Cardiac afferent signaling partially underlies premature ventricular contraction–induced cardiomyopathy

The mechanisms underlying premature ventricular contraction (PVC)–induced cardiomyopathy (PIC) remain unknown. Transient receptor potential vanilloid-1 (TRPV1) afferent fibers are implicated in the reflex processing of cardiac stress. The purpose of this study was to determine whether cardiac TRPV1...

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Veröffentlicht in:Heart rhythm 2021-09, Vol.18 (9), p.1586-1595
Hauptverfasser: Hori, Yuichi, Temma, Taro, Wooten, Christian, Sobowale, Christopher, Chan, Christopher, Swid, Mohammed, Ajijola, Olujimi A.
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container_end_page 1595
container_issue 9
container_start_page 1586
container_title Heart rhythm
container_volume 18
creator Hori, Yuichi
Temma, Taro
Wooten, Christian
Sobowale, Christopher
Chan, Christopher
Swid, Mohammed
Ajijola, Olujimi A.
description The mechanisms underlying premature ventricular contraction (PVC)–induced cardiomyopathy (PIC) remain unknown. Transient receptor potential vanilloid-1 (TRPV1) afferent fibers are implicated in the reflex processing of cardiac stress. The purpose of this study was to determine whether cardiac TRPV1 afferent signaling promote PIC. A PIC swine model (50% PVC burden) was created via an implanted pacemaker. We selectively depleted cardiac TRPV1 afferent fibers using percutaneous epicardial application of resiniferatoxin (RTX). Animals were randomized to PVC only (n = 11), PVC+RTX (n = 11), or control (n = 6). We examined early-stage (4 weeks after implantation; n = 5) and late-stage PIC (8 weeks after implantation; n = 6). At terminal experimentation, animals underwent echocardiography, serum sampling, and physiological and autonomic reflex testing. Depletion of cardiac TRPV1 afferents by RTX treatment was confirmed by absent sensory fibers and absent functional responses to TRPV1 activators. Left ventricular ejection fraction was worse in late-stage than early-stage PIC (P
doi_str_mv 10.1016/j.hrthm.2021.04.004
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Transient receptor potential vanilloid-1 (TRPV1) afferent fibers are implicated in the reflex processing of cardiac stress. The purpose of this study was to determine whether cardiac TRPV1 afferent signaling promote PIC. A PIC swine model (50% PVC burden) was created via an implanted pacemaker. We selectively depleted cardiac TRPV1 afferent fibers using percutaneous epicardial application of resiniferatoxin (RTX). Animals were randomized to PVC only (n = 11), PVC+RTX (n = 11), or control (n = 6). We examined early-stage (4 weeks after implantation; n = 5) and late-stage PIC (8 weeks after implantation; n = 6). At terminal experimentation, animals underwent echocardiography, serum sampling, and physiological and autonomic reflex testing. Depletion of cardiac TRPV1 afferents by RTX treatment was confirmed by absent sensory fibers and absent functional responses to TRPV1 activators. Left ventricular ejection fraction was worse in late-stage than early-stage PIC (P &lt;.01). At 4 weeks (early stage), left ventricular ejection fraction was higher in PVC+RTX vs PVC animals (51.7% ± 1.6% vs 45.0% ± 2.1%; P = .030), whereas no significant difference between PVC and PVC+RTX was observed at 8 weeks (late stage). Histologic studies demonstrated reduced fibrosis in PVC+RTX vs PVC alone at 4 weeks (2.27% ± 0.14% vs 3.01% ± 0.21%; P = .020), suggesting that RTX mitigated profibrotic pathways induced by persistent PVCs. TRPV1 afferent depletion alleviates left ventricular dysfunction in early- but not late-stage PIC. This temporal effect suggests that multiple pathways promote PIC, of which TRPV1 afferents are a part.</description><identifier>ISSN: 1547-5271</identifier><identifier>EISSN: 1556-3871</identifier><identifier>DOI: 10.1016/j.hrthm.2021.04.004</identifier><identifier>PMID: 33845214</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Afferent Pathways - physiopathology ; Animal model ; Animals ; Cardiac afferent ; Cardiomyopathies - etiology ; Cardiomyopathies - pathology ; Cardiomyopathies - physiopathology ; Diterpenes - pharmacology ; Echocardiography - methods ; Fibrosis ; Heart - innervation ; Models, Animal ; Neurotoxins - pharmacology ; Premature ventricular contraction ; Premature ventricular contraction cardiomyopathy ; Signal Transduction ; Stroke Volume ; Swine ; Transient receptor potential vanilloid-1 afferents ; TRPV Cation Channels - agonists ; Ventricular Function, Left ; Ventricular Premature Complexes - complications ; Ventricular Premature Complexes - physiopathology</subject><ispartof>Heart rhythm, 2021-09, Vol.18 (9), p.1586-1595</ispartof><rights>2021</rights><rights>Copyright © 2021. 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Transient receptor potential vanilloid-1 (TRPV1) afferent fibers are implicated in the reflex processing of cardiac stress. The purpose of this study was to determine whether cardiac TRPV1 afferent signaling promote PIC. A PIC swine model (50% PVC burden) was created via an implanted pacemaker. We selectively depleted cardiac TRPV1 afferent fibers using percutaneous epicardial application of resiniferatoxin (RTX). Animals were randomized to PVC only (n = 11), PVC+RTX (n = 11), or control (n = 6). We examined early-stage (4 weeks after implantation; n = 5) and late-stage PIC (8 weeks after implantation; n = 6). At terminal experimentation, animals underwent echocardiography, serum sampling, and physiological and autonomic reflex testing. Depletion of cardiac TRPV1 afferents by RTX treatment was confirmed by absent sensory fibers and absent functional responses to TRPV1 activators. Left ventricular ejection fraction was worse in late-stage than early-stage PIC (P &lt;.01). At 4 weeks (early stage), left ventricular ejection fraction was higher in PVC+RTX vs PVC animals (51.7% ± 1.6% vs 45.0% ± 2.1%; P = .030), whereas no significant difference between PVC and PVC+RTX was observed at 8 weeks (late stage). Histologic studies demonstrated reduced fibrosis in PVC+RTX vs PVC alone at 4 weeks (2.27% ± 0.14% vs 3.01% ± 0.21%; P = .020), suggesting that RTX mitigated profibrotic pathways induced by persistent PVCs. TRPV1 afferent depletion alleviates left ventricular dysfunction in early- but not late-stage PIC. 