α7-nAChRs-mediated therapeutic angiogenesis accounts for the advantageous effect of low nicotine doses against myocardial infarction in rats

Eur J Pharmacol. 2021 May 5:898:173996. doi: 10.1016/j.ejphar.2021.173996. Epub 2021 Mar 5.

Abstract

Angiogenesis accelerates tissue regeneration in a variety of ischemic conditions including myocardial infarction (MI). Here we tested the hypothesis that angiogenesis induced by α7-nicotinic acetylcholine receptors (α7-nAChRs) mitigates histopathological, electrocardiographic, and molecular consequences of MI in rats. These profiles were evaluated in the isoprenaline (85 mg/kg/day i. p. For 2 days) MI rat model treated with or without nicotine or PHA-543613 (PHA, selective α7-nAChR agonist). Isoprenaline-insulted rats showed (i) ECG signs of MI such as significant ST-segment elevations and prolonged QT-intervals, (ii) deteriorated left ventricular histopathological scoring and elevated inflammatory cell infiltration, (iii) reduced immunohistochemical expression of cardiac CD34, a surrogate marker of capillary density, (iv) decreased cardiac expression of iNOS and α7-nAChRs, and (v) adaptive increases in cardiac HO-1 expression and plasma angiogenic markers such as vascular endothelial growth factor (VEGF) and nitric oxide (NO). These effects of isoprenaline, except cardiac iNOS and α7-nAChRs downregulation, were ameliorated in rats treated with a low dose (20 μg/kg/day s. c. For 16 days) of nicotine or PHA. We also show that concurrent α7-nAChR blockade by methyllycaconitine (MLA, 40 μg/kg/day, for 16 days) reversed the ECG, histopathological, and capillary density effects of nicotine, thereby reinforcing the advantageous cardioprotective and anti-ischemic roles of α7-nAChRs in this setting. The observed results showed promising effects on isoprenaline induced myocardial damage. In conclusion, the activation of α7-nAChRs by doses of nicotine or PHA in the microgram scale promotes neovascularization and offers a promising therapeutic strategy for MI. CATEGORY: Cardiovascular Pharmacology.

Keywords: Angiogenesis; Methyllycaconitine; Myocardial infarction; Nicotine; iNOS; α7-nAChR.

MeSH terms

  • Angiogenesis Inducing Agents / pharmacology*
  • Animals
  • Disease Models, Animal
  • Heme Oxygenase (Decyclizing) / metabolism
  • Isoproterenol
  • Male
  • Microvascular Density / drug effects
  • Myocytes, Cardiac / drug effects*
  • Myocytes, Cardiac / metabolism
  • Myocytes, Cardiac / pathology
  • Neovascularization, Physiologic / drug effects*
  • Nicotine / pharmacology*
  • Nicotinic Agonists / pharmacology*
  • Nitric Oxide / metabolism
  • Nitric Oxide Synthase Type II / metabolism
  • Rats
  • Rats, Wistar
  • ST Elevation Myocardial Infarction / chemically induced
  • ST Elevation Myocardial Infarction / drug therapy*
  • ST Elevation Myocardial Infarction / metabolism
  • ST Elevation Myocardial Infarction / physiopathology
  • Signal Transduction
  • Vascular Endothelial Growth Factor A / metabolism
  • alpha7 Nicotinic Acetylcholine Receptor / agonists*
  • alpha7 Nicotinic Acetylcholine Receptor / metabolism

Substances

  • Angiogenesis Inducing Agents
  • Chrna7 protein, rat
  • Nicotinic Agonists
  • Vascular Endothelial Growth Factor A
  • alpha7 Nicotinic Acetylcholine Receptor
  • vascular endothelial growth factor A, rat
  • Nitric Oxide
  • Nicotine
  • Nitric Oxide Synthase Type II
  • Nos2 protein, rat
  • Heme Oxygenase (Decyclizing)
  • Hmox1 protein, rat
  • Isoproterenol