Autonomic denervation with magnetic nanoparticles.

Abstract:

BACKGROUND:prior studies indicated that ablation of the 4 major atrial ganglionated plexi (GP) suppressed atrial fibrillation. METHODS AND RESULTS:superparamagnetic nanoparticles (MNPs) made of Fe(3)O(4) (core), thermoresponsive polymeric hydrogel (shell), and neurotoxic agent (N-isopropylacrylamide monomer [NIPA-M]) were synthesized. In 23 dogs, a right thoracotomy exposed the anterior right GP (ARGP) and inferior right GP (IRGP). The sinus rate and ventricular rate slowing responses to high-frequency stimulation (20 Hz, 0.1 ms) were used as the surrogate for the ARGP and IRGP functions, respectively. In 6 dogs, MNPs carrying 0.4 mg NIPA-M were injected into the ARGP. In 4 other dogs, a cylindrical magnet (2600 G) was placed epicardially on the IRGP. MNPs carrying 0.8 mg NIPA-M were then infused into the circumflex artery supplying the IRGP. The hydrogel shell reliably contracted in vitro at temperatures ≥ 37°C, releasing NIPA-M. MNPs injected into the ARGP suppressed high-frequency stimulation-induced sinus rate slowing response (40 ± 8% at baseline; 21 ± 9% at 2 hours; P=0.006). The lowest voltage of ARGP high-frequency stimulation inducing atrial fibrillation was increased from 5.9 ± 0.8 V (baseline) to 10.2 ± 0.9 V (2 hours; P=0.009). Intracoronary infusion of MNPs suppressed the IRGP but not ARGP function (ventricular rate slowing: 57 ± 8% at baseline, 20 ± 8% at 2 hours; P=0.002; sinus rate slowing: 31 ± 7% at baseline, 33 ± 8 % at 2 hours; P=0.604). Prussian Blue staining revealed MNP aggregates only in the IRGP, not the ARGP. CONCLUSIONS:intravascularly administered MNPs carrying NIPA-M can be magnetically targeted to the IRGP and reduce GP activity presumably by the subsequent release of NIPA-M. This novel targeted drug delivery system can be used intravascularly for targeted autonomic denervation.

journal_name

Circulation

journal_title

Circulation

authors

Yu L,Scherlag BJ,Dormer K,Nguyen KT,Pope C,Fung KM,Po SS

doi

10.1161/CIRCULATIONAHA.110.940288

subject

Has Abstract

pub_date

2010-12-21 00:00:00

pages

2653-9

issue

25

eissn

0009-7322

issn

1524-4539

pii

CIRCULATIONAHA.110.940288

journal_volume

122

pub_type

杂志文章
  • 8-oxo-dGTPase, which prevents oxidative stress-induced DNA damage, increases in the mitochondria from failing hearts.

    abstract:BACKGROUND:Reactive oxygen species (ROS) can cause an oxidative modification of nucleotides, such as 8-oxo-7,8-dihydrodeoxyguanosine triphosphate (8-oxo-dGTP), which can lead to defects in DNA replication. The misincorporation of 8-oxo-dGTP into DNA is prevented by 8-oxo-dGTPase, which hydrolyzes 8-oxo-dGTP into 8-oxo-...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/hc4901.101347

    authors: Tsutsui H,Ide T,Shiomi T,Kang D,Hayashidani S,Suematsu N,Wen J,Utsumi H,Hamasaki N,Takeshita A

    更新日期:2001-12-11 00:00:00

  • Noninvasive assessment of left ventricular force-frequency relationships using tissue Doppler-derived isovolumic acceleration: validation in an animal model.

    abstract:BACKGROUND:We have demonstrated that myocardial acceleration during isovolumic contraction (IVA) is a sensitive index of right ventricular contractile function. In this study, we assessed the usefulness of IVA to measure left ventricular (LV) contractile function and force-frequency relationships in an experimental pre...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.CIR.0000058171.62847.90

    authors: Vogel M,Cheung MM,Li J,Kristiansen SB,Schmidt MR,White PA,Sorensen K,Redington AN

    更新日期:2003-04-01 00:00:00

  • QT dispersion as an attribute of T-loop morphology.

