1
Department of Physiology, Faculty of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IR Iran.
2
Persian Gulf Physiology Research Center, Basic Sciences Research Institute, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IR Iran.
Abstract
Background: Liver cirrhosis often leads to various cardiovascular complications. Given the protective role of antioxidant agents in cardiovascular diseases, vanillic acid (VA) may play a preventive role due to its antioxidant properties. In this experiment, we examined the effects of VA on the ECG and vascular responses in the knee joints of rats with cholestasis-induced cirrhosis.
Methods: Thirty-two male Sprague-Dawley rats were divided into 4 groups: sham, cirrhosis, cirrhosis + VA, and VA. Liver cirrhosis was induced by chronic (4-week) bile duct ligation (BDL). ECG (lead II) recordings were obtained on the first day and 4 weeks post-surgery. Laser Doppler flowmetry was employed 4 weeks after the surgery to assess blood flow changes in the knee joints of the animals.
Results: On the first day, no significant differences were observed in the QRS complex voltage and QTc interval. However, 4 weeks post-BDL induction, the QTc interval significantly increased, while the QRS complex voltage and the blood vessel response decreased in the cirrhosis group. VA was found to have a mitigating effect on these parameters.
Conclusions: Cardiovascular complications in cirrhotic patients may result from an increase in free radicals. Therefore, it can be inferred that the reduction in cardiovascular complications observed in the cirrhosis group treated with VA is likely attributable to its antioxidant properties.(Iranian Heart Journal 2024; 25(4): 13-21)
Giannelli G, Quaranta V, Antonaci S. Tissue remodelling in liver diseases. Histology and histopathology 2003.
Chedid A, Mendenhall CL, Gartside P, French SW, Chen T, Rabin L. Prognostic factors in alcoholic liver disease. American Journal of Gastroenterology (Springer Nature) 1991;86.
SUNG JL. Prevention of hepatitis B and C virus infection for prevention of cirrhosis and hepatocellular carcinoma. Journal of gastroenterology and hepatology 1997; 12:S370-S376.
Rockey DC. Hepatic fibrosis, stellate cells, and portal hypertension. Clinics in liver disease 2006; 10:459-479.
Møller S, Henriksen JH. The systemic circulation in cirrhosis. Ascites and renal dysfunction in liver disease Malden: Blackwell 2005139-155.
Iwakiri Y, Groszmann RJ. The hyperdynamic circulation of chronic liver diseases: from the patient to the molecule. Hepatology 2006; 43:S121-S131.
Zamirian M, Aslani A. Response to Dr. Ze-Zhou Song. The American Journal of Gastroenterology 2008; 103:241.
Zamirian M, Aslani A, Shahrzad S. Left atrial volume: a novel predictor of hepatopulmonary syndrome. Official journal of the American College of Gastroenterology| ACG 2007; 102:1392-1396.
Zamirian M, Aslani A, Sharifkazemi MB. Prediction of intrapulmonary right to left shunt with left atrial size in patients with liver cirrhosis. European Journal of Echocardiography 2008; 9:1-4.
Al Hamoudi W, Lee SS. Cirrhotic cardiomyopathy. Annals of Hepatology 2006; 5:132-139.
Elliot M, Andrew P, Braunwald E. Ischemic heart disease. Fauci AS, Braunwald E, Kasper DL, et al Harrison's principles of internal medicine, 17th ed New York, McGraw-Hill Co 2008.
Lotková H, Staňková P, Roušar T, Kučera O, Kohoutek L, Mičuda S, Brčáková E, Kolouchová G, Cervinkova Z. Deteriorating effect of fluvastatin on the cholestatic liver injury induced by bile duct ligation in rats. General physiology and biophysics 2011; 30:66-74.
Scartezzini P, Speroni E. Review on some plants of Indian traditional medicine with antioxidant activity. Journal of ethnopharmacology 2000; 71:23-43.
Strand LP, Scheline RR. The metabolism of vanillin and isovanillin in the rat. Xenobiotica 1975; 5:49-63.
Muskiet F, Groen A. Urinary excretion of conjugated homovanillic acid, 3, 4-dihydroxyphenylacetic acid, p-hydroxyphenylacetic acid, and vanillic acid by persons on their usual diet and patients with neuroblastoma. Clinical chemistry 1979; 25:1281-1284.
Odink J, Korthals H, Knijff J. Simultaneous determination of the major acidic metabolites of catecholamines and serotonin in urine by liquid chromatography with electrochemical detection after a one-step sample clean-up on Sephadex G-10; influence of vanilla and banana ingestion. Journal of Chromatography B: Biomedical Sciences and Applications 1988; 424:273-283.
Macı́as FA, Simonet AM, Galindo JC, Castellano D. Bioactive phenolics and polar compounds from Melilotus messanensis. Phytochemistry 1999; 50:35-46.
Batish D, Lavanya K, Pal Singh H, Kohli R. Root‐mediated allelopathic interference of nettle‐leaved goosefoot (Chenopodium murale) on wheat (Triticum aestivum). Journal of Agronomy and Crop science 2007; 193:37-44.
Parveen I, Winters A, Threadgill MD, Hauck B, Morris P. Extraction, structural characterisation and evaluation of hydroxycinnamate esters of orchard grass (Dactylis glomerata) as substrates for polyphenol oxidase. Phytochemistry 2008; 69:2799-2806.
Zhang Z, Liao L, Moore J, Wu T, Wang Z. Antioxidant phenolic compounds from walnut kernels (Juglans regia L.). Food chemistry 2009; 113:160-165.
