2020
DOI: 10.3390/cells9061393
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Sildenafil Recovers Burn-Induced Cardiomyopathy

Abstract: Background: Severe burn injury initiates a feedback cycle of inflammation, fibrosis, oxidative stress and cardiac mitochondrial damage via the PDE5A-cGMP-PKG pathway. Aim: To test if the PDE5A-cGMP-PKG pathway may contribute to burn-induced heart dysfunction. Methods: Sprague–Dawley rats were divided four groups: sham; sham/sildenafil; 24 h post burn (60% total body surface area scald burn, harvested at 24 h post burn); and 24 h post burn/sildenafil. We monitored heart function and oxidative adducts, as well a… Show more

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Cited by 17 publications
(17 citation statements)
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“…Some disease states predispose mitochondria to be more sensitive to disruption during preparation, and there are no bioenergetic living cell culture data with cardiomyocytes in a burn model. While our previous publication demonstrates some bioenergetic data [46][47] future study is needed to quantify tissue mitochondria.…”
Section: Discussionmentioning
confidence: 97%
“…Some disease states predispose mitochondria to be more sensitive to disruption during preparation, and there are no bioenergetic living cell culture data with cardiomyocytes in a burn model. While our previous publication demonstrates some bioenergetic data [46][47] future study is needed to quantify tissue mitochondria.…”
Section: Discussionmentioning
confidence: 97%
“…The damaged mitochondrial function in rat hearts was mediated through the phosphodiesterase 5 (PDE5)-cyclic GMP protein kinase G (cGMP-PKG) pathway, while blockade of this signaling by sildenafil treatment reversed burn-induced mitochondrial damage [ 21 ]. Severe burn injury significantly increased PDE5A expression (both protein and mRNA), decreased cGMP levels, and reduced PKG protein level and activity in rat hearts [ 26 ]. Treatment of sildenafil, an inhibitor of PDE5, normalized myocardial levels of PDE5A, cGMP, and PKG, as well as PKG activity after a burn [ 26 ].…”
Section: Burn Trauma-damaged Cardiac Mitochondriamentioning
confidence: 99%
“…Severe burn injury significantly increased PDE5A expression (both protein and mRNA), decreased cGMP levels, and reduced PKG protein level and activity in rat hearts [ 26 ]. Treatment of sildenafil, an inhibitor of PDE5, normalized myocardial levels of PDE5A, cGMP, and PKG, as well as PKG activity after a burn [ 26 ]. Indeed, using sildenafil to increase cGMP levels improved cardiac mitochondrial morphology, mitochondrial DNA (mtDNA) replication, mtDNA-encoded gene expressions, and mitochondrial electron transport chain function, as well as mitochondrial complex activity in animal experiments [ 21 ].…”
Section: Burn Trauma-damaged Cardiac Mitochondriamentioning
confidence: 99%
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“…The authors use a model of diet-induced obesity and myoblasts in culture to study the deleterious effects of high fat diet on cardiac function, and to show that antioxidants specifically targeted to mitochondria reduced cardiac oxidative stress and prevented cardiac damage. Sildenafil, an inhibitor of phosphodiesterase 5A (PDE5A), was also able to decrease the production of reactive oxygen species (ROS), fibrosis and inflammation, thereby recovering burn-induced cardiac dysfunction in a rat model [ 6 ].…”
mentioning
confidence: 99%