    abstract:BACKGROUND:The suggestion that increased QT dispersion (QTD) is due to increased differences in local action potential durations within the myocardium is wanting. An alternative explanation was sought by relating QTD to vectorcardiographic T-loop morphology. METHODS AND RESULTS:The T loop is characterized by its ampli...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.99.11.1458

    authors: Kors JA,van Herpen G,van Bemmel JH

    更新日期:1999-03-23 00:00:00

  • Renal function and urate metabolism in late survivors with cyanotic congenital heart disease.

    abstract::Diminished glomerular filtration rate, proteinuria, and large hypercellular congested glomeruli with segmental sclerosis are found in late survivors with cyanotic congenital heart disease (CCHD). Hyperuricemia is common, acute gouty arthritis is less common than uric acid levels would predict, and overt tophaceous dep...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.73.3.396

    authors: Ross EA,Perloff JK,Danovitch GM,Child JS,Canobbio MM

    更新日期:1986-03-01 00:00:00

  • Lipid lowering versus revascularization: an idea whose time (for testing) has come.

    abstract::There is strong evidence that revascularization does not prevent myocardial infarction in patients with stable coronary artery disease (CAD). The anatomic basis for this counterintuitive conclusion seems to be that most myocardial infarctions occur at sites that did not previously exhibit an angiographically significa...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.96.4.1360

    authors: Forrester JS,Shah PK

    更新日期:1997-08-19 00:00:00

  • Value of planar 201Tl imaging in risk stratification of patients recovering from acute myocardial infarction.

    abstract::Although exercise ECG testing has been shown to have important prognostic value after acute myocardial infarction, exercise 201Tl scintigraphy offers several potential advantages, including: 1) increased sensitivity for detecting residual myocardial ischemia; 2) the ability to localize ischemia to a specific area or a...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Gibson RS,Watson DD

    更新日期:1991-09-01 00:00:00

  • Clinical features and outcomes of women with unstable ischemic heart disease: observations from metabolic efficiency with ranolazine for less ischemia in non-ST-elevation acute coronary syndromes-thrombolysis in myocardial infarction 36 (MERLIN-TIMI 36).

    abstract:BACKGROUND:The pathobiological basis of ischemic heart disease and thus the manifestations and response to therapy can differ between women and men. In prior studies, sex-based treatment differences have been observed with the antiischemic ranolazine, with a possibly diminished effect in women. METHODS AND RESULTS:We ...

    journal_title:Circulation

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1161/CIRCULATIONAHA.109.897231

    authors: Mega JL,Hochman JS,Scirica BM,Murphy SA,Sloan S,McCabe CH,Merlini P,Morrow DA

    更新日期:2010-04-27 00:00:00

  • Prospective temporal analysis of the onset of preinfarction angina versus outcome: an ancillary study in TIMI-9B.

    abstract:BACKGROUND:The timing of onset of angina before myocardial infarction in relation to outcome is unknown. METHODS AND RESULTS:We prospectively determined the importance of the time of onset of preinfarction angina in relation to 30-day outcomes in the TIMI-9B study from standardized forms. Of the 3002 patients entered ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.97.11.1042

    authors: Kloner RA,Shook T,Antman EM,Cannon CP,Przyklenk K,Yoo K,McCabe CH,Braunwald E

    更新日期:1998-03-24 00:00:00

  • Psychological and behavioral responses after coronary artery bypass surgery.

    abstract::One hundred consecutive patients who underwent coronary artery bypass surgery at the Columbia-Presbyterian Medical Center from December 1972 through February 1975 were evaluated at surgery and then followed for as long as 4 1/2 years to study their postoperative psychosocial and behavioral course. One patient died dur...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Kornfeld DS,Heller SS,Frank KA,Wilson SN,Malm JR

    更新日期:1982-11-01 00:00:00

  • Randomized crossover comparison of DDDR versus VDD pacing after atrioventricular junction ablation for prevention of atrial fibrillation. The atrial pacing peri-ablation for paroxysmal atrial fibrillation (PA (3)) study investigators.

    abstract:BACKGROUND:Some clinical data suggest that atrial-based pacing prevents paroxysmal atrial fibrillation (AF). This study tested the hypothesis that DDDR pacing compared with VDD pacing prevents AF after atrioventricular (AV) junction ablation. METHODS AND RESULTS:Patients were randomized to DDDR pacing (n=33) or to VDD...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1161/01.cir.102.7.736

    authors: Gillis AM,Connolly SJ,Lacombe P,Philippon F,Dubuc M,Kerr CR,Yee R,Rose MS,Newman D,Kavanagh KM,Gardner MJ,Kus T,Wyse DG

