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il\VOLVEMENT OF RETII\OIC ACID II{ - MSpace at the University of ...

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cells (Gaetano et ai. ZOot¡. The stimul<strong>at</strong>ion <strong>of</strong> FGF-2 production in endo<strong>the</strong>lial cells will<br />

cause an increase in cell prolifer<strong>at</strong>ion and differenti<strong>at</strong>ion, which can induce angiogenesis<br />

in vivo and in vitro (Gaetano et al. 2001).<br />

Retinoic acid is also considered to play a significant role in <strong>the</strong> regul<strong>at</strong>ion <strong>of</strong><br />

ventricular remodeling. De Pavia et ai. (2003) has reported th<strong>at</strong> retinoic acid tre<strong>at</strong>ment<br />

<strong>of</strong> adult 'Wistar r<strong>at</strong>s resulted in <strong>the</strong> changes in <strong>the</strong> left ventricular mass and left ventricular<br />

end diastolic diameter (Rupp de Pavia et al. 2003). The administr<strong>at</strong>ion <strong>of</strong> retinoic acid<br />

also caused a decrease in <strong>the</strong> time to peak developed tension and increased <strong>the</strong> maximum<br />

velocity <strong>of</strong> isometric re-leng<strong>the</strong>ning in isol<strong>at</strong>ed papillary muscle prepar<strong>at</strong>ion. These<br />

retinoic acid-induced functional changes resulted in <strong>the</strong> improvement <strong>of</strong> heart's systolic<br />

and diastolic function (Rupp de Pavia et al. 2003). A number <strong>of</strong> clinical d<strong>at</strong>a has shown<br />

th<strong>at</strong> one <strong>of</strong> <strong>the</strong> characteristics <strong>of</strong> <strong>the</strong> aging process is a progressive decline in myocardial<br />

function. This is <strong>at</strong>tributed to <strong>the</strong> changes in cardiac myosin heavy chain (MHC)<br />

composition which undergoes a transition from an o to a B configur<strong>at</strong>ion. A study<br />

performed by Long et al. 1999 has shown th<strong>at</strong> this switch is accompanied by a decline in<br />

<strong>the</strong> RXR y protein and mRNA levels (Long et al. 1999).This indic<strong>at</strong>es th<strong>at</strong> <strong>the</strong> changes in<br />

<strong>the</strong> RXR y activity may be connected with <strong>the</strong> decline in <strong>the</strong> cardiac function <strong>of</strong> an aging<br />

heart .<br />

Retinoic acid is also found to play a role in cardiac electrical signal transduction.<br />

Study performed by van Veen et al. (2002) has showri th<strong>at</strong> B MHC-hRAR o transgenic<br />

mice exhibited <strong>the</strong> significant changes in <strong>the</strong> heart weight/body weight r<strong>at</strong>io and have<br />

shown <strong>the</strong> signs <strong>of</strong> Q-T interval prolong<strong>at</strong>ion (van Veen et al. 2002). This was<br />

accompanied by <strong>the</strong> ventricular activ<strong>at</strong>ion delay, increased heterogeneity in conduction<br />

50

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