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Circulation. 1998;97:1536-1539

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(Circulation. 1998;97:1536-1539.)
© 1998 American Heart Association, Inc.


Brief Rapid Communications

Elevated Levels of 8-iso-Prostaglandin F2{alpha} in Pericardial Fluid of Patients With Heart Failure

A Potential Role for In Vivo Oxidant Stress in Ventricular Dilatation and Progression to Heart Failure

Ziad Mallat, MD; Ivan Philip, MD; Maryline Lebret, MS; Didier Chatel, MD; Jacques Maclouf, PhD; ; Alain Tedgui, PhD

From the Institut National de la Santé et de la Recherche Médicale, IFR "Circulation Lariboisière," INSERM U 141 (Z.M., A.T.) and INSERM U 348 (M.L., J.M.), Hôpital Lariboisière, Paris, and Service de Chirurgie Cardiovasculaire (I.P., D.C.), Hôpital Bichat, Paris, France. Correspondence to Alain Tedgui, PhD, INSERM U 141, 41 boulevard de la Chapelle, 75475 Paris Cedex 10, France.

Background—It has been suggested that oxidant stress may play a role in the pathophysiology of heart failure. However, no definitive information is available because most previous approaches used to measure oxidant stress are nonspecific, inaccurate, and unreliable.

Methods and Results—To evaluate oxidant stress in the heart, we measured pericardial fluid levels of 8-iso-prostaglandin F2{alpha} (8-iso-PGF2{alpha}), a specific and quantitative marker of oxidant stress in vivo, in a series of 51 consecutive patients with ischemic and/or valvular heart disease referred for cardiac surgery. Pericardial levels of 8-iso-PGF2{alpha} were correlated with the functional severity of heart failure (NYHA classification) and with echocardiographic indices of ventricular dilatation measured by independent physicians. Pericardial levels of 8-iso-PGF2{alpha} were significantly increased in patients with symptomatic heart failure compared with asymptomatic patients and gradually increased with the functional severity of heart failure (P=.0003). In addition, pericardial levels of 8-iso-PGF2{alpha} were significantly correlated with left ventricular end-diastolic and end-systolic diameters (P=.008 and .026, respectively).

Conclusions—Pericardial levels of 8-iso-PGF2{alpha} increase with the functional severity of heart failure and are associated with ventricular dilatation. These data suggest an important role for in vivo oxidant stress on ventricular remodeling and the progression to heart failure.


Key Words: heart failure • free radicals • pericardium




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K. Arimura, K. Egashira, R. Nakamura, T. Ide, H. Tsutsui, H. Shimokawa, and A. Takeshita
Increased inactivation of nitric oxide is involved in coronary endothelial dysfunction in heart failure
Am J Physiol Heart Circ Physiol, January 1, 2001; 280(1): H68 - H75.
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Cardiovasc ResHome page
H. Tsutsui, T. Ide, S. Hayashidani, N. Suematsu, H. Utsumi, R. Nakamura, K. Egashira, and A. Takeshita
Greater susceptibility of failing cardiac myocytes to oxygen free radical-mediated injury
Cardiovasc Res, January 1, 2001; 49(1): 103 - 109.
[Abstract] [Full Text] [PDF]


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Cardiovasc ResHome page
B. Halliwell
Lipid peroxidation, antioxidants and cardiovascular disease: how should we move forward?
Cardiovasc Res, August 18, 2000; 47(3): 410 - 418.
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J. Clin. Endocrinol. Metab.Home page
Y. Moriyama, H. Yasue, M. Yoshimura, Y. Mizuno, K. Nishiyama, R. Tsunoda, H. Kawano, K. Kugiyama, H. Ogawa, Y. Saito, et al.
The Plasma Levels of Dehydroepiandrosterone Sulfate Are Decreased in Patients with Chronic Heart Failure in Proportion to the Severity
J. Clin. Endocrinol. Metab., May 1, 2000; 85(5): 1834 - 1840.
[Abstract] [Full Text]


