Abstract

Vitamin E (VitE) only prevented cardiovascular diseases in some patients and the mechanisms remain unknown. VitE levels can be affected by aging and gender. We hypothesize that age and gender can influence VitE’s cardioprotective effect. Mice were divided into 4 groups according to age and gender, and each group of mice were divided into a control group and a VitE group. The mice were administered water or VitE for 21 days; Afterward, the cardiac function and myocardial infarct size and cardiomyocyte apoptosis were measured after myocardial ischemia reperfusion(MI/R). VitE may significantly improved cardiac function in young male mice and aged female mice by enhancing ERK1/2 activity and reducing JNK activity. Enhanced expression of HSP90 and Bcl-2 were also seen in young male mice. No changes in cardiac function and cardiac proteins were detected in aged male mice and VitE was even liked to exert a reverse effect in cardiac function in young mice by enhancing JNK activity and reducing Bcl-2 expression. Those effects were in accordance with the changes of myocardial infarction size and cardiomyocyte apoptosis in each group of mice. VitE may reduce MI/R injury by inhibiting cardiomyocyte apoptosis in young male mice and aged female mice but not in aged male mice. VitE was possibly harmful for young female mice, shown as increased cardiomyocyte apoptosis after MI/R. Thus, we speculated that the efficacy of VitE in cardiac protection was associated with age and gender.

Highlights

  • Vitamin E (VitE), a lipophilic vitamin, has a strong antioxidative effect and is reported to be effective for the primary and secondary prevention of cardiovascular(CV) diseases [1,2,3]

  • We examined the effect of α-toco on cardiac function using echocardiography 24 h after myocardial ischemia-reperfusion (MI/R) (Fig 1)

  • In the aged female mice pretreated with α-toco, the ejection fraction (EF) (61%±1.9 vs. 56%±4.9, p0.05) in aged male mice compared with the control group (Fig 1C). α-toco pretreatment even decreased EF (57%±7.4 vs. 68%±4.9, p

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Summary

Introduction

Vitamin E (VitE), a lipophilic vitamin, has a strong antioxidative effect and is reported to be effective for the primary and secondary prevention of cardiovascular(CV) diseases [1,2,3]. Epidemiologic data showed that the incidence rate of CV events decreased due to diets rich in VitE [4,5]. These effective observations represent the foundation for further clinical trials. There were some controversial results, which indicated that VitE was ineffective in decreasing either CV events or mortality[6,7,8,9]. On the basis of these results, a new viewpoint was proposed in which VitE may only be effective in specific patients suffering from CV problems [10]. VitE was demonstrated to have protective efficacy in patients who have both CV disease and type 2 diabetes mellitus. There may be other unknown factors that can influence the effect of VitE on CV diseases

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