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A pathologic role for angiotensin II and endothelin-1 in cardiac remodelling and ischaemia and reperfusion injury in a rat model of the metabolic syndrome

Thesis (MScMedSc (Biomedical Sciences. Medical Physiology))--University of Stellenbosch, 2006.

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Main Author: Smith, Wayne
Other Authors: Du Toit, E. F.
Format: Thesis
Language:English
Published: Stellenbosch : University of Stellenbosch 2008
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access_status_str Open Access
author Smith, Wayne
author2 Du Toit, E. F.
author_browse Du Toit, E. F.
Smith, Wayne
author_facet Du Toit, E. F.
Smith, Wayne
author_sort Smith, Wayne
collection Thesis
dc_rights_str_mv University of Stellenbosch
description Thesis (MScMedSc (Biomedical Sciences. Medical Physiology))--University of Stellenbosch, 2006.
format Thesis
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institution Stellenbosch University (South Africa)
language English
last_indexed 2026-06-10T12:42:53.367Z
license_str Other — see source repository
provenance_str_mv Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository
publishDate 2008
publishDateRange 2008
publishDateSort 2008
publisher Stellenbosch : University of Stellenbosch
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spelling oai:scholar.sun.ac.za:10019.1/2446 A pathologic role for angiotensin II and endothelin-1 in cardiac remodelling and ischaemia and reperfusion injury in a rat model of the metabolic syndrome Smith, Wayne Du Toit, E. F. Moolman, J. A. University of Stellenbosch. Faculty of Health Sciences. Dept. of Biomedical Sciences. Medical Physiology. Metabolic syndrome Ischemia Reperfusion injury Angiotensin II Endothelins Obesity Rats as laboratory animals Cardiovascular system -- Diseases Dissertations -- Medicine Theses -- Medicine Dissertations -- Medical physiology Theses -- Medical physiology Thesis (MScMedSc (Biomedical Sciences. Medical Physiology))--University of Stellenbosch, 2006. Introduction: Obesity, which is implicated in the development of the metabolic syndrome (MS) is reaching epidemic proportions worldwide. MS significantly increases the risk of developing cardiovascular disease, which includes coronary artery disease. The current absence of animal models of diet induced obesity and the MS makes the investigation of the cardiovascular consequences of MS virtually impossible. As a result the effects of the MS on cardiac function, morphology and susceptibility to ischaemia are not well understood. Aims: We set out to: 1) develop and characterize a rodent model of dietinduced obesity and the MS, 2) investigate the susceptibility of hearts from these animals to ischaemia/reperfusion induced injury and, 3) determine whether angiotensin II (Ang II) and endothelin-1 (ET-1) plays a role in cardiac remodelling and/or the severity of ischaemia and reperfusion injury in this model. Methods: Male Wistar rats were fed a standard rat chow diet or cafeteria diet (CD) for 16 weeks. After the feeding period rats were sacrificed and blood and myocardial tissue samples were collected to document biochemical changes in these animals. Hearts were perfused on the isolated working rat heart perfusion apparatus to assess myocardial mechanical function before and after ischaemia. In a separate series of experiments, hearts underwent coronary artery ligation to determine the incidence and duration of ventricular arrhythmias during ischaemia and reperfusion, using electrocardiography. To assess a possible link between myocardial remodelling and ischaemia/reperfusion injury and myocardial Ang II and ET-1 content, we also measured these peptides under basal conditions and during ischaemia. Two-dimensional targeted Mmode echocardiography was used to assess in vivo myocardial mechanical function in control and obese rats. Results: After 16 weeks on the CD, obese rats satisfied the World Health Organization (WHO) criteria for the MS by having visceral obesity, insulin resistance, dyslipidaemia and an elevated systolic blood pressure, compared to control rats. Circulating Ang II levels, but not ET-1 levels, were elevated in CD fed rats. Obese rats had cardiac hypertrophy and ex vivo basal myocardial mechanical function was depressed in the CD fed rat hearts compared to control rat hearts. CD fed rat hearts had poorer aortic output (AO) recoveries compared to hearts from control rats. These hearts also had a higher incidence and duration of reperfusion arrhythmias. No such functional differences were seen in the in vivo experiments. No differences in basal or ischaemic myocardial Ang II and ET-1 levels were seen in either group. Conclusion: We have developed and characterized a model of diet-induced obesity and the MS. Obesity is associated with cardiac hypertrophy and an increased myocardial susceptibility to ischaemia and reperfusion injury in our model. The hearts from obese rats were also more prone to reperfusion ventricular arrhythmias. As myocardial function was only poorer in the ex vivo obese animal experiments, our data suggests that the obesity associated changes in function observed in the ex vivo studies may be related to the absence of circulating substrates or factors, which are essential for their normal mechanical function. 2008-07-30T13:49:03Z 2010-06-01T08:48:55Z 2008-07-30T13:49:03Z 2010-06-01T08:48:55Z 2006-03 Thesis http://hdl.handle.net/10019.1/2446 en University of Stellenbosch application/pdf Stellenbosch : University of Stellenbosch
spellingShingle Metabolic syndrome
Ischemia
Reperfusion injury
Angiotensin II
Endothelins
Obesity
Rats as laboratory animals
Cardiovascular system -- Diseases
Dissertations -- Medicine
Theses -- Medicine
Dissertations -- Medical physiology
Theses -- Medical physiology
Smith, Wayne
A pathologic role for angiotensin II and endothelin-1 in cardiac remodelling and ischaemia and reperfusion injury in a rat model of the metabolic syndrome
title A pathologic role for angiotensin II and endothelin-1 in cardiac remodelling and ischaemia and reperfusion injury in a rat model of the metabolic syndrome
title_full A pathologic role for angiotensin II and endothelin-1 in cardiac remodelling and ischaemia and reperfusion injury in a rat model of the metabolic syndrome
title_fullStr A pathologic role for angiotensin II and endothelin-1 in cardiac remodelling and ischaemia and reperfusion injury in a rat model of the metabolic syndrome
title_full_unstemmed A pathologic role for angiotensin II and endothelin-1 in cardiac remodelling and ischaemia and reperfusion injury in a rat model of the metabolic syndrome
title_short A pathologic role for angiotensin II and endothelin-1 in cardiac remodelling and ischaemia and reperfusion injury in a rat model of the metabolic syndrome
title_sort pathologic role for angiotensin ii and endothelin 1 in cardiac remodelling and ischaemia and reperfusion injury in a rat model of the metabolic syndrome
topic Metabolic syndrome
Ischemia
Reperfusion injury
Angiotensin II
Endothelins
Obesity
Rats as laboratory animals
Cardiovascular system -- Diseases
Dissertations -- Medicine
Theses -- Medicine
Dissertations -- Medical physiology
Theses -- Medical physiology
url http://hdl.handle.net/10019.1/2446
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