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Circ. Res.Home page
T. Ide, H. Tsutsui, S. Kinugawa, N. Suematsu, S. Hayashidani, K. Ichikawa, H. Utsumi, Y. Machida, K. Egashira, and A. Takeshita
Direct Evidence for Increased Hydroxyl Radicals Originating From Superoxide in the Failing Myocardium
Circ. Res., February 4, 2000; 86(2): 152 - 157.
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Proc. Natl. Acad. Sci. USAHome page
H. Li, J. A. Lawson, M. Reilly, M. Adiyaman, S.-W. Hwang, J. Rokach, and G. A. FitzGerald
Quantitative high performance liquid chromatography/tandem mass spectrometric analysis of the four classes of F2-isoprostanes in human urine
PNAS, November 9, 1999; 96(23): 13381 - 13386.
[Abstract] [Full Text] [PDF]


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Eur Heart JHome page
S.A. Cook and P.A. Poole-Wilson
Cardiac myocyte apoptosis
Eur. Heart J., November 2, 1999; 20(22): 1619 - 1629.
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J. Biol. Chem.Home page
J. A. Lawson, J. Rokach, and G. A. FitzGerald
Isoprostanes: Formation, Analysis and Use As Indices of Lipid Peroxidation in Vivo
J. Biol. Chem., August 27, 1999; 274(35): 24441 - 24444.
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Circ. Res.Home page
T. Ide, H. Tsutsui, S. Kinugawa, H. Utsumi, D. Kang, N. Hattori, K. Uchida, K.-i. Arimura, K. Egashira, and A. Takeshita
Mitochondrial Electron Transport Complex I Is a Potential Source of Oxygen Free Radicals in the Failing Myocardium
Circ. Res., August 20, 1999; 85(4): 357 - 363.
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CirculationHome page
T. Ide, H. Tsutsui, S. Kinugawa, H. Utsumi, and A. Takeshita
Amiodarone Protects Cardiac Myocytes Against Oxidative Injury by its Free Radical Scavenging Action
Circulation, August 17, 1999; 100(7): 690 - 692.
[Abstract] [Full Text] [PDF]


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Cardiovasc ResHome page
M. Reza Mehrabi, C. Ekmekcioglu, F. Tatzber, A. Oguogho, R. Ullrich, A. Morgan, F. Tamaddon, M. Grimm, H. D Glogar, and H. Sinzinger
The isoprostane, 8-epi-PGF2{alpha}, is accumulated in coronary arteries isolated from patients with coronary heart disease
Cardiovasc Res, August 1, 1999; 43(2): 492 - 499.
[Abstract] [Full Text] [PDF]


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Circ. Res.Home page
D. A. Siwik, J. D. Tzortzis, D. R. Pimental, D. L.-F. Chang, P. J. Pagano, K. Singh, D. B. Sawyer, and W. S. Colucci
Inhibition of Copper-Zinc Superoxide Dismutase Induces Cell Growth, Hypertrophic Phenotype, and Apoptosis in Neonatal Rat Cardiac Myocytes In Vitro
Circ. Res., July 23, 1999; 85(2): 147 - 153.
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CirculationHome page
T. Munzel and D. G. Harrison
Increased Superoxide in Heart Failure : A Biochemical Baroreflex Gone Awry
Circulation, July 20, 1999; 100(3): 216 - 218.
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Circ. Res.Home page
W. F. Saavedra, N. Paolocci, M. E. St. John, M. W. Skaf, G. C. Stewart, J.-S. Xie, R. W. Harrison, J. Zeichner, D. Mudrick, E. Marban, et al.
Imbalance Between Xanthine Oxidase and Nitric Oxide Synthase Signaling Pathways Underlies Mechanoenergetic Uncoupling in the Failing Heart
Circ. Res., February 22, 2002; 90(3): 297 - 304.
[Abstract] [Full Text] [PDF]


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Circ. Res.Home page
F. Sam, D. B. Sawyer, Z. Xie, D. L.F. Chang, S. Ngoy, D. A. Brenner, D. A. Siwik, K. Singh, C. S. Apstein, and W. S. Colucci
Mice Lacking Inducible Nitric Oxide Synthase Have Improved Left Ventricular Contractile Function and Reduced Apoptotic Cell Death Late After Myocardial Infarction
Circ. Res., August 17, 2001; 89(4): 351 - 356.
[Abstract] [Full Text] [PDF]