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Cianciulli TF, Saccheri MC, Risolo AM, Lax JA, Mendez RJ, Morita LA, Beck MA, Balletti LR, Puente LJ, Prieto O, Ferreiro DE, Fernandez SP, Fernandez CF, Rozenfeld PA, Gagliardi JA. 4091Mechanical dispersion by speckle tracking echocardiography in fabry disease. Eur Heart J 2019. [DOI: 10.1093/eurheartj/ehz745.0103] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
Fabry disease is a rare X-linked storage disorder caused by a deficiency of the lysosomal enzyme α-galactosidase A and generally causes multi-organ dysfunction. Heart disease is the main cause of death, due to severe left ventricular (LV) systolic dysfunction and sudden death. In several heart diseases, the LV systolic dysfunction and ventricular arrhythmias are associated with mechanical dispersion (MD). The presence of MD in patients with FD has not been studied yet. In this cross-sectional study, we investigated the prevalence of MD in patients with FD.
Methods
Complete echocardiographic and speckle tracking echocardiographic (STE) data were collected. MD is an index of inter-segmental discoordination of contraction which has been used to quantify LV dyssynchrony and was defined as the standard deviation (SD) of time to peak negative strain in 17 left ventricular segments. Patients were divided into two groups according to whether or not they had left ventricular hypertrophy (LVH). MD was defined as an SD >49 msec.
Results
We studied 108 patients with FD, 24 patients (22%) were excluded due to inadequate imaging quality or presence of comorbidities, so the final study population consisted of 84 patients (mean age 33.3±14.6 years, 60.7% women). LVH in FD appears at older ages than in patients without LVH (48±12.5 y/o vs 27.8±11.1 y/o, p<0.0001). Patients with FD without LVH (Group I) showed normal global longitudinal peak strain (GLPS) (21.2±2.5%) and no MD (32.7±8.8 msec). In Group II (n=23) patients with FD with LVH, 17 (73.9%) had MD >49 msec prolonged mechanical dispersion (73.3±20.7 msec) and reduced GLPS (13.6±4.0%). MD was more pronounced in Fabry patients with LVH than in patients without LVH (63.4±24.7 msec vs. 32.7±8.8 msec, p<0.0001). GLPS was lower in Fabry patients with LVH than in patients without LVH (15.3±4.7% vs 21.2±2.5%, p<0.0001).
Figure 1
Conclusions
To our knowledge, this is the first study to demonstrate the prevalence of mechanical dispersion in patients with FD. Mechanical dispersion was seen in 73.9% of patients with FD with LVH. This dyssynchrony should be taken into account in patients who develop heart failure or life-threatening ventricular tachyarrhythmias.
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Affiliation(s)
| | | | - A M Risolo
- Hospital Argerich, Buenos Aires, Argentina
| | - J A Lax
- Hospital Argerich, Buenos Aires, Argentina
| | - R J Mendez
- Hospital Argerich, Buenos Aires, Argentina
| | - L A Morita
- Hospital Argerich, Buenos Aires, Argentina
| | - M A Beck
- Hospital Argerich, Buenos Aires, Argentina
| | | | - L J Puente
- Hospital Argerich, Buenos Aires, Argentina
| | - O Prieto
- Hospital Argerich, Buenos Aires, Argentina
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Morel C, Fernandez SP, Pantouli F, Meye FJ, Marti F, Tolu S, Parnaudeau S, Marie H, Tronche F, Maskos U, Moretti M, Gotti C, Han MH, Bailey A, Mameli M, Barik J, Faure P. Nicotinic receptors mediate stress-nicotine detrimental interplay via dopamine cells' activity. Mol Psychiatry 2018; 23:1597-1605. [PMID: 29155800 DOI: 10.1038/mp.2017.145] [Citation(s) in RCA: 29] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/27/2017] [Revised: 04/26/2017] [Accepted: 05/26/2017] [Indexed: 11/09/2022]
Abstract
Epidemiological studies report strong association between mood disorders and tobacco addiction. This high comorbidity requires adequate treatment but the underlying mechanisms are unknown. We demonstrate that nicotine exposure, independent of drug withdrawal effects, increases stress sensitivity, a major risk factor in mood disorders. Nicotine and stress concur to induce long-lasting cellular adaptations within the dopamine (DA) system. This interplay is underpinned by marked remodeling of nicotinic systems, causing increased ventral tegmental area (VTA) DA neurons' activity and stress-related behaviors, such as social aversion. Blocking β2 or α7 nicotinic acetylcholine receptors (nAChRs) prevents, respectively, the development and the expression of social stress-induced neuroadaptations; conversely, facilitating α7 nAChRs activation specifically in the VTA promotes stress-induced cellular and behavioral maladaptations. Our work unravels a complex nicotine-stress bidirectional interplay and identifies α7 nAChRs as a promising therapeutic target for stress-related psychiatric disorders.
