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Cigarette
Smoke could alter shape of Heart
Newswise — Prolonged exposure to cigarette
smoke can increase levels of the stress
hormone norepinephrine and enzymes in the
heart that have the potential to reshape the
left ventricle, according to new research at
the University of Illinois at Chicago.
In a study using rats as as animal model,
five weeks exposure to cigarette smoke was
associated with the activation of enzymes
called mitogen-activated protein kinases
that govern cell growth and survival in
heart muscle.
Activation of these enzymes may be a key
event in cigarette smoke-induced heart
injury, says Mariann Piano, professor of
biobehavioral health science in the UIC
College of Nursing and lead researcher of
the study.
Heart disease probably develops as a result
of complex interactions among many elements
in cigarette smoke, she said.
"Cigarette smoke contains more than 4,000
different chemicals, one of which is
nicotine," Piano said.
"However, the effect of nicotine on the
initiation and progression of cigarette
smoke-mediated cardiovascular events remains
controversial."
To date, small clinical trials of nicotine
replacement therapies have not shown
increased cardiovascular risk, even in
patients with cardiovascular disease, Piano
said. This suggested the need to study
cigarette smoke as a whole.
In the new study, published in the November
issue of the European Journal of Heart
Failure, rats were exposed either to
cigarette smoke or to normal room air.
After five weeks, the animals were examined
by echocardiography. Heart tissue was
examined under the microscope and by Western
blot analysis, used to detect specific
proteins in tissue samples.
The results showed exposure to cigarette
smoke was associated with significant
changes in the shape of the left ventricle,
the heart's main pumping chamber, and an
increase in the levels of the activated
forms of the enzymes in the heart muscle.
Researchers also found increased levels of
norepinephrine, a hormone released when a
stressful event causes any of a host of
physiological changes, in urine samples
taken from the animals.
Piano said this is the first study to
demonstrate that cigarette smoke-induced
ventricular remodeling is linked to the
activation of mitogen-activated protein
kinases.
She received the American Heart
Association's 2008 Katharine A. Lembright
Award for excellence in cardiovascular
research at the association's annual meeting
in New Orleans on Nov. 9.
The study was funded by the National
Institutes of Health. Other authors were
Lianzhi Gu, postdoctoral fellow in
biobehavioral health science; and, from the
UIC College of Medicine, Shamim Chowdhury,
research scientist in physiology and
biophysics, and Dr. David Geenen, research
associate professor of physiology.
For more information about UIC, visit
http://www.uic.edu.
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