Background
Moderate alcohol consumption is cardioprotective but the mechanism of action remains unclear. Nuclear Factor kappa-B (NFκB) regulates the expression of genes involved in inflammation, stress and apoptosis. We used a swine model of diet-induced metabolic syndrome to investigate the effects of red wine and vodka on NFκB signaling and cytokine activity in chronically ischemic myocardium.
Methods
Yorkshire swine were given a high-fat diet for four weeks; an ameroid constrictor was then placed on the left circumflex artery. The high-fat diet was continued and the swine were divided into three groups for 7 weeks: hypercholesterolemic diet alone (Control, n=8), hypercholesterolemic diet with vodka (Vodka, n=8), and hypercholesterolemic diet with wine (Wine, n=8). Ischemic myocardium was analyzed by Western blot and cytokine array.
Results
Administration of alcohol was associated with decreased expression of IKKα, IKKβ and p-IκBα in the ischemic myocardium compared to the control group. Alcohol administration demonstrated an increase in NFκB in the ischemic myocardium. Both wine and vodka demonstrated a significant decrease in leptin, IL-1α, IL-13, IL-15 and IFN-γ. Vodka demonstrated a significant decrease in phosphorylated BCL-2 and caspase-9.
Conclusions
In ischemic myocardium, alcohol modulates the NFκB pathway, which may contribute to the adaptive response of tissues to the stress of ischemia. Furthermore, both wine and vodka decreased multiple pro-inflammatory cytokines. This study provides a mechanism by which alcohol may be cardioprotective in ischemic myocardium.