Copyright © 2006, European Society of Cardiology
Targeted deletion of p53 prevents cardiac rupture after myocardial infarction in mice
aDepartment of Cardiovascular Medicine, Graduate School of Medical Sciences, Kyushu University, Fukuoka 812-8582, Japan
bDepartment of Cardiovascular Medicine, Hokkaido University Graduate School of Medicine, Kita-15, Nishi-7, Kita-ku, Sapporo 060-8638, Japan
* Corresponding author. Tel.: +81 11 706 6970; fax: +81 11 706 7874. Email address: htsutsui{at}med.hokudai.ac.jp
Objective Apoptosis may play an important role in cardiac remodeling after myocardial infarction (MI). p53 is a well-known proapoptotic factor. However, its pathophysiological significance in these conditions remains unclear. We thus examined the effects of target deletion of the p53 gene on post-MI hearts.
Methods Anterior MI was created in male heterozygous p53-deficient (p53+/ –; n=28) mice and sibling wild-type (p53+/+; n=29) mice by ligating the left coronary artery.
Results By day 7, p53+/ – mice had significantly better survival rate than p53+/+ mice (89% vs. 69%, P<0.05). Notably, p53+/ – mice had a significantly lower incidence of left ventricular (LV) rupture (7% vs. 28%, P<0.05) despite comparable infarct size (60±2% vs. 59±2%, P=NS), heart rate (488±15 vs. 489±17 bpm, P=NS), or mean arterial blood pressure (80±2 vs. 78±3 mm Hg, P=NS). The extent of infiltrating interstitial cells including macrophages into the post-MI hearts was not altered by the deletion of p53. Further, collagen deposition as well as the zymographic MMP-2 and -9 activities were comparable between p53+/ – and p53+/+ mice with MI. However, the p53+/ – mice had a significantly thicker infarct wall. The number of TUNEL-positive cells in the infarct area was significantly lower in p53+/ – mice than in p53+/+ mice (423±86 vs. 1330±275/105 cells, P<0.01).
Conclusions p53 is involved in cardiac rupture after MI, probably via the induction of a proapoptotic pathway. The inhibition of p53 may be a potentially useful therapeutic strategy to manage post-MI patients.
KEYWORDS Apoptosis; Extracellular matrix; Infarction; Myocytes; Remodeling