Apoptotic Cell Death in Arrhythmogenic Right Ventricular Cardiomyopathy : A Comparative Study with Idiopathic Sustained Ventricular Tachycardia
スポンサーリンク
概要
- 論文の詳細を見る
Arrhythmogenic right ventricular cardiomyopathy (ARVC) is a specific heart muscle disease of unknown etiology characterized by fatty and fibrofatty replacement of the right ventricular myocardium. It often manifests life-threatened ventricular arrhythmias. Previous studies have hypothesized that myocyte apoptosis contributes to the myocyte cell loss and fatty change in ARVC and may be induced by recurrent ventricular tachycardia (VT). We examined whether these progressive pathological changes result from apoptotic cell death in both autopsied and biopsied right ventricular myocardium from 35 patients with ARVC by using in situ terminal deoxynucleotidyl transferase assay (TUNEL) and agarose gel electrophoresis. We also studied the biopsied myocardium from 30 patients with idiopathic sustained VT whose origin was the outflow tract of the right ventricle. TUNEL-positive cells indicating DNA fragments were observed in some cardiomyocytes and fibroblasts in ARVC, but the numbers of TUNEL-positive myocytes were very low in idiopathic VT. DNA laddering was confirmed in two autopsied cases in ARVC, but not in a non-cardiac case who died. These results suggest that at least some cardiomyocytes and fibroblasts are subjected to apoptosis in ARVC, leading to the loss of myocardium with characteristic pathological changes and subsequently progressive cardiomyopathy. Furthermore, the apoptotic process may not result from myocardial ischemia due to repetitive VT.
- Japanese Heart Journal Associationの論文
著者
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Nishikawa Toshio
Department of Surgical Pathology, Tokyo Womens Medical University
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Hiroe Michiaki
国立国際医療センター研究所 遺伝子診断治療開発研究部
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Nagata Makoto
the Department of Geriatrics, Tokyo Womens Medical University
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Hiroe Michiaki
2nd Department of Medicine, Tokyo Medical and Dental University
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Ishiyama Shigeru
Department of 2 Pathology, Tokyo Womens Medical University
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Sakomura Yasunari
Cardiology, Tokyo Womens Medical University
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Kasanuki Hiroshi
Cardiology, Tokyo Womens Medical University
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Toyosaki Tetsuya
Division of Pathology, Institute of Pulmonary Cancer Research, Chiba University School of Medicine
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Marumo Fumiaki
2nd Department of Medicine, Tokyo Medical and Dental University
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Marumo Fumiaki
2nd Department Of Internal Medicine Tokyo Medical And Dental University(tmdu)
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Nishikawa Toshio
Departmen Of Surgical Pathology Tokyo Women's Medical College
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Kasanuki Hiroshi
Cardiology Tokyo Women's Medical College
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Hiroe Michiaki
2nd Department Of Internal Medicine Tokyo Medical And Dental University(tmdu)
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Sakomura Yasunari
Cardiology, Tokyo Women's Medical University
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Nagata Makoto
the Department of Geriatrics, Tokyo Women's Medical University
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Ishiyama Shigeru
Department of 2 Pathology, Tokyo Women's Medical University
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