    更新日期:2000-08-15 00:00:00

  • Protective effects of endogenous adrenomedullin on cardiac hypertrophy, fibrosis, and renal damage.

    abstract:BACKGROUND:Adrenomedullin (AM) is a novel vasodilating peptide thought to have important effects on cardiovascular function. The aim of this study was to assess the activity of endogenous AM in the cardiovascular system using AM knockout mice. METHODS AND RESULTS:Mice heterozygous for an AM-null mutation (AM+/-) and t...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.CIR.0000118466.47982.CC

    authors: Niu P,Shindo T,Iwata H,Iimuro S,Takeda N,Zhang Y,Ebihara A,Suematsu Y,Kangawa K,Hirata Y,Nagai R

    更新日期:2004-04-13 00:00:00

  • High-Sensitivity Cardiac Troponin I and Clinical Risk Scores in Patients With Suspected Acute Coronary Syndrome.

    abstract:BACKGROUND:High-sensitivity cardiac troponin assays can help to identify patients who are at low risk of myocardial infarction in the emergency department. We aimed to determine whether the addition of clinical risk scores would improve the safety of early rule-out pathways for myocardial infarction. METHODS:In 1935 p...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.118.036426

    authors: Chapman AR,Hesse K,Andrews J,Lee KK,Anand A,Shah ASV,Sandeman D,Ferry AV,Jameson J,Piya S,Stewart S,Marshall L,Strachan FE,Gray A,Newby DE,Mills NL

    更新日期:2018-10-16 00:00:00

  • Adrenergic receptors and sensitization of adenylyl cyclase in acute myocardial ischemia.

    abstract::Acute myocardial ischemia leads to a gradual increase in beta-adrenergic receptors at the cell surface. This increase occurs rapidly after onset of global ischemia (15 minutes) and persists even after prolonged periods of global ischemia. This alteration can be observed both in vivo and in vitro in isolated perfused h...

    journal_title:Circulation

    pub_type: 杂志文章,评审

    doi:

    authors: Strasser RH,Marquetant R,Kübler W

    更新日期:1990-09-01 00:00:00

  • Selective serotonin reuptake inhibitors and myocardial infarction.

    abstract:BACKGROUND:Depression is an independent risk factor for myocardial infarction (MI). Selective serotonin reuptake inhibitors (SSRIs) may reduce this risk through attenuation of serotonin-mediated platelet activation in addition to treatment of depression itself. METHODS AND RESULTS:case-control study of first MI in smo...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/hc4101.097519

    authors: Sauer WH,Berlin JA,Kimmel SE

    更新日期:2001-10-16 00:00:00

  • Effect of clopidogrel premedication in off-pump cardiac surgery: are we forfeiting the benefits of reduced hemorrhagic sequelae?

    abstract:BACKGROUND:Premedication with clopidogrel has reduced thrombotic complications after percutaneous coronary revascularization procedures. However, because of the enhanced and irreversible platelet inhibition by clopidogrel, patients requiring surgical revascularization have a higher risk of bleeding complications and tr...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.105.571828

    authors: Kapetanakis EI,Medlam DA,Petro KR,Haile E,Hill PC,Dullum MK,Bafi AS,Boyce SW,Corso PJ

    更新日期:2006-04-04 00:00:00

  • Pulmonary artery index. A nonpredictor of operative survival in patients undergoing modified Fontan repair.

    abstract::The importance of pulmonary artery size and the value of a standardized pulmonary artery index (PAI) in predicting outcome after Fontan's repair have previously been reported and questioned. We retrospectively reviewed 29 patients undergoing modified Fontan repair at The Children's Hospital of Philadelphia to examine ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Bridges ND,Farrell PE Jr,Pigott JD 3rd,Norwood WI,Chin AJ

    更新日期:1989-09-01 00:00:00

  • The deceptive aortic root.

