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Vol. 305, Issue 1, 17-23, April 2003
Department of Pharmacology, Osaka Medical College, Takatsuki City,
Osaka, Japan (S.T., D.J., M.S., M.M., M.M.); Laboratory of Cell
Biology, Osaka University of Pharmaceutical Sciences, Takatsuki City,
Osaka, Japan (S.K., M.S., E.M.); and Department of Pharmacology, Osaka
City University Medical School, Abeno-ku, Osaka, Japan (S.K.)
Previously, we reported that levels of chymase activity and its mRNA in
cardiac tissues were significantly increased along with progression of
cardiac fibrosis in cardiomyopathic hamsters, but the involvement of
chymase in the progression of fibrosis has been unclear. In cultured
human fibroblasts, the concentration of transforming growth factor-
in the supernatant of medium was significantly increased after
injection of human chymase. Furthermore, human chymase dose dependently
increased cell proliferation, and this chymase-dependent proliferation
was completely suppressed by a chymase inhibitor,
Suc-Val-Pro-Phep(OPh)2 (10 µM) or an
anti-transforming growth factor-
antibody (100 µg/ml). In this
study, we used Bio14.6 and F1B hamsters as cardiomyopathic and control
hamsters, respectively. Cardiomyopathic hamsters were orally
administered a novel chymase inhibitor,
4-[1-{[bis-(4-methylphenyl)-methyl]-carbamoyl}-3-(2-ethoxy-benzyl)-4-oxo-azetidine-2-yloxy]-benzoic acid (BCEAB; 100 mg/kg per day), or placebo from 5- to 45-week-old. In
the placebo-treated group, the cardiac chymase activity in cardiomyopathic hamsters 45 weeks old was significantly increased compared with that in control hamsters. BCEAB significantly reduced the
cardiac chymase activity. The indexes (+dP/dt and -dP/dt) of cardiac
function were significantly improved by treatment with BCEAB. The mRNA
levels of collagen I and collagen III in the placebo-treated hamsters
were significantly reduced to 69.6 and 76.5% by treatment with BCEAB,
respectively. The fibrotic area in cardiac tissues in the BCEAB-treated
hamsters was significantly suppressed to 50.7% compared with that in
the placebo-treated treated hamsters. Therefore, the activation of
transforming growth factor-
by chymase may play an important role in
the progression of cardiac fibrosis and cardiac dysfunction in cardiomyopathy.
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