Journal: bioRxiv
Article Title: Ryanodine receptor inhibition improves cardiac repolarization reserve and contractile function and prevents sudden arrhythmic death in failing hearts
doi: 10.1101/2023.01.29.526151
Figure Lengend Snippet: ( A ) Schematic illustrates a randomized 2×2 cross-over experimental design to examine the impact of dantrolene therapy. The protocols were as follows (i) only vehicle administered till the endpoint i.e., week 4 (HF), (ii) dantrolene administered from the onset of HF till until chronic contractile dysfunction is evident in the untreated control HF group (usually 3 weeks post banding; HF+/-DS), or (iii) dantrolene administered after HF had already developed in the HF group (3 weeks post banding; HF-/+DS group). Echocardiography and ECG recordings were taken at week 2/3/4/5. ( B ) Kaplan Meier survival curve showed that 50% of the HF animals experience SCD. Treatment with dantrolene after HF development (around week 3) prevented additional SCDs and improved survival after starting dantrolene therapy in the HFDS-/+ group (purple). Discontinuation of Dantrolene however did not increaser mortality in HF+/-DS group(yellow). ( C ) Serial echocardiography plot shows that Dantrolene reversed heart failure in HF-/+DS (purple) animals. The FS% in this group initially declined at a pace similar to HF (red) animals, but it quickly normalized as soon as Dantrolene therapy was started. However, in the HF+/-DS (yellow) group when the therapy was stopped, the FS% started showing gradual decline, most likely due to washout effect without additional SCD. ( D ) Dantrolene treatment pre or post HF development alters RyR2 oxidation of HF animals (p<0.05). Treatment with dantrolene reduced RyR2 oxidation even when therapy was initiated or discontinued after HF development. ( E ) Close examination of the HF-/+DS (purple) group, pre and post dantrolene therapy shows an increase in PVC load with progression of HF. (G) The box plots summarize QTc pre-HF (light purple), during chronic HF (medium purple) and after dantrolene therapy was initiated (dark purple). The HF-/+DS group displays all symptoms of HF including prolonged QTc after development of HF (around week 3, medium purple box). After start of therapy (dark purple box), QTc shortened at rest and recovery. A p<0.05 was considered significant; two-tailed log-rank analysis was performed on each group for each measure .
Article Snippet: An ECG transmitter (Data Sciences International ETA-F10 Biopotential Telemetry device) with leads in lead II arrangement and an iPRECIO programmable pump (Primetech Corp., Tokyo, Japan) were implanted in the abdominal cavity.
Techniques: Two Tailed Test