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10.1016/j.hrthm.2017.01.027

http://scihub22266oqcxt.onion/10.1016/j.hrthm.2017.01.027
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C5403568!5403568!28111350
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suck abstract from ncbi


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pmid28111350      Heart+Rhythm 2017 ; 14 (5): 727-36
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  • Anti-arrhythmic effects of interleukin-1 inhibition following myocardial infarction #MMPMID28111350
  • De Jesus NM; Wang L; Lai J; Rigor RR; Francis Stuart SD; Bers DM; Lindsey ML; Ripplinger CM
  • Heart Rhythm 2017[May]; 14 (5): 727-36 PMID28111350show ga
  • Background: Interleukin-1 beta (IL-1?) is a key regulator of the inflammatory response following myocardial infarction (MI), by modulating immune cell recruitment, cytokine production, and extracellular matrix turnover. Elevated levels of IL-1? are associated with adverse remodeling, and inhibition of IL-1 signaling following MI results in improved contractile function. Objective: The goal of this study was to determine if IL-1 signaling also contributes to post-MI arrhythmogenesis. Methods: MI was created in two murine models of elevated inflammation: atherosclerotic on Western diet or wild-type with a sub-septic dose of lipopolysaccharide. The role of IL-1? was assessed with the IL-1 receptor antagonist, anakinra (10mg/kg/day, starting 24h post-MI). Results: In vivo and ex vivo molecular imaging showed reduced myocardial inflammation following a 4-day course of anakinra treatment, despite no change in infarct size. At day 5 post-MI, high-speed optical mapping of transmembrane potential (Vm) and intracellular Ca2+ in isolated hearts revealed that IL-1? inhibition improved conduction velocity, reduced action potential duration dispersion, improved intracellular Ca2+ handling, decreased Vm and Ca2+ alternans magnitude, and reduced spontaneous and inducible ventricular arrhythmias. These functional improvements were linked to increased expression of connexin43 and sarcoplasmic reticulum Ca2+-ATPase (SERCA). Conclusions: This study revealed a novel mechanism for IL-1? in contributing to defective excitation-contraction coupling and arrhythmogenesis in the post-MI heart. Our results suggest that inhibition of IL-1 signaling post-MI may represent a novel anti-arrhythmic therapy.
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