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Originally published as JHC exPRESS on December 12, 2005.
doi:10.1369/jhc.5A6804.2005
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Journal of Histochemistry and Cytochemistry
Volume 54 (5): 515-523, 2006
Copyright ©The Histochemical Society, Inc.

Mast Cell Contributes to Cardiomyocyte Apoptosis after Coronary Microembolization

Qing-Yong Zhang, Jun-Bo Ge, Jun-Zhu Chen, Jian-Hua Zhu, Liang-Hui Zhang, Chu-Pak Lau and Hung-Fat Tse

The First Affiliate Hospital of Zhejiang University, HangZhou, People's Republic of China (Q-YZ,J-ZC,J-HZ); Cardiology Division, Department of Medicine, The University of Hong Kong, Queen Mary Hospital, Hong Kong, China (Q-YZ,C-PL,H-FT); The No. 6 People's Hospital, Jiao Tong University, Shanghai, China (Q-YZ); and Institute of Cardiovascular Disease, Zhongshan Hospital, Fudan University, Shanghai, China (J-BG,L-HZ)

Correspondence to: Hung-Fat Tse, MD, Cardiology Division, Department of Medicine, The University of Hong Kong, Queen Mary Hospital, Hong Kong, China. E-mail: hftse{at}hkucc.hku.hk

Coronary microembolization (CME) is associated with progressive myocardial dysfunction despite restoration of coronary flow reserve (CFR). The potential pathophysiological role of mast cells (MCs) remains unclear. Therefore, we induced CME in 18 miniswines and determined whether MC accumulation occurs and their effects on local cytokine secretion [interleukin (IL)-6, IL-8, tumor necrosis factor-{alpha} (TNF-{alpha})]; cardiomyocyte apoptosis; and collagen formation at day 1 (D1), day 7 (D7), and day 30 (D30) after CME. Four sham-operated animals without CME (controls) and six animals treated with a MC stabilization agent (tranilast) for 30 days after CME were also studied. CFR decreased at D1 but returned to baseline level at D7 and D30. Coronary sinus levels of IL-6, IL-8, and TNF-{alpha} increased significantly at D1 and D7 (p<0.01 vs baseline). Levels of IL-6 and IL-8 at D30 returned to baseline level, but not those of TNF-{alpha}. The numbers of total and degranulating MCs, % apoptotic cardiomyocytes, and collagen volume fraction (CVF) over CME myocardium at D1, D7, and D30 were significantly higher than controls (p<0.01). Treatment with tranilast significantly reduced the serum level of TNF-{alpha}, numbers of total and degranulating MCs, % apoptotic cardiomyocytes, and CVF at D30 (all p<0.05). There was a significant positive correlation between the numbers of MCs with % apoptotic cardiomyocytes (r = 0.77, p<0.001) and CVF (r = 0.75, p<0.001) over the CME myocardium. Despite restoration of CFR, cardiomyocyte apoptosis persisted after CME and was positively correlated with the number of MCs but was prevented with tranilast treatment. These findings suggest that MCs contribute to cardiomyocyte apoptosis after CME. (J Histochem Cytochem &!squf;54:515–523, 2006)

Key Words: apoptosis • coronary mircoembolization • mast cell


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