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Myocardial tolerance to ischemia/reperfusion injury - possible protective mechanisms
Alánová, Petra ; Neckář, Jan (advisor) ; Nováková, Olga (referee) ; Vaněčková, Ivana (referee)
Ischemic heart disease is the leading cause of death and disability worldwide. The effects of ischemic heart disease are usually attributable to the detrimental effects of acute myocardial ischemia/reperfusion (I/R) injury. The aim of the thesis was to contribute to current effort to clarify the basis of mechanisms that could save the heart from I/R injury. The whole thesis is based on four studies; while the first three are published, the fourth one has been under revision. In the first study, we proved the involvement of nitric oxide (NO) in the cardioprotective mechanism of chronic hypoxia (CH). We described that exogenously increased availability of NO as well as inhibition of phosphodiesterase type 5 led to increased myocardial tolerance of normoxic and chronically hypoxic rats. The effects of both interventions were not additive, suggesting that NO is included in cardioprotective signaling of CH. Second study continued in investigating molecular mechanisms underlying cardioprotection induced by CH. We showed that infarct size-limiting effect of adaptation to CH was accompanied by increased myocardial concentration of tumor-necrosis factor alpha (TNF-α) and TNF-α receptor R2. In the third study, we examined the effect of dexrazoxane (DEX), the only clinically approved drug against...
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The role of oxygen radicals in the early phase of exposure to hypoxia in the development of hypoxic pulmonary hypertension
Lachmanová, Věra ; Herget, Jan (advisor) ; Geršl, Vladimír (referee) ; Neckář, Jan (referee)
A pulmonary vascular bed is low-pressure system at adult subjects. Pulmonary vessels react to hypoxia by two different processes. These are hypoxic pulmonary vasoconstriction (HPV) and hypoxic pulmonary hypertension (HPH). They differ in mechanism of origin, but there seems to be important role of reactive oxygen species and nitric oxide. It was assumed in the past that HPV is isolated reaction of small pulmonary arteries to acute hypoxia and HPH to chronic hypoxia. Recently we believe that HPH is developed on the basis HPV (Crossno, Garat et al. 2007) and remodelation of peripheral pulmonary vessels (Reid 1986). Our main task was to learn, whether antioxidants given in the early phase of exposure to hypoxia influence pulmonary hypertension more than its late administration, in the period of already developed damage of pulmonary vessels. We have used N-acetyl-L-cysteine (NAC) as an antioxidant substance. We measured changes in resistance of pulmonary vascular bed, changes of reactivity of pulmonary vessels in dependence on concentration of oxygen in the inhalated air. Measurements were performed on the model of rat isolated perfused lungs. In addition we have observed influence of the early and late treatment of NAC on the pulmonary artery pressure at rats kept in hypoxic conditions. Our results show that...
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The role of nitric oxide in cardioprotection induced by chronic hypoxia
Mandíková, Petra ; Neckář, Jan (advisor) ; Szárszoi, Ondrej (referee)
The aim of present project was to uncover the effect of pharmacological increase in acute and chronic nitric oxide (NO) production on cardioprotective effect of chronic hypoxia. We studied the effect of NO donor molsidomine on hemodynamic conditions and ischemia - induced myocardium injury. Male Wistar rats were exposed to continual hypoxia in a normobaric chamber (10 % O2, 4 weeks). Rats received molsidomine either chronically (15 mg/kg/day) in drinking water or acutely (10 mg/kg) in saline infused 30 min before ischemia. Control rats were kept under normoxia and treated in a corresponding manner. Adaptation to chronic hypoxia resulted in development of pulmonary hypertension. Chronic treatment with molsidomine slightly reduced these consequences of chronic hypoxia but it had no effect on increased cardiac ischemic tolerance in chronically hypoxic rats. On the other hand acute treatment with molsidomine significantly reduced infarct size and increased the number of arrhythmias in both normoxic and chronically hypoxic animals. In conclusion, our data suggests that acute increase in availability of NO is cardioprotective in both normoxic and chronically hypoxic rats contrary to its chronic increase which seems to have no protective contribution.
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Role of KCNQ channels in response of the pulmonary circulation to hypoxia
Šedivý, Vojtěch ; Herget, Jan (advisor) ; Melenovský, Vojtěch (referee) ; Neckář, Jan (referee)
Reaction of pulmonary vascular bed to hypoxia is different than in systemic vasculature. Acute ventilatory hypoxia constricts pulmonary arteries (HPV), diverts blood to better oxygenated alveoli and optimises arterial pO2. Chronic hypoxia causes pulmonary hypertension (HPH) and exposure to hypoxia at birth (perinatal hypoxia) results in longterm changes of pulmonary vasculature, which makes it more susceptible to develop pulmonary hypertension in adulthood. Reaction of pulmonary artery smooth muscle cells (PASMCs) to hypoxia involves membrane depolarization by inhibition of voltage gated potassium channels (Kv). Among them KCNQ (Kv7) channels have biophysical properties (low voltage threshold for activation and lack of inactivation during sustained depolarization) which suggest them to play a key role in hypoxic response. Specific KCNQ channel inhibitor linopirdine primes HPV in saline perfused lungs, but in not primed lungs does not cause vasoconstriction, it behaves in the same way as acute ventilatory hypoxia. Moreover, in primed lungs linopirdin potentiates HPV and prevents non- specific Kv inhibitor 4-aminopyridine to potentiate HPV. It seems, that KCNQ channel inhibition has a key role in HPV. In rats exposed to hypoxia for 3-5 days (normobaric chamber, FiO2 0,1) we examined relationship of...
