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Sodium Valproate가 Captopril과 달리 우심실 비대를 억제한다.

Sodium Valproate가 Captopril과 달리 우심실 비대를 억제한다.

Sodium Valproate, But Not Captopril, Prevents Right Ventricular Hypertrophy

(구연):
Release Date : 2009. 10. 24(토)
조영국¹, 엄광현², 기해진², 최우연¹, 마재숙¹, 국현²
Department of Pediatrics¹ and Pharmacology², Chonnam National University Medical School
Young Kuk Cho¹, Gwang Hyeon Eom², Hae Jin Kee², Woo-Yeon Choi¹, Jae Sook Ma¹, Hyun Kook².
전남대학교 의과대학 소아과학교실¹, 약리학교실²

Abstract

Background: Although right ventricular hypertrophy (RVH) is an adaptive process to stresses such as disturbances of outflow track obstruction, uncorrected, persistent RVH often results in failure of the right ventricle or even of the left ventricle. Recently, we reported that histone deacetylase (HDAC) inhibitors can effectively prevent or block left ventricular hypertrophy. The present study was aimed at extending our previous results with sodium valproate, an HDAC inhibitor, to RVH and to compare the effects of sodium valproate with those of captopril, an angiotensin-converting enzyme (ACE) inhibitor. Methods and Results: RVH was induced by pulmonary artery banding ( PAB) or by injection of monocrotaline in rats, and either sodium valproate or captopril was administered. Either PAB or monocrotaline injection caused a marked increase in the right ventricle after 2 weeks, which was documented by weighing the right ventricle, by evaluating echocardiograms or electrocardiograms, or by examining cardiac hypertrophy-associated gene expression. Sodium valproate significantly reduced RVH induced by either PAB or monocrotaline injection. Interestingly, however, captopril failed to do so. Conclusions: Sodium valproate (an HDAC inhibitor) but not captopril (an ACE inhibitor) was effective in blocking RVH induced by PAB or monocrotaline injection, which suggests that HDAC inhibitors may be a novel therapeutic for RVH.

Keywords: Right ventricular hypertrophy, Sodium valproate, Captopril