Proinflammatory Cytokines Are Soluble Mediators Linked with Ventricular Arrhythmias and Contractile Dysfunction in a Rat Model of Metabolic Syndrome

Oxid Med Cell Longev. 2017:2017:7682569. doi: 10.1155/2017/7682569. Epub 2017 Oct 19.

Abstract

Metabolic syndrome (MS) increases cardiovascular risk and is associated with cardiac dysfunction and arrhythmias, although the precise mechanisms are still under study. Chronic inflammation in MS has emerged as a possible cause of adverse cardiac events. Male Wistar rats fed with 30% sucrose in drinking water and standard chow for 25-27 weeks were compared to a control group. The MS group showed increased weight, visceral fat, blood pressure, and serum triglycerides. The most important increases in serum cytokines included IL-1β (7-fold), TNF-α (84%), IL-6 (41%), and leptin (2-fold), the latter also showing increased gene expression in heart tissue (35-fold). Heart function ex vivo in MS group showed a decreased mechanical performance response to isoproterenol challenge (ISO). Importantly, MS hearts under ISO showed nearly twofold the incidence of ventricular fibrillation. Healthy rat cardiomyocytes exposed to MS group serum displayed impaired contractile function and Ca2+ handling during ISO treatment, showing slightly decreased cell shortening and Ca2+ transient amplitude (23%), slower cytosolic calcium removal (17%), and more frequent spontaneous Ca2+ release events (7.5-fold). As spontaneous Ca2+ releases provide a substrate for ventricular arrhythmias, our study highlights the possible role of serum proinflammatory mediators in the development of arrhythmic events during MS.

MeSH terms

  • Adrenergic beta-Agonists / pharmacology
  • Animals
  • Arrhythmias, Cardiac / complications
  • Arrhythmias, Cardiac / pathology*
  • Cells, Cultured
  • Cytokines / metabolism*
  • Disease Models, Animal
  • Echocardiography
  • Heart / drug effects
  • Heart / physiology
  • Interleukin-1beta / metabolism
  • Isoproterenol / pharmacology
  • Leptin / metabolism
  • Male
  • Metabolic Syndrome / complications
  • Metabolic Syndrome / metabolism
  • Metabolic Syndrome / pathology*
  • Myocardial Contraction / drug effects
  • Myocardial Contraction / physiology*
  • Myocardium / metabolism
  • Myocytes, Cardiac / cytology
  • Myocytes, Cardiac / drug effects
  • Myocytes, Cardiac / metabolism
  • Rats
  • Rats, Wistar
  • Serum / chemistry
  • Tomography, X-Ray Computed
  • Tumor Necrosis Factor-alpha / metabolism
  • Ventricular Fibrillation / etiology
  • Whole Body Imaging

Substances

  • Adrenergic beta-Agonists
  • Cytokines
  • Interleukin-1beta
  • Leptin
  • Tumor Necrosis Factor-alpha
  • Isoproterenol