Abstract:
:Clinical observations indicate that elevated aldosterone impairs cardiovascular function. The mechanisms, however, are not totally understood although total and cardiovascular mortality are decreased by aldosterone antagonists. Experimentally, increased plasma aldosterone induces pericoronary inflammation and cardiac fibrosis. Our laboratory has discovered that aldosterone is synthesized in the rat heart, and has demonstrated that this cardiac aldosterone is involved in post-infarction cardiac remodeling. In man, activated cardiac aldosterone production has been described in patients with heart failure. In transgenic mice that overexpress aldosterone-synthase in the heart, we observe a normal cardiac function but a major coronary dysfunction, more pronounced in males. These observations converge to a potential physiological and pathological relevance of this system. Beneficial effects of anti-aldosterone treatment in heart failure may thus be secondary in part to blockade of cardiac aldosterone action.
journal_name
Mol Cell Endocrinoljournal_title
Molecular and cellular endocrinologyauthors
Heymes C,Garnier A,Fuchs S,Bendall JK,Nehme J,Ambroisine ML,Robidel E,Swynghedauw B,Milliez P,Delcayre Cdoi
10.1016/j.mce.2003.10.022keywords:
subject
Has Abstractpub_date
2004-03-31 00:00:00pages
213-9issue
1-2eissn
0303-7207issn
1872-8057pii
S0303720703004027journal_volume
217pub_type
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