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Cardiovascular Research 2006 70(3):457-465; doi:10.1016/j.cardiores.2006.02.001
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Copyright © 2006, European Society of Cardiology

Targeted deletion of p53 prevents cardiac rupture after myocardial infarction in mice

Hidenori Matsusakaa, Tomomi Idea, Shouji Matsushimaa, Masaki Ikeuchia, Toru Kubotaa, Kenji Sunagawaa, Shintaro Kinugawab and Hiroyuki Tsutsuib,*

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


Time for primary review 43 days


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