RGD Reference Report - Cyproheptadine prevents pergolide-induced valvulopathy in rats: an echocardiographic and histopathological study. - Rat Genome Database

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Cyproheptadine prevents pergolide-induced valvulopathy in rats: an echocardiographic and histopathological study.

Authors: Droogmans, S  Roosens, B  Cosyns, B  Degaillier, C  Hernot, S  Weytjens, C  Garbar, C  Caveliers, V  Pipeleers-Marichal, M  Franken, PR  Lahoutte, T  Schoors, D  Van Camp, G 
Citation: Droogmans S, etal., Am J Physiol Heart Circ Physiol. 2009 Jun;296(6):H1940-8. doi: 10.1152/ajpheart.01177.2008. Epub 2009 Apr 3.
RGD ID: 9698458
Pubmed: PMID:19346455   (View Abstract at PubMed)
DOI: DOI:10.1152/ajpheart.01177.2008   (Journal Full-text)

Serotonergic drugs, such as pergolide, have been associated with the development of cardiac valvular myxoid thickening and regurgitation in humans and more recently in rats. These effects are potentially mediated by the 5-hydroxytryptamine (5-HT)(2B) receptor (5-HT(2B)R). Therefore, we sought to determine whether cyproheptadine, a 5-HT(2B)R antagonist, might prevent toxic valvulopathy in an animal model of pergolide-induced valvular heart disease. For this purpose, 50 male Wistar rats received daily intraperitoneal injections of pergolide (0.5 mg/kg, n = 14), pergolide (0.5 mg/kg) combined with cyproheptadine (10 mg/kg, n = 12), cyproheptadine (10 mg/kg, n = 12), or no injections (control, n = 12) for 20 wk. Echocardiography was performed blindly at baseline and at 10 and 20 wk followed by pathology. At baseline, no differences between groups were found with echocardiography. At 20 wk, aortic regurgitation was present in all pergolide-treated animals, whereas it was less frequently observed in the other groups (P < 0.0001). For the other valves, this difference was less pronounced. On histopathology, not only aortic but also mitral valves were thicker, myxoid, and exhibited more 5-HT(2B)R-positive cells in pergolide-treated animals compared with the other groups. Moreover, regurgitant aortic and mitral valves were thicker than nonregurgitant aortic and mitral valves. In conclusion, we found that cyproheptadine prevented pergolide-induced valvulopathy in rats, which was associated with a reduced number of 5-HT(2B)R-positive valvular cells. This may have important clinical implications for the prevention of serotonergic drug-induced valvular heart disease.



RGD Manual Disease Annotations    Click to see Annotation Detail View

  
Object SymbolSpeciesTermQualifierEvidenceWithNotesSourceOriginal Reference(s)
HTR2BHumanheart valve disease treatmentISOHtr2b (Rattus norvegicus) RGD 
Htr2bRatheart valve disease treatmentIDA  RGD 
Htr2bMouseheart valve disease treatmentISOHtr2b (Rattus norvegicus) RGD 

Objects Annotated

Genes (Rattus norvegicus)
Htr2b  (5-hydroxytryptamine receptor 2B)

Genes (Mus musculus)
Htr2b  (5-hydroxytryptamine (serotonin) receptor 2B)

Genes (Homo sapiens)
HTR2B  (5-hydroxytryptamine receptor 2B)


Additional Information