{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T18:46:15Z","timestamp":1782240375081,"version":"3.54.5"},"reference-count":32,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2022,4,28]],"date-time":"2022-04-28T00:00:00Z","timestamp":1651104000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["82070366"],"award-info":[{"award-number":["82070366"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81870291"],"award-info":[{"award-number":["81870291"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81970296"],"award-info":[{"award-number":["81970296"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100019349","name":"Nanjing Medical Science and Technique Development Foundation","doi-asserted-by":"publisher","award":["ZKX20018"],"award-info":[{"award-number":["ZKX20018"]}],"id":[{"id":"10.13039\/501100019349","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Cardiovasc. Med."],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Inhibition of sympathetic activity and renin\u2013angiotensin system with renal denervation (RDN) was proved to be effective in managing refractory hypertension, and improving left ventricular (LV) performance in chronic heart failure. The inhibition of sustained sympathetic activation prevents or delays the development of cardiac fibrosis and dysfunction that occurs after myocardial infarction and ischemia\u2013reperfusion (I\/R) injury. The translational efficiency of RDN remains to be defined in preclinical animal studies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>This study investigated the therapeutic role of RDN in adverse remodeling and intramyocardial inflammation in myocardial ischemia\u2013reperfusion (MI\/R) injury.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Herein, 15 minipigs were subjected to 90-min percutaneous occlusion of the left anterior descending artery followed by reperfusion. Eight animals received simultaneous RDN using catheter-based radiofrequency ablation (MI\/R-RDN). Cardiac function and infarct volume were measured <jats:italic>in vivo<\/jats:italic>, followed by histological and biochemical analyses.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The infarct volume in I\/R-RDN pigs reduced at 30 days postreperfusion, compared to I\/R-Sham animals. The levels of catecholamine and cytokines in the serum, kidney cortex, the border, and infarcted regions of the heart were significantly reduced in I\/R-RDN group. Moreover, the gene expression of collagen and the protein expression of adrenergic receptor beta 1 in heart were also decreased in I\/R-RDN mice. Additionally, RDN therapy alleviated myocardial oxidative stress.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>RDN is an effective therapeutic strategy for counteracting postreperfusion myocardial injury and dysfunction, and the application of RDN holds promising prospects in clinical practice.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fcvm.2022.832014","type":"journal-article","created":{"date-parts":[[2022,4,28]],"date-time":"2022-04-28T05:12:00Z","timestamp":1651122720000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":9,"title":["Renal Denervation Attenuates Adverse Remodeling and Intramyocardial Inflammation in Acute Myocardial Infarction With Ischemia\u2013Reperfusion Injury"],"prefix":"10.3389","volume":"9","author":[{"given":"Kun","family":"Wang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu","family":"Qi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rong","family":"Gu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qing","family":"Dai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anqi","family":"Shan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhu","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chenyi","family":"Gong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lei","family":"Chang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Han","family":"Hao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Junfeng","family":"Duan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiamin","family":"Xu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiaxin","family":"Hu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dan","family":"Mu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ning","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jianrong","family":"Lu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lian","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Han","family":"Wu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lixin","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lina","family":"Kang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Biao","family":"Xu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2022,4,28]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"197","DOI":"10.1016\/s0140-6736(16)30677-8","article-title":"Acute myocardial infarction.","volume":"389","author":"Reed","year":"2017","journal-title":"Lancet."},{"key":"B2","doi-asserted-by":"publisher","first-page":"1391","DOI":"10.1038\/nm.2507","article-title":"Ischemia and reperfusion\u2013from mechanism to translation.","volume":"17","author":"Eltzschig","year":"2011","journal-title":"Nat Med."},{"key":"B3","doi-asserted-by":"publisher","first-page":"569","DOI":"10.1016\/j.jacc.2018.05.038","article-title":"Mechanical unloading in heart failure.","volume":"72","author":"Uriel","year":"2018","journal-title":"J Am Coll Cardiol."},{"key":"B4","doi-asserted-by":"publisher","first-page":"30","DOI":"10.1038\/nrcardio.2016.163","article-title":"Neurohormonal activation in heart failure with reduced ejection fraction.","volume":"14","author":"Hartupee","year":"2017","journal-title":"Nat Rev Cardiol."},{"key":"B5","doi-asserted-by":"publisher","first-page":"m1731","DOI":"10.1136\/bmj.m1731","article-title":"Interventions supporting long term adherence and decreasing cardiovascular events after myocardial infarction (ISLAND): pragmatic randomised controlled trial.","volume":"369","author":"Ivers","year":"2020","journal-title":"BMJ."},{"key":"B6","doi-asserted-by":"publisher","first-page":"3483","DOI":"10.1093\/eurheartj\/ehz369","article-title":"Renal denervation for hypertension: what is needed, and what is next.","volume":"40","author":"Kandzari","year":"2019","journal-title":"Eur Heart J."},{"key":"B7","doi-asserted-by":"publisher","first-page":"3006","DOI":"10.1016\/j.jacc.2019.04.015","article-title":"Renal denervation update from the international sympathetic nervous system summit: JACC state-of-the-art review.","volume":"73","author":"Kiuchi","year":"2019","journal-title":"J Am Coll Cardiol."},{"key":"B8","doi-asserted-by":"publisher","first-page":"601","DOI":"10.1161\/CIRCULATIONAHA.118.037937","article-title":"Status of renal denervation therapy for hypertension.","