Mitchell GF, Jeron A, Koren G. Measurement of heart rate and QT interval in the conscious mouse. American Journal of Physiology-Heart and Circulatory Physiology 1998; 274:H747-H751.
Liu Y, Binz J, Numerick MJ, Dennis S, Luo G, Desai B, MacKenzie KI, Mansfield TA, Kliewer SA, Goodwin B. Hepatoprotection by the farnesoid X receptor agonist GW4064 in rat models of intra-and extrahepatic cholestasis. The Journal of clinical investigation 2003; 112:1678-1687.
Lee RF, Glenn TK, Lee SS. Cardiac dysfunction in cirrhosis. Best Practice & Research Clinical Gastroenterology 2007; 21:125-140.
Fadillioglu E, Oztas E, Erdogan H, Yagmurca M, Sogut S, Ucar M, Irmak MK. Protective effects of caffeic acid phenethyl ester on doxorubicin‐induced cardiotoxicity in rats. Journal of Applied Toxicology: An International Journal 2004; 24:47-52.
Karimian S, McDougall J, Ferrell W. Neuropeptidergic and autonomic control of the vasculature of the rat knee joint revealed by laser Doppler perfusion imaging. Experimental Physiology: Translation and Integration 1995; 80:341-348.
Badavi M, Khoshbaten A, Hajizadeh S. Decreased response of rat knee joint blood vessels to phenylephrine in chronic inflammation: involvement of nitric oxide. Experimental Physiology 2000; 85:49-55.
Yuede CM, Zimmerman SD, Dong H, Kling MJ, Bero AW, Holtzman DM, Timson BF, Csernansky JG. Effects of voluntary and forced exercise on plaque deposition, hippocampal volume, and behavior in the Tg2576 mouse model of Alzheimer's disease. Neurobiology of disease 2009; 35:426-432.
Tai A, Sawano T, Ito H. Antioxidative properties of vanillic acid esters in multiple antioxidant assays. Bioscience, biotechnology, and biochemistry 2012; 76:314-318.
Manthey JA, Perkins-Veazie P. Influences of harvest date and location on the levels of β-carotene, ascorbic acid, total phenols, the in vitro antioxidant capacity, and phenolic profiles of five commercial varieties of mango (Mangifera indica L.). Journal of agricultural and food chemistry 2009; 57:10825-10830.
Fernández-Martínez E, Pérez-Álvarez V, Tsutsumi V, Shibayama M, Muriel P. Chronic bile duct obstruction induces changes in plasma and hepatic levels of cytokines and nitric oxide in the rat. Experimental and Toxicologic Pathology 2006; 58:49-58.
Dianat M, Fard SS, Badavi M, Ahangarpour A. The effect of caffeic acid phenethyl ester on QT interval in cirrhotic rats. Health Med 2012; 6:3281-3285.
Moezi L, Mehr SE, Dehpour AR. Cardiovascular abnormalities in cirrhosis: The possible mechanisms. The Journal of Tehran University Heart Center 2007; 2:191-200.
Baik SK, Fouad TR, Lee SS. Cirrhotic cardiomyopathy. Orphanet Journal of Rare Diseases 2007; 2:1-8.
Fede G, Privitera G, Tomaselli T, Spadaro L, Purrello F. Cardiovascular dysfunction in patients with liver cirrhosis. Annals of Gastroenterology: Quarterly Publication of the Hellenic Society of Gastroenterology 2015; 28:31.
Møller S, Henriksen JH. Cirrhotic cardiomyopathy: a pathophysiological review of circulatory dysfunction in liver disease. Heart 2002; 87:9-15.
Zambruni A, Trevisani F, Caraceni P, Bernardi M. Cardiac electrophysiological abnormalities in patients with cirrhosis. Journal of hepatology 2006; 44:994-1002.
Møller S, Henriksen JH. Cardiovascular dysfunction in cirrhosis: pathophysiological evidence of a cirrhotic cardiomyopathy. Scandinavian journal of gastroenterology 2001; 36:785-794.
Atefipour,N. , Dianat,M. , Badavi,M. and sarkaki,A. (2024). The Effects of Vanillic Acid on the Q-T Interval and the Knee Joint Vascular Response in Rats With Liver Cirrhosis. Iranian Heart Journal, 25(4), 13-21.
MLA
Atefipour,N. , , Dianat,M. , , Badavi,M. , and sarkaki,A. . "The Effects of Vanillic Acid on the Q-T Interval and the Knee Joint Vascular Response in Rats With Liver Cirrhosis", Iranian Heart Journal, 25, 4, 2024, 13-21.
HARVARD
Atefipour N., Dianat M., Badavi M., sarkaki A. (2024). 'The Effects of Vanillic Acid on the Q-T Interval and the Knee Joint Vascular Response in Rats With Liver Cirrhosis', Iranian Heart Journal, 25(4), pp. 13-21.
CHICAGO
N. Atefipour, M. Dianat, M. Badavi and A. sarkaki, "The Effects of Vanillic Acid on the Q-T Interval and the Knee Joint Vascular Response in Rats With Liver Cirrhosis," Iranian Heart Journal, 25 4 (2024): 13-21,
VANCOUVER
Atefipour N., Dianat M., Badavi M., sarkaki A. The Effects of Vanillic Acid on the Q-T Interval and the Knee Joint Vascular Response in Rats With Liver Cirrhosis. Iranian Heart Journal, 2024; 25(4): 13-21.