SMALL INTERFERING RNA TARGETING FOCAL ADHESION KINASE PREVENTS CARDIAC DYSFUNCTION IN ENDOTOXEMIA

dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorGUIDO, Maria C.
dc.contributor.authorCLEMENTE, Carolina F.
dc.contributor.authorMORETTI, Ana I.
dc.contributor.authorBARBEIRO, Hermes V.
dc.contributor.authorDEBBAS, Victor
dc.contributor.authorCALDINI, Elia G.
dc.contributor.authorFRANCHINI, Kleber G.
dc.contributor.authorSORIANO, Francisco G.
dc.date.accessioned2013-07-30T15:15:07Z
dc.date.available2013-07-30T15:15:07Z
dc.date.issued2012
dc.description.abstractSepsis and septic shock are associated with cardiac depression. Cardiovascular instability is a major cause of death in patients with sepsis. Focal adhesion kinase (FAK) is a potential mediator of cardiomyocyte responses to oxidative and mechanical stress. Myocardial collagen deposition can affect cardiac compliance and contractility. The aim of the present study was to determine whether the silencing of FAK is protective against endotoxemia-induced alterations of cardiac structure and function. In male Wistar rats, endotoxemia was induced by intraperitoneal injection of lipopolysaccharide (10 mg/kg). Cardiac morphometry and function were studied in vivo by left ventricular catheterization and histology. Intravenous injection of small interfering RNA targeting FAK was used to silence myocardial expression of the kinase. The hearts of lipopolysaccharide-injected rats showed collagen deposition, increased matrix metalloproteinase 2 activity, and myocyte hypertrophy, as well as reduced 24-h +dP/dt and -dP/dt, together with hypotension, increased left ventricular end-diastolic pressure, and elevated levels of FAK (phosphorylated and unphosphorylated). Focal adhesion kinase silencing reduced the expression and activation of the kinase in cardiac tissue, as well as protecting against the increased collagen deposition, greater matrix metalloproteinase 2 activity, and reduced cardiac contractility that occur during endotoxemia. In conclusion, FAK is activated in endotoxemia, playing a role in cardiac remodeling and in the impairment of cardiac function. This kinase represents a potential therapeutic target for the protection of cardiac function in patients with sepsis.
dc.description.indexMEDLINE
dc.description.sponsorshipFundacao de Amparo a Pesquisa do Estado de Sao Paulo (FAPESP, Sao Paulo Research Foundation) [06/00443-6]
dc.identifier.citationSHOCK, v.37, n.1, p.77-84, 2012
dc.identifier.doi10.1097/SHK.0b013e31823532ec
dc.identifier.issn1073-2322
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/1014
dc.language.isoeng
dc.publisherLIPPINCOTT WILLIAMS & WILKINS
dc.relation.ispartofShock
dc.rightsrestrictedAccess
dc.rights.holderCopyright LIPPINCOTT WILLIAMS & WILKINS
dc.subjectFocal adhesion protein-tyrosine kinases
dc.subjectcytokines
dc.subjectinflammation
dc.subjectsepsis
dc.subjectshock septic
dc.subject.otherhuman septic shock
dc.subject.othersevere sepsis
dc.subject.otherventricular dysfunction
dc.subject.otherlung injury
dc.subject.othermice
dc.subject.otherhypertrophy
dc.subject.otherheart
dc.subject.otherpathogenesis
dc.subject.otheractivation
dc.subject.otherresponses
dc.subject.wosCritical Care Medicine
dc.subject.wosHematology
dc.subject.wosSurgery
dc.subject.wosPeripheral Vascular Disease
dc.titleSMALL INTERFERING RNA TARGETING FOCAL ADHESION KINASE PREVENTS CARDIAC DYSFUNCTION IN ENDOTOXEMIA
dc.typearticle
dc.type.categoryoriginal article
dc.type.versionpublishedVersion
dspace.entity.typePublication
hcfmusp.author.externalCLEMENTE, Carolina F.:Univ Estadual Campinas, Sch Med Sci, Dept Internal Med, Campinas, SP, Brazil
hcfmusp.author.externalFRANCHINI, Kleber G.:Univ Estadual Campinas, Sch Med Sci, Dept Internal Med, Campinas, SP, Brazil
hcfmusp.citation.scopus10
hcfmusp.contributor.author-fmusphcMARIA CAROLINA GUIDO
hcfmusp.contributor.author-fmusphcANA IOCHABEL SOARES MORETTI
hcfmusp.contributor.author-fmusphcHERMES VIEIRA BARBEIRO
hcfmusp.contributor.author-fmusphcVICTOR DEBBAS
hcfmusp.contributor.author-fmusphcELIA TAMASO ESPIN GARCIA CALZOLARI
hcfmusp.contributor.author-fmusphcFRANCISCO GARCIA SORIANO
hcfmusp.description.beginpage77
hcfmusp.description.endpage84
hcfmusp.description.issue1
hcfmusp.description.volume37
hcfmusp.lim.ref2012
hcfmusp.origemWOS
hcfmusp.origem.pubmed21921830
hcfmusp.origem.scopus2-s2.0-83655191975
hcfmusp.origem.wosWOS:000298884900012
hcfmusp.publisher.cityPHILADELPHIA
hcfmusp.publisher.countryUSA
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