathway and endocannabinoids in the pathogenesis of
cardiodepression of cholestatic bile duct ligated (BDL) mice. METHODS: BDL mice
with TNFalpha knockout (TNFalpha-/-) and infusion of anti-TNFalpha antibody were
used. Cardiac mRNA and protein expression of NFkappaBp65, c-Jun-N-terminal
kinases (JNK), p38 mitogen-activated protein kinase (p38MAPK),
extracelullar-signal- regulated kinase (ERK), inducible nitric oxide synthase
(iNOS), Copper/Zinc and Magnesium-superoxide dismutase (Cu/ Zn- and Mn-SOD),
cardiac anandamide, 2-arachidonoylglycerol (2-AG), nitric oxide (NOx) and
glutathione, and plasma TNFalpha were measured. The effects of TNFalpha,
cannabinoid receptor (CB1) antagonist AM251 and the endocannabinoid reuptake
inhibitor UCM707, on the contractility of isolated cardiomyocytes, were assessed.
RESULTS: In BDL mice, cardiac mRNA and protein expression of NFkappaBp65,
p38MAPK, iNOS, NOx, anandamide, and plasma TNFa were increased, whereas
glutathione, Cu/Zn-SOD, and Mn-SOD were decreased. Cardiac contractility was
blunted in BDL mice. Anti-TNFa treatment in BDL mice decreased cardiac anandamide
and NOx, reduced expression of NFkappaBp65, p38MAPK, and iNOS, enhanced
expression of Cu/Zn-SOD and Mn-SOD, increased reductive glutathione and restored
cardiomyocyte contractility. TNFa-depressed contractility was worsened by UCM707,
whereas AM251 improved contractility. CONCLUSIONS: Increased TNFalpha, acting via
NFkappaB-iNOS and p38MAPK signaling pathways, plays an important role in the
pathogenesis of cardiodepression in BDL mice. TNFalpha also suppressed
contractility by increasing oxidative stress and endocannabinoid activity.