    abstract::Coronal, horizontal, and sagittal sections through the mid-line are excellent ways of depicting the anatomical position of the aortic root and for studying its topographical relationship to the surrounding vascular structures. Minimal radiographic abnormalities or no abnormalities at all may be present with an enlarge...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.51.2.389

    authors: Viamote M,Camacho M,Cahill DR,Viamonte M,Mori K

    更新日期:1975-02-01 00:00:00

  • Quantitative assessment of prolonged metabolic abnormalities in reperfused canine myocardium.

    abstract:BACKGROUND:Prolonged metabolic abnormalities have been demonstrated previously in postischemic myocardium, including relative increases in glucose uptake and abnormal fatty acid kinetics. However, quantitative metabolic information is limited, and the time course of changes in MVO2 in postischemic myocardium is unknown...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.85.5.1842

    authors: Buxton DB,Mody FV,Krivokapich J,Phelps ME,Schelbert HR

    更新日期:1992-05-01 00:00:00

  • The prognostic implications of acute myocardial infarct scintigraphy with 99mTc-pyrophosphate.

    abstract::The predictive value of the myocardial scintigraphy with 99mTc-pyrophosphate was studied in 100 patients admitted to the coronary care unit with suspected acute myocardial infarction. None of the 21 patients with normal scintigrams had acute myocardial infraction by other criteria. Fifty-five percent of patients with ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.57.2.320

    authors: Holman BL,Chisholm RJ,Braunwald E

    更新日期:1978-02-01 00:00:00

  • The QRS complex during transient myocardial ischemia: studies in patients with variant angina pectoris and in a canine preparation.

    abstract::We made continuous electrocardiographic recordings on magnetic tape during 15 episodes of ischemia in five patients with variant angina to determine the characteristics of the QRS changes. Orthogonal leads were used and the electrocardiograms were analyzed visually and by digital computer. Changes were quantified by s...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.71.5.901

    authors: Barnhill JE,Wikswo JP Jr,Dawson AK,Gundersen S,Robertson RM,Robertson D,Virmani R,Smith RF

    更新日期:1985-05-01 00:00:00

  • Atrioventricular nodal reentrant tachycardia: studies on upper and lower 'common pathways'.

    abstract::Electrophysiologic studies were performed in 28 patients with documented atrioventricular (AV) nodal reentrant supraventricular tachycardia (SVT) to investigate the presence of AV nodal tissue situated between the tachycardia circuit and both the atrium (upper common pathway, UCP) and the His bundle (lower common path...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.75.5.930

    authors: Miller JM,Rosenthal ME,Vassallo JA,Josephson ME

    更新日期:1987-05-01 00:00:00

  • Phase-plane analysis of left ventricular chamber filling and midwall fiber lengthening in patients with left ventricular hypertrophy.

    abstract::Echocardiographic measurements of the left ventricle were used to define rates of circumferential fiber lengthening at the endocardium and midwall in 12 normal subjects and six patients with concentric left ventricular hypertrophy (wall thickness 11 to 16 mm). There was no difference in chamber size and systolic short...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Shimizu G,Conrad CH,Gaasch WH

    更新日期:1987-01-01 00:00:00

  • Survival after coronary artery bypass surgery in specific patient groups.

    abstract::The results of coronary bypass 5-10 years after operation at the Baylor College of Medicine are reported. The late results demonstrate that good relief of symptoms of angina pectoris persisted in 89% of patients at 10 years of follow-up. An overall annual attrition rate of 3% has been fairly constant through 10 years ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.65.7.43

    authors: Lawrie GM,Morris GC Jr

    更新日期:1982-06-01 00:00:00

  • Bone morphogenic protein-4 induces hypertension in mice: role of noggin, vascular NADPH oxidases, and impaired vasorelaxation.

    abstract:BACKGROUND:Recent in vitro studies have shown that disturbed flow and oxidative conditions induce the expression of bone morphogenic proteins (BMPs 2 and 4) in cultured endothelial cells. BMPs can stimulate superoxide production and inflammatory responses in endothelial cells, raising the possibility that BMPs may play...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.106.611822

    authors: Miriyala S,Gongora Nieto MC,Mingone C,Smith D,Dikalov S,Harrison DG,Jo H

    更新日期:2006-06-20 00:00:00

  • Transvenous coronary ultrasound imaging. A novel approach to visualization of the coronary arteries.

