RGD Reference Report - Roles of TNF-alpha and its receptors in the beneficial effects of vagal stimulation after myocardial infarction in rats. - Rat Genome Database
Acute myocardial infarction (AMI) often activates the sympathetic system and inhibits the vagal system. Long-term vagal nerve stimulation (VNS) exerts several beneficial effects on the ischemia heart including an anti-inflammatory effect. The goal of the current study is to investigate, in a rodent model, whether short term VNS during AMI could inhibit the expression of tumor necrosis factor-alpha (TNF-alpha) and the effect of TNF receptor (TNFR), key components in inflammatory responses to AMI. Adult male Sprague-Dawley rats were divided into four groups: control (C), vagal nerve stimulation (S), acute myocardial infarction (M), pre-VNS(+) AMI (MS). The right vagus nerve was electrically stimulated for 4 hours. The hemodynamic data were continuously monitored by a multichannel physiologic recorder. Lactate dehydrogenase (LDH) leakage and creatine kinase (CK) as well as infarct size were measured. The expression of TNF-alpha and its receptor were analyzed by reverse transcription polymerase chain reaction (RT-PCR), Western blotting and enzyme-linked immunosorbent assay (ELISA). In M group, AMI rats presented low blood pressure, high left ventricular end-diastolic pressure, a depressed maximum dP/dt of left ventricular pressure, higher LDH and CK leakage and larger infarct size as well as an increased TNF-alpha level and increased TNFR1/TNFR2 ratio. However, these presumably harmful effects of AMI were all significantly ameliorated by VNS during AMI. In conclusion, VNS can rectify ischemia-induced cardiac dysfunction partly through an inhibitory effect of VNS on the TNF-alpha-mediated signaling pathway.