title: Regulation of cardiac adrenomedullin-mRNA in different stages of experimental heart failure.
abstract: Adrenomedullin (AM) is a peptide hormone with vasodilating and natriuretic properties. AM plasma concentrations are elevated in heart failure. Whether cardiac AM-mRNA synthesis is increased in heart failure is not known. We measured AM-mRNA/GAPDH-mRNA in all four heart chambers in compensated and overt heart failure in rats with two different sizes of aortocaval shunt. Left and right atrial AM-mRNA expressions were unchanged in both heart failure models. Similarly, left and right ventricular AM-mRNA expressions were unchanged in compensated heart failure. In overt heart failure, however, the AM-mRNA expression was significantly increased in the left ventricle (145+/-20 vs. 100+/-3% of control, p<0.05). The right ventricular AM-mRNA expression was significantly increased only in a subgroup of animals with pulmonary congestion (lung weight >2.0 g, 141+/-16 vs. 100+/-11% of control, p<0.05). Ventricular AM concentrations were elevated in both ventricles in overt heart failure. AM plasma concentrations were significantly higher in the subgroup with pulmonary congestion than in rats with compensated heart failure (496+/-95 vs. 143+/-7 pmol/l, p<0.01). These data indicate that ventricular AM-mRNA expression and AM concentrations were upregulated only in advanced stages of heart failure. However, the exact contribution of cardiac AM synthesis to the increased AM plasma levels remains to be established.
authors.affiliation: Franz-Volhard-Clinic at the Max Delbrück Center for Molecular Medicine, University Hospital Charité, Humboldt University of Berlin, Germany. willenbrock@fvk-berlin.de
authors.forename: R
authors.initials: R
authors.lastname: Willenbrock
authors.forename: T
authors.initials: T
authors.lastname: Langenickel
authors.forename: M
authors.initials: M
authors.lastname: Knecht
authors.forename: I
authors.initials: I
authors.lastname: Pagel
authors.forename: K
authors.initials: K
authors.lastname: Höhnel
authors.forename: S
authors.initials: S
authors.lastname: Philipp
authors.forename: R
authors.initials: R
authors.lastname: Dietz
mesh_terms: D053607:Adrenomedullin; D000818:Animals; D005987:Glyceraldehyde-3-Phosphate Dehydrogenases / Q000378:metabolism; D006325:Heart Atria / Q000378:metabolism; D006333:Heart Failure / Q000378:metabolism* / Q000473:pathology / Q000503:physiopathology; D006352:Heart Ventricles / Q000378:metabolism; D006439:Hemodynamics; D008168:Lung / Q000473:pathology; D008297:Male; D009206:Myocardium / Q000378:metabolism* / Q000473:pathology; D009929:Organ Size; D010455:Peptides / Q000097:blood / Q000378:metabolism*; D012333:RNA, Messenger / Q000032:analysis / Q000096:biosynthesis*; D051381:Rats; D017208:Rats, Wistar
chemical_list: D010455:Peptides; D012333:RNA, Messenger; D053607:Adrenomedullin; D005987:Glyceraldehyde-3-Phosphate Dehydrogenases