Article ID Journal Published Year Pages File Type
2190791 Journal of Molecular and Cellular Cardiology 2011 8 Pages PDF
Abstract

Although high intake of n-3 fatty acids is associated with reduced mortality of patients with ischemic heart disease, especially reduction in sudden cardiac death (SCD), the detailed mechanisms remain to be elucidated. Thus, the present study was designed to examine whether long-term treatment with eicosapentaenoic acid (EPA), a major component of n-3 fatty acids, reduces ischemia-induced ventricular fibrillation (VF) in pigs in vivo, and if so, what molecular mechanisms are involved. Male pigs were treated with either a control chow (control group) or a control chow plus EPA (600 mg/kg/day, PO, EPA group) for 3 weeks and were subjected to myocardial ischemia for 90 min (n = 8 each) with measurement of the monophasic action potential (MAP), as a marker of ventricular electrophysiological activities. The EPA treatment significantly attenuated the occurrence of VF (control 5.1 ± 1.7 vs. EPA 1.5 ± 0.8 times/animal, P < 0.05) and markedly reduced the mortality (control 50% vs. EPA 0%, P < 0.05), with the attenuation of MAP duration shortening during ischemia (control − 28.1 ± 3.0% vs. EPA − 18.2 ± 1.4%, P < 0.05). These beneficial effects of EPA were abolished by pre-treatment with cromakalim, a KATP channel opener (0.3 μg/kg/min, IC). Furthermore, EPA significantly inhibited the mRNA and protein expression of Kir6.2, a major component of sarcolemmal KATP channels, in both the ischemic region and non-ischemic regions. These results indicate that long-term treatment with EPA reduces ischemia-induced VF and SCD in pigs in vivo, for which attenuation of MAP duration shortening may be involved.

Research highlights► Eicosapentaenoic acids (EPA) suppressed ischemia-induced ventricular fibrillation. ► EPA attenuated an ischemia-induced monophasic action potential shortening. ► KATP channel opener abolished these beneficial effects of EPA during ischemia. ► EPA treatment down-regulated the mRNA and protein expression of Kir6.2.

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