Ventricular remodeling is a milestone in the progression of congestive heart failure (CHF), which is characterized by cardiomyocyte hypertrophy, apoptosis, and remodeling of the extracellular matrix (ECM). During cardiac hypertrophy transition to heart failure, the composition and types of collagen undergo complex alterations due to neurohormonal disturbance and local cytokine release. CHF is a process of systemic inflammation with overexpression of local inflammatory cytokines including tumor necrosis factor (TNF)-a, interleukin-1 (IL-1) b and matrix metalloproteinases (MMPs). Those inflammatory cytokines may play a crucial role in the development of heart failure.
1)Recent clinical trials and experimental studies have provided evidence to suggest that increased cardiac TNF-a expression contributes to the progress of left ventricle (LV) dysfunction.2,3) Experimental studies showed that increased TNF-a levels could cause LV remodeling and promote the deterioration of LV function. 4,5) MMPs constitute a family of zinc-dependent enzymes that are responsible for ECM degradation in either a physiological or pathological process.6) Myocardial ECM remodeling regulated by MMPs is implicated in the progression of heart failure. Recent reports have shown TNF-a contributes to the process of myocardial remodeling in evolving heart failure through the local induction of specific MMPs. [5][6][7][8] Modification of the expression of TNF-a and MMPs may serve as potential therapeutic targets in the treatment of heart failure.Curcumin is a polyphenol contained in the rhizome of the plant Curcuma longa Linn. Previous studies demonstrated that curcumin is an effective cell protector with antiinflammatory, antioxidizant and antifibrotic effects. It can inhibit the expression of a sequence of inflammatory cytokines such as TNF-a, IL-1, or IL-8 9) and MMP-3, MMP-13, 10) MMP-2 11) in the kidney or derma. Curcumin is a potential cleanser of oxidized free radicals (OFRs) and this effect is much stronger than that of carotene or vitamin E 12) due to its ability to suppress the synthesis of xanthine oxidase and lower its activity, 13) but to enhance the activity of the superoxide dismutase (SOD) enzyme.14) Curcumin can retard the fibrotic process in the lung, 15) liver, or kidney.16) It is proposed that this effect is associated with down-regulation of TNF-a expression, reducing lipid peroxidization and blocking the transmission of apoptotic signals.16) Curcumin suppresses renal parenchymal cell apoptosis in mice in which the lateral ureter was ligated to inhibit activation of nuclear transcription factor (NF)-kB and down-regulate the expression of Fas-ligand.In the present study, we tested the hypothesis that curcumin could improve cardiac function and counteract myocardiac collagen remodeling of failing hearts. We also explored the influence of curcumin on the expression of TNF-a and MMP-2 in the LV myocardium of pressure overloaded rabbits. Objective: Curcumin is a wide-spectrum cellular protector with antiinflammatory, antioxidizant, ...