Heart failure and related cardiac complications remains a great health challenge. We investigated the effects of upregulating
heme-oxygenase (HO) on myocardial histo-pathological lesions, proinflammatory
cytokines/
chemokines, oxidative mediators and important markers of
heart failure such as
osteopontin and osteoprotergerin in N(ω)-nitro-
l-arginine methyl ester (
L-NAME)-induced
hypertension. Treatment with the HO-inducer,
heme-arginate improved myocardial morphology in
L-NAME hypertensive rats by attenuating subendocardial injury, interstitial
fibrosis, mononuclear-cell infiltration and cardiomyocyte
hypertrophy. These were associated with the reduction of several inflammatory/oxidative mediators including
chemokines/
cytokines such as
macrophage inflammatory protein-1 alpha (MIP-1α), macrophage
chemoattractant protein-1 (MCP-1),
tumor necrosis factor alpha (TNF-α),
interleukin (IL)-6, IL-1β,
endothelin-1,
8-isoprostane,
nitrotyrosine, and
aldosterone. Similarly,
heme-arginate abated the elevated levels of extracellular matrix/remodeling
proteins including
transforming-growth factor beta (TGF-β1) and
collagen-IV in the myocardium. These were accompanied by significant reduction of
proteins of
heart failure such as
osteopontin and
osteoprotegerin. Interestingly, the cardio-protective effects of
heme-arginate were associated with the potentiation of
adiponectin,
atrial-natriuretic peptide (
ANP), HO-1, HO-activity, cyclic gnanosine monophosphate (cGMP) and the total-
anti-oxidant capacity, whereas the HO-inhibitor,
chromium-mesoporphyrin nullified the effects of
heme-arginate, exacerbating inflammatory injury and oxidative insults. We conclude that
heme-arginate therapy protects myocardial damage by potentiating the HO-
adiponectin-
ANP axis, which in turn suppressed the elevated levels of
aldosterone, pro-inflammatory
chemokines/
cytokines, mononuclear-cell infiltration and oxidative stress, with concomitant reduction of extracellular matrix/remodeling
proteins and
heart failure proteins. These data suggest a cardio-protective role of the HO system against
L-NAME-induced
hypertension that could be explored in the design of novel strategies against
cardiomyopathy.