Aldosterone-synthase overexpression in heart: a tool to explore aldosterone's effects.

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 Endocrinol

authors

Heymes C,Garnier A,Fuchs S,Bendall JK,Nehme J,Ambroisine ML,Robidel E,Swynghedauw B,Milliez P,Delcayre C

doi

10.1016/j.mce.2003.10.022

keywords:

subject

Has Abstract

pub_date

2004-03-31 00:00:00

pages

213-9

issue

1-2

eissn

0303-7207

issn

1872-8057

pii

S0303720703004027

journal_volume

217

pub_type

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