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Statins reverse postpartum cardiovascular dysfunction in a rat model of preeclampsia

Item Type:Article
Title:Statins reverse postpartum cardiovascular dysfunction in a rat model of preeclampsia
Creators Name:Kräker, K. and O'Driscoll, J.M. and Schütte, T. and Herse, F. and Patey, O. and Golic, M. and Geisberger, S. and Verlohren, S. and Birukov, A. and Heuser, A. and Mueller, D.N. and Thilaganathan, B. and Dechend, R. and Haase, N.
Abstract:Preeclampsia is associated with increased cardiovascular long-term risk; however, the underlying functional and structural mechanisms are unknown. We investigated maternal cardiac alterations after preeclampsia. Female rats harboring the human angiotensinogen gene [TGR(hAogen)L1623] develop a preeclamptic phenotype with hypertension and albuminuria during pregnancy when mated with male rats bearing the human renin gene [TGR(hRen)L10J] but behave physiologically normal before and after pregnancy. Furthermore, rats were treated with pravastatin. We tested the hypothesis that statins are a potential therapeutic intervention to reduce cardiovascular alterations due to simulated preeclamptic pregnancy. Although hypertension persists for only 8 days in pregnancy, former preeclampsia rats exhibit significant cardiac hypertrophy 28 days after pregnancy observed in both speckle tracking echocardiography and histological staining. In addition, fibrosis and capillary rarefaction was evident. Pravastatin treatment ameliorated the remodeling and improved cardiac output postpartum. Preeclamptic pregnancy induces irreversible structural changes of cardiac hypertrophy and fibrosis, which can be moderated by pravastatin treatment. This pathological cardiac remodeling might be involved in increased cardiovascular risk in later life.
Keywords:Pravastatin, Preeclampsia, Pregnancy, Animals, Rats
Publisher:American Heart Association
Page Range:202-210
Date:January 2020
Official Publication:https://doi.org/10.1161/HYPERTENSIONAHA.119.13219
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