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Role of Nkx2.5 in development and electrophysiology of the mouse heart
Hámor, Peter ; Sedmera, David (advisor) ; Neckář, Jan (referee)
Role of Nkx2.5 in development and electrophysiology of the mouse heart Prague 2016 Peter Hámor, B.S. ABSTRACT The objective of this thesis is to investigate the role of Nkx2.5 gene dosage on electrophysiology of the mouse heart in prenatal stage of its development. The main goal of this work is to search for differences in conduction of electric impulses through the embryonic mouse hearts of different genotype. Special method of capturing the conduction of electric impulse through myocardium, called optical mapping, was used to visualize the electrical activity. Thanks to this method I was able to construct images and videos capturing the spread of the impulse with identification of the beginning of the activation and its direction in the heart. These outputs, or optical maps, help to define anomalies and defects in mutants compared with a normal functioning heart. The thesis focuses on the expression of the transcription factor Nkx2.5 and regulatory components related with the correct formation and physiology of the heart until 9.5 days post coitum. Embryos at this developmental stage were optically mapped and analysed according to their genotype. While the wild type and heterozygote mouse embryos exhibited high degree of similarity, the homozygous mutants were dramatically different. Considering this work...
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The role of succinic acid in cardiac ischemic tolerance in rats
Kordač, Petr ; Neckář, Jan (advisor) ; Husková, Zuzana (referee)
Succinate is one of the intermediate in the Krebs cycle, which in recent years has been shown to interfere with other cellular events, some of which may affect cardiac ischemic tolerance. The aim of this project was to clarify its cardioprotective role in rat hearts subjected to acute ischemia-reperfusion. The myocardial resistance to acute ischemia (infarct size and incidence and severity of ischemic and reperfusion arrhythmias) was analyzed using the Langendorff method of isolated perfused heart at a constant flow with acute succinate administration. Local ischemia was induced by ligation of left anterior descending coronary artery. Acute administration of 1 mM succinate before 60 minutes of ischemia or before reperfusion only had a beneficial effect on reducing the infarct size by 25-30 % compared to the control group. At the same time, it had an adverse effect on the incidence and severity of ischemic and reperfusion arrhythmias. Key words: Succinate, heart, rat, heart-attack, ventricular arrhythmias
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Cardioprotective action of ischemic perconditioning
Chalupová, Miloslava ; Neckář, Jan (advisor) ; Šilhavý, Jan (referee)
Remote ischemic perconditioning (RIPerC) is acknowledged to be a promising cardioprotective strategy, defined as brief repetitive periods of ischemia and reperfusion applied during ongoing myocardial infarction. This method provides protection against ischemia-reperfusion injury. Although remote perconditioning reduces infarct size, the underlying mechanisms remain unclear. The aim of this thesis is to summarize the current knowledge of RIPerC, its molecular mechanisms and protective effects on the heart.
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Molecular mechanisms of coronary vasculature development
Neffeová, Kristýna ; Kolesová, Hana (advisor) ; Neckář, Jan (referee)
The cardiovascular system is the first functional system that develops in vertebrates during embryonic development. Its irreplaceable function is the transport of nutrients and the removal of waste products. During the development the heart not only grows, but also acts as a pump that drives the blood circulation of the embryo. With advancing development, it is necessary to ensure an adequate supply of oxygen to the heart, for that reason coronary arteries are formed. Each cardiomyocyte is surrounded by at least one capillary, therefore the interaction between cardiomyocytes and endothelial cells plays an indispensable role in the proper functioning of the heart. Understanding, how cardiomyocytes and endothelial cells communicate, is essential for medical research in cardiac tissue regeneration. A number of factors involved in coronary development are described in the literature. However, these factors are described as separate signaling pathways, not as a system of mutually interacting mechanisms. The main goal of my bachelor thesis is to connect individual signaling cascades important in cardiomyocyte-endothelial cell communication and describe their interactions. The main factors overviewed are VEGF, Notch, PDGF, Angiopoietin and others. Factors function and signalization is reviewed in details....
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Mechanisms of conduction system development in vertebrates
Šaňková, Barbora ; Sedmera, David (advisor) ; Neckář, Jan (referee) ; Melenovský, Vojtěch (referee)
Group of specialized cells that form cardiac conduction system is responsible for generation and coordinated propagation of the electrical impulse in the heart. Changes in its development can be connected with arrhythmias; therefore, a good level of knowledge is necessary and relevant for basic science and clinical practice. For correct development of the conduction system are important genes coding gap junctions proteins, ion channels, transcription factors and other molecules involved in signaling cascades (endothelin, neuregulin). Development of conduction system is determined in addition to genetic factors also by epigenetics and environmental factors. This thesis with its individual papers on which it is based is addressing different aspects of conduction system development, which appears to be a complex process. Another feature which is linking all papers together, is the methodological approach enabling us to study function of the conduction system - optical mapping. In the first publication we studied by the means of in vitro organ culture the impact of work load without interfering hemodynamics on the conduction system maturation in the chick embryonic heart. The phenotype observed during experiments was developmental regression of conduction system maturation together with changes in...
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