A novel phenylpyridazinone, T-3999, reduces the progression of autoimmune myocarditis to dilated cardiomyopathy

Heart Vessels. 2011 Jan;26(1):81-90. doi: 10.1007/s00380-010-0018-z. Epub 2010 Oct 5.

Abstract

Regardless of the origin, injury to the heart can result in cardiomyocyte hypertrophy, fibrosis, and cell death. Myocarditis often progresses to dilated cardiomyopathy (DCM), a major cause of heart failure. In our study, we used a rat model of myosin-induced experimental autoimmune myocarditis (EAM), in which the heart transits from an acute phase (inflammatory myocarditis) to a chronic phase (remodeling and DCM). Our objective was to investigate whether T-3999, a novel phenylpyridazinone, can reduce this progression. Four weeks after myosin injection, T-3999 was administered daily to male Lewis rats in two doses (3 and 10 mg/kg, orally). Four weeks later, treatment was terminated; hemodynamic and echocardiographic measurements were performed; hearts were excised for histopathology and estimation of histamine, mRNA, and protein levels. Mortality rate was reduced by drug treatment. T-3999 reduced % fibrosis and tissue collagen III. Profibrotic markers-transforming growth factor-β(1), tumor necrosis factor-α, and galectin-3--were attenuated by treatment. Mast cell density and degranulation, and tissue histamine concentration were also reduced. This indicates an anti-inflammatory effect of the drug in reducing fibrosis. Hypertrophy was reduced as reflected by reduced myocyte diameter and natriuretic peptide expression. T-3999 treatment increased the sarcoendoplasmic reticulum Ca(2+) ATPase 2 protein level and improved several cardiac function parameters. The reduction of the remodeling process and improvement in myocardial function suggest an effect of T-3999 in attenuating ventricular remodeling in post-myocarditis DCM.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Autoimmune Diseases / chemically induced
  • Autoimmune Diseases / diagnostic imaging
  • Autoimmune Diseases / drug therapy*
  • Autoimmune Diseases / metabolism
  • Autoimmune Diseases / physiopathology
  • Cardiomyopathy, Dilated / diagnostic imaging
  • Cardiomyopathy, Dilated / etiology
  • Cardiomyopathy, Dilated / metabolism
  • Cardiomyopathy, Dilated / physiopathology
  • Cardiomyopathy, Dilated / prevention & control*
  • Cardiovascular Agents / pharmacology*
  • Cell Degranulation / drug effects
  • Cytokines / metabolism
  • Disease Models, Animal
  • Disease Progression
  • Fibrosis
  • Hemodynamics / drug effects
  • Histamine Release / drug effects
  • Male
  • Mast Cells / drug effects
  • Myocarditis / chemically induced
  • Myocarditis / diagnostic imaging
  • Myocarditis / drug therapy*
  • Myocarditis / metabolism
  • Myocarditis / physiopathology
  • Myosins
  • Pyridazines / pharmacology*
  • Rats
  • Rats, Inbred Lew
  • Time Factors
  • Ultrasonography
  • Ventricular Remodeling / drug effects

Substances

  • Cardiovascular Agents
  • Cytokines
  • Pyridazines
  • Myosins