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Publication : Cardioprotective Effect of Whole Body Periodic Acceleration in Dystrophic Phenotype <i>mdx</i> Rodent.

First Author  Uryash A Year  2021
Journal  Front Physiol Volume  12
Pages  658042 PubMed ID  34017265
Mgi Jnum  J:308314 Mgi Id  MGI:6728968
Doi  10.3389/fphys.2021.658042 Citation  Uryash A, et al. (2021) Cardioprotective Effect of Whole Body Periodic Acceleration in Dystrophic Phenotype mdx Rodent. Front Physiol 12:658042
abstractText  Duchenne muscular dystrophy (DMD) is characterized by progressive muscle wasting and the development of a dilated cardiomyopathy (DCM), which is the leading cause of death in DMD patients. Despite knowing the cause of DMD, there are currently no therapies which can prevent or reverse its inevitable progression. We have used whole body periodic acceleration (WBPA) as a novel tool to enhance intracellular constitutive nitric oxide (NO) production. WBPA adds small pulses to the circulation to increase pulsatile shear stress, thereby upregulating endothelial nitric oxide synthase (eNOS) and neuronal nitric oxide synthase (nNOS) and subsequently elevating the production of NO. Myocardial cells from dystrophin-deficient 15-month old mdx mice have contractile deficiency, which is associated with elevated concentrations of diastolic Ca(2+) ([Ca(2+)]d), Na(+) ([Na(+)]d), and reactive oxygen species (ROS), increased cell injury, and decreased cell viability. Treating 12-month old mdx mice with WBPA for 3 months reduced cardiomyocyte [Ca(2+)]d and [Na(+)]d overload, decreased ROS production, and upregulated expression of the protein utrophin resulting in increased cell viability, reduced cardiomyocyte damage, and improved contractile function compared to untreated mdx mice.
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