A Retinoic Acid Receptor β 2 Agonist Improves Cardiac Function in a Heart Failure Model.

TitleA Retinoic Acid Receptor β 2 Agonist Improves Cardiac Function in a Heart Failure Model.
Publication TypeJournal Article
Year of Publication2021
AuthorsTang X-H, Gambardella J, Jankauskas S, Wang X, Santulli G, Gudas LJ, Levi R
JournalJ Pharmacol Exp Ther
Volume379
Issue2
Pagination182-190
Date Published2021 11
ISSN1521-0103
KeywordsAnimals, Benzoates, Disease Models, Animal, Heart Failure, Male, Mice, Mice, Inbred C57BL, Oxidative Stress, Receptors, Retinoic Acid, Thiazoles
Abstract

We previously demonstrated that the selective retinoic acid receptor (RAR) β 2 agonist AC261066 reduces oxidative stress in an ex vivo murine model of ischemia/reperfusion. We hypothesized that by decreasing oxidative stress and consequent fibrogenesis, AC261066 could attenuate the development of contractile dysfunction in post-ischemic heart failure (HF). We tested this hypothesis in vivo using an established murine model of myocardial infarction (MI), obtained by permanent occlusion of the left anterior descending coronary artery. Treating mice with AC261066 in drinking water significantly attenuated the post-MI deterioration of echocardiographic indices of cardiac function, diminished remodeling, and reduced oxidative stress, as evidenced by a decrease in malondialdehyde level and p38 mitogen-activated protein kinase expression in cardiomyocytes. The effects of AC261066 were also associated with a decrease in interstitial fibrosis, as shown by a marked reduction in collagen deposition and α-smooth muscle actin expression. In cardiac murine fibroblasts subjected to hypoxia, AC261066 reversed hypoxia-induced decreases in superoxide dismutase 2 and angiopoietin-like 4 transcriptional levels as well as the increase in NADPH oxidase 2 mRNA, demonstrating that the post-MI cardioprotective effects of AC261066 are associated with an action at the fibroblast level. Thus, AC261066 alleviates post-MI cardiac dysfunction by modulating a set of genes involved in the oxidant/antioxidant balance. These AC261066 responsive genes diminish interstitial fibrogenesis and remodeling. Since MI is a recognized major cause of HF, our data identify RARβ 2 as a potential pharmacological target in the treatment of HF. SIGNIFICANCE STATEMENT: A previous report showed that the selective retinoic acid receptor (RAR) β 2 agonist AC261066 reduces oxidative stress in an ex vivo murine model of ischemia/reperfusion. This study shows that AC261066 attenuates the development of contractile dysfunction and maladaptive remodeling in post-ischemic heart failure (HF) by modulating a set of genes involved in oxidant/antioxidant balance. Since myocardial infarction is a recognized major cause of HF, these data identify RARβ 2 as a potential pharmacological target in the treatment of HF.

DOI10.1124/jpet.121.000806
Alternate JournalJ Pharmacol Exp Ther
PubMed ID34389654
PubMed Central IDPMC8626778
Grant ListR01 DK113088 / DK / NIDDK NIH HHS / United States
R00 DK107895 / DK / NIDDK NIH HHS / United States
R01 DK123259 / DK / NIDDK NIH HHS / United States
R56 AG066431 / AG / NIA NIH HHS / United States
R01 DK033823 / DK / NIDDK NIH HHS / United States
R01 HL159062 / HL / NHLBI NIH HHS / United States
R01 HL146691 / HL / NHLBI NIH HHS / United States
T32 HL144456 / HL / NHLBI NIH HHS / United States