    abstract:BACKGROUND:Catheter-based ultrasound is a new imaging modality to examine endovascular detail in the coronary circulation. This technique requires direct placement of the catheter in the arterial segment of interest. METHODS AND RESULTS:We examined the feasibility of a less invasive approach by imaging the coronary ar...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.84.5.1957

    authors: Sudhir K,Fitzgerald PJ,MacGregor JS,DeMarco T,Ports TA,Chatterjee K,Yock PG

    更新日期:1991-11-01 00:00:00

  • Metabolic modulator perhexiline corrects energy deficiency and improves exercise capacity in symptomatic hypertrophic cardiomyopathy.

    abstract:BACKGROUND:Hypertrophic cardiomyopathy patients exhibit myocardial energetic impairment, but a causative role for this energy deficiency in the pathophysiology of hypertrophic cardiomyopathy remains unproven. We hypothesized that the metabolic modulator perhexiline would ameliorate myocardial energy deficiency and ther...

    journal_title:Circulation

    pub_type: 杂志文章,随机对照试验

    doi:10.1161/CIRCULATIONAHA.109.934059

    authors: Abozguia K,Elliott P,McKenna W,Phan TT,Nallur-Shivu G,Ahmed I,Maher AR,Kaur K,Taylor J,Henning A,Ashrafian H,Watkins H,Frenneaux M

    更新日期:2010-10-19 00:00:00

  • Antenatal sildenafil treatment attenuates pulmonary hypertension in experimental congenital diaphragmatic hernia.

    abstract:BACKGROUND:Lung hypoplasia and persistent pulmonary hypertension of the newborn limit survival in congenital diaphragmatic hernia (CDH). Unlike other diseases resulting in persistent pulmonary hypertension of the newborn, infants with CDH are refractory to inhaled nitric oxide (NO). Nitric oxide mediates pulmonary vaso...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.108.845909

    authors: Luong C,Rey-Perra J,Vadivel A,Gilmour G,Sauve Y,Koonen D,Walker D,Todd KG,Gressens P,Kassiri Z,Nadeem K,Morgan B,Eaton F,Dyck JR,Archer SL,Thébaud B

    更新日期:2011-05-17 00:00:00

  • Endocardial mapping in humans in sinus rhythm with normal left ventricles: activation patterns and characteristics of electrograms.

    abstract::Endocardial catheter mapping was performed in 15 patients in sinus rhythm who had no evidence of structural heart disease and normal left ventricles. Mapping was performed with the use of 10 mm interelectrode distance from various left ventricular endocardial sites. In 10 patients a quantitative analysis of electrogra...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.70.1.37

    authors: Cassidy DM,Vassallo JA,Marchlinski FE,Buxton AE,Untereker WJ,Josephson ME

    更新日期:1984-07-01 00:00:00

  • Atherosclerosis and late closure of aortocoronary saphenous vein grafts: sequential angiographic studies at 2 weeks, 1 year, 5 to 7 years, and 10 to 12 years after surgery.

    abstract::Sequential control angiographic examinations were performed at 2 weeks, 1 year, 5 to 7 years, and 10 to 12 years after aortocoronary saphenous vein bypass surgery in 82 unselected patients. Graft modifications consisting of wall irregularities and obstructive lesions of various severity and shapes that were found to d...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Campeau L,Enjalbert M,Lespérance J,Vaislic C,Grondin CM,Bourassa MG

    更新日期:1983-09-01 00:00:00

  • Beta fibrinogen gene polymorphisms are associated with plasma fibrinogen and coronary artery disease in patients with myocardial infarction. The ECTIM Study. Etude Cas-Temoins sur l'Infarctus du Myocarde.

    abstract:BACKGROUND:Polymorphisms of the beta fibrinogen gene have been shown to affect plasma fibrinogen levels and the risk of peripheral arterial disease. We now present the results of a detailed analysis of the beta fibrinogen gene in relation to plasma fibrinogen and to the severity of coronary artery disease (CAD) in pati...

    journal_title:Circulation

    pub_type: 杂志文章,多中心研究

    doi:10.1161/01.cir.93.3.440

    authors: Behague I,Poirier O,Nicaud V,Evans A,Arveiler D,Luc G,Cambou JP,Scarabin PY,Bara L,Green F,Cambien F

    更新日期:1996-02-01 00:00:00