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Temma, Taro ; Wooten, Christian ; Sobowale, Christopher ; Chan, Christopher ; Swid, Mohammed ; Ajijola, Olujimi A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c425t-25103288c8ced92c13a3c821ef749b2a926e46d96363468d73343c3a74f828233</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Afferent Pathways - physiopathology</topic><topic>Animal model</topic><topic>Animals</topic><topic>Cardiac afferent</topic><topic>Cardiomyopathies - etiology</topic><topic>Cardiomyopathies - pathology</topic><topic>Cardiomyopathies - physiopathology</topic><topic>Diterpenes - pharmacology</topic><topic>Echocardiography - methods</topic><topic>Fibrosis</topic><topic>Heart - innervation</topic><topic>Models, Animal</topic><topic>Neurotoxins - pharmacology</topic><topic>Premature ventricular contraction</topic><topic>Premature ventricular contraction cardiomyopathy</topic><topic>Signal Transduction</topic><topic>Stroke Volume</topic><topic>Swine</topic><topic>Transient receptor potential vanilloid-1 afferents</topic><topic>TRPV Cation Channels - agonists</topic><topic>Ventricular Function, Left</topic><topic>Ventricular Premature Complexes - complications</topic><topic>Ventricular Premature Complexes - physiopathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hori, Yuichi</creatorcontrib><creatorcontrib>Temma, Taro</creatorcontrib><creatorcontrib>Wooten, Christian</creatorcontrib><creatorcontrib>Sobowale, Christopher</creatorcontrib><creatorcontrib>Chan, Christopher</creatorcontrib><creatorcontrib>Swid, Mohammed</creatorcontrib><creatorcontrib>Ajijola, Olujimi A.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Heart rhythm</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hori, Yuichi</au><au>Temma, Taro</au><au>Wooten, Christian</au><au>Sobowale, Christopher</au><au>Chan, Christopher</au><au>Swid, Mohammed</au><au>Ajijola, Olujimi A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cardiac afferent signaling partially underlies premature ventricular contraction–induced cardiomyopathy</atitle><jtitle>Heart rhythm</jtitle><addtitle>Heart Rhythm</addtitle><date>2021-09</date><risdate>2021</risdate><volume>18</volume><issue>9</issue><spage>1586</spage><epage>1595</epage><pages>1586-1595</pages><issn>1547-5271</issn><eissn>1556-3871</eissn><abstract>The mechanisms underlying premature ventricular contraction (PVC)–induced cardiomyopathy (PIC) remain unknown. Transient receptor potential vanilloid-1 (TRPV1) afferent fibers are implicated in the reflex processing of cardiac stress. The purpose of this study was to determine whether cardiac TRPV1 afferent signaling promote PIC. A PIC swine model (50% PVC burden) was created via an implanted pacemaker. We selectively depleted cardiac TRPV1 afferent fibers using percutaneous epicardial application of resiniferatoxin (RTX). Animals were randomized to PVC only (n = 11), PVC+RTX (n = 11), or control (n = 6). We examined early-stage (4 weeks after implantation; n = 5) and late-stage PIC (8 weeks after implantation; n = 6). At terminal experimentation, animals underwent echocardiography, serum sampling, and physiological and autonomic reflex testing. Depletion of cardiac TRPV1 afferents by RTX treatment was confirmed by absent sensory fibers and absent functional responses to TRPV1 activators. Left ventricular ejection fraction was worse in late-stage than early-stage PIC (P &lt;.01). At 4 weeks (early stage), left ventricular ejection fraction was higher in PVC+RTX vs PVC animals (51.7% ± 1.6% vs 45.0% ± 2.1%; P = .030), whereas no significant difference between PVC and PVC+RTX was observed at 8 weeks (late stage). Histologic studies demonstrated reduced fibrosis in PVC+RTX vs PVC alone at 4 weeks (2.27% ± 0.14% vs 3.01% ± 0.21%; P = .020), suggesting that RTX mitigated profibrotic pathways induced by persistent PVCs. TRPV1 afferent depletion alleviates left ventricular dysfunction in early- but not late-stage PIC. This temporal effect suggests that multiple pathways promote PIC, of which TRPV1 afferents are a part.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>33845214</pmid><doi>10.1016/j.hrthm.2021.04.004</doi><tpages>10</tpages></addata></record>
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subjects Afferent Pathways - physiopathology
Animal model
Animals
Cardiac afferent
Cardiomyopathies - etiology
Cardiomyopathies - pathology
Cardiomyopathies - physiopathology
Diterpenes - pharmacology
Echocardiography - methods
Fibrosis
Heart - innervation
Models, Animal
Neurotoxins - pharmacology
Premature ventricular contraction
Premature ventricular contraction cardiomyopathy
Signal Transduction
Stroke Volume
Swine
Transient receptor potential vanilloid-1 afferents
TRPV Cation Channels - agonists
Ventricular Function, Left
Ventricular Premature Complexes - complications
Ventricular Premature Complexes - physiopathology
title Cardiac afferent signaling partially underlies premature ventricular contraction–induced cardiomyopathy
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