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Affiliation(s)
- C Morel
- Sorbonne Universités, UPMC Univ Paris 06, INSERM, CNRS, Neuroscience Paris Seine - Institut de Biologie Paris Seine (NPS - IBPS), Paris, France.,CNRS UMR 8246, INSERM U1130, Paris, France.,Department of Pharmacological Sciences, Icahn School of Medicine at Mount Sinai, New York, NY, USA.,Department of Neuroscience and Friedman Brain Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | - S P Fernandez
- Université Côte d'Azur, Valbonne, France.,CNRS, Institut de Pharmacologie Moléculaire et Cellulaire, Nice, France
| | - F Pantouli
- Institute of Medical and Biomedical Education, St. George's University of London, London, UK
| | - F J Meye
- CNRS UMR 8246, INSERM U1130, Paris, France.,Team Synapses and Pathophysiology of Reward, INSERM UMR-S 839, Institut du Fer à Moulin, Paris, France
| | - F Marti
- Sorbonne Universités, UPMC Univ Paris 06, INSERM, CNRS, Neuroscience Paris Seine - Institut de Biologie Paris Seine (NPS - IBPS), Paris, France.,CNRS UMR 8246, INSERM U1130, Paris, France
| | - S Tolu
- Sorbonne Universités, UPMC Univ Paris 06, INSERM, CNRS, Neuroscience Paris Seine - Institut de Biologie Paris Seine (NPS - IBPS), Paris, France.,CNRS UMR 8246, INSERM U1130, Paris, France
| | - S Parnaudeau
- CNRS UMR 8246, INSERM U1130, Paris, France.,Team Gene Regulation and Adaptive Behaviors, Neurosciences Paris Seine, INSERM U 1130, CNRS UMR 8246, Paris, France
| | - H Marie
- Université Côte d'Azur, Valbonne, France.,CNRS, Institut de Pharmacologie Moléculaire et Cellulaire, Nice, France
| | - F Tronche
- CNRS UMR 8246, INSERM U1130, Paris, France.,Team Gene Regulation and Adaptive Behaviors, Neurosciences Paris Seine, INSERM U 1130, CNRS UMR 8246, Paris, France
| | - U Maskos
- Team Integrative Neurobiology of Cholinergic Systems, CNRS UMR 3571, Institut Pasteur, Paris, France
| | - M Moretti
- CNR, Institute of Neuroscience and Biometra Department Università degli Studi di Milano, Milan, Italy
| | - C Gotti
- CNR, Institute of Neuroscience and Biometra Department Università degli Studi di Milano, Milan, Italy
| | - M-H Han
- Department of Pharmacological Sciences, Icahn School of Medicine at Mount Sinai, New York, NY, USA.,Department of Neuroscience and Friedman Brain Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | - A Bailey
- Institute of Medical and Biomedical Education, St. George's University of London, London, UK
| | - M Mameli
- CNRS UMR 8246, INSERM U1130, Paris, France.,Team Synapses and Pathophysiology of Reward, INSERM UMR-S 839, Institut du Fer à Moulin, Paris, France
| | - J Barik
- Université Côte d'Azur, Valbonne, France. .,CNRS, Institut de Pharmacologie Moléculaire et Cellulaire, Nice, France.
| | - P Faure
- Sorbonne Universités, UPMC Univ Paris 06, INSERM, CNRS, Neuroscience Paris Seine - Institut de Biologie Paris Seine (NPS - IBPS), Paris, France. .,CNRS UMR 8246, INSERM U1130, Paris, France.
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