Bachelorarbeit, 2010
31 Seiten, Note: 2,0
1. Introduction
1.1 Theoretical Background
1.1.1 Chronic Heart Failure
1.1.2 Mitochondrial Alterations
1.1.3 Metabolic Shift
1.1.4 Insulin Resistance
1.1.5 Ketone Bodies
1.1.6 Oxidative Stress
1.1.7 Microcurrent Therapy
1.2 Aim of this experiment
2. Results
2.1 Hypertrophic Model
2.1.1 H9c2
2.1.2 Primary cardiomyocytes (SHR7)
2.1.3 Electro Microcurrent treated primary (SHR7) cells
2.2 Cell growth under β-Hydroxybutyrate treatment
2.2.1 Cell proliferation Assay with alamarBlue®
2.2.2 Hypertrophic growth under β-Hydroxybutyrate treatment
2.3 ROS assay
2.4 Immunohistochemical staining (Mitochondrial distribution)
2.4.1 H9c2
2.4.2 SHR7
3. Discussion
3.1 Hypertrophic Model
3.2 Mitochondrial Activity Assay
3.3 ROS Assay
3.4 Immunostaining
4. Conclusion
5. References
6. Methods
6.1 Hypertrophic Model
6.2 Hypertrophic Measurement
6.3 HE-Staining
6.4 MitoTracker®
6.5 ROS-Measurement
6.6 OHB Proliferation Assay
6.7 AlamarBlue®-Assay
6.8 Cristal Violet-Assay
6.9 Immunohistochemical staining (Caveolin-3)
6.10 Immunohistochemical staining (α-Tubulin)
6.11 Microcurrent treatment of SHR7 cells
This study investigates the metabolic and morphological influence of 3-hydroxybutyrate (OHB) and electrical microcurrent treatment on rat cardiomyocytes (H9c2 and SHR7) under conditions of simulated hypertrophy, specifically analyzing its impact on cell viability, hypertrophic growth, and mitochondrial distribution.
Ketone Bodies
Chronic elevated FFA levels also alters liver metabolisms which start converting FFA into ketone bodies (KB) namely β-Hydroxybutyrat (OHB) and Acetoacetat (AAc) (31). Some papers referred to KB as “superfuel” since it produces more energy per oxygen consumption than glucose or fatty acids, because concentrations of NADH increases relative to NAD+ and CoQ relative to CoQH2 accelerating the redox-reaction at the NADH dehydrogenase complex (32). This is also confirmed by a complex perfused rat heart preparation where OHB increased contractility and decreased oxygen consumption (33). Furthermore it was shown, that ketogenesis increased parallel with growing brain size, which only uses glucose and KB as energy source, during the evolution of vertebrates (34).
However, the highest part of KB’s myocardial oxygen consumption can be found within fetal organisms (e.g. not over 7% in lamb) (35). Normal individual blood levels are less than 0.1 mM for both OHB and AAc, but can reach up to 8 mM of OHB and 2 mM for AAc and Acetone (36). Clinical Studies carried out by Lommi et al. showed that patients suffering from CHF do have a 2-fold increase in blood KB in mean compared to control subjects. Additionally blood KB levels correlate with severity of symptoms, degrees of venous congestion, left ventricular dysfunction as well as neurohormonal activation (9).
Whereas previous studies assumed that KB block the citrate cycle (CC) (37) and thureupon cause contractility dysfunction (38) newer studies showed that KB prevent glucose uptake by inhibition of AMPK, generation of oxidative stress and promoting IR what might reduce cardiac energy substrate support in CHF (39). If the effect of KB is a negative one inhibition of carnitine palmitoyl transferase-1 (CPT-1) as most regulated step in ketogenesis may be a therapeutic possibility (40).
Introduction: Provides a theoretical foundation by discussing the pathophysiology of Chronic Heart Failure, metabolic shifts, and current therapeutic hypotheses involving ketone bodies and microcurrent therapy.
Results: Details the empirical data gathered from establishing hypertrophic cell models and testing the effects of OHB and microcurrents on cell size and mitochondrial morphology.
Discussion: Interprets the experimental findings, specifically the reduction of hypertrophy by OHB and the limitations of the performed ROS assays, while contextualizing these results within current scientific literature.
Conclusion: Summarizes that adrenergic stimulation and metabolic factors are critical to CHF progression and highlights the potential of microcurrent applications as a therapeutic strategy.
Methods: Outlines the precise experimental protocols used, including cell culture conditions, staining procedures, and the application of electrical microcurrent devices.
Chronic Heart Failure, Cardiomyocytes, 3-Hydroxybutyrate, Microcurrent Therapy, Hypertrophy, Phenylephrine, Mitochondria, Caveolin-3, Metabolic Shift, Ketone Bodies, Insulin Resistance, Reactive Oxygen Species, Cell Proliferation, H9c2, SHR7.
The research focuses on the influence of 3-hydroxybutyrate and electrical microcurrents on cardiomyocytes, particularly under conditions that simulate heart failure-induced hypertrophy.
The work explores metabolic alterations in heart failure, the role of ketone bodies as an energy substrate, and the impact of electrical stimulation on cellular remodeling.
The goal is to determine if 3-hydroxybutyrate affects cardiomyocyte activity and if it can reduce cell hypertrophy, while assessing whether microcurrent treatment provides a restorative effect.
The study used cell culture models (H9c2 and SHR7), immunohistochemical staining, alamarBlue assays for viability, and mitochondrial tracking via microscopy.
The main body details the experimental setup of the hypertrophic model, measurements of cell size, proliferation assays under ketone treatment, and the imaging of mitochondrial distribution.
Key terms include Chronic Heart Failure, Cardiomyocytes, 3-Hydroxybutyrate, Microcurrent Therapy, and Hypertrophy.
Phenylephrine (PE) is used to induce a hypertrophic state in the cells, which involves significant cell enlargement and the translocation of Caveolin-3 into the cytoplasm.
The study demonstrated that treatment with 6.25mM OHB could significantly reduce the cell size of hypertrophic cardiomyocytes back towards the dimensions of untreated cells.
Yes, the results suggested that microcurrent application could serve as a promising therapeutic method, as it demonstrated a reduction of cellular hypertrophy both in vitro and in vivo.
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