TNF-alpha is a proinflammatory
cytokine, abundantly expressed after
myocardial infarction. It has been suggested that it exhibits myocardial suppressive and cytotoxic effects.
AG-556 is a
tyrosine kinase inhibitor synthesized based on its ability to reduce
TNF-alpha production and cell toxicity, and to improve experimental models mediated by
TNF-alpha (i.e., peritontitis and
experimental autoimmune encephalomyelitis). Daily, for 7 days, rats were injected ip with either
AG-556 dissolved in
DMSO or with the control vehicle.
Infarct size was determined in the hearts as well as in fibrous
scar formation. Cardiac
TNF-alpha expression was evaluated by ELISA and immunohistochemistry. Functional hemodynamic parameters were evaluated employing echocardiography prior to sacrifice.
AG-556 treatment reduced MI size at 7 days with a parallel effect on fibrous tissue formation.
TNF-alpha production by splenocytes was reduced upon
AG-556 treatment, whereas no differences were evident between the groups with regard to myocardial
cytokine expression.
AG-556 attenuated the decrease in fractional shortening at the expense of preserving end systolic diameter.
AG-556 has proven beneficial in reducing
myocardial infarct size and attenuated consequent hemodynamic deterioration in the rat model. If reconfirmed,
AG-556 may be of potential clinical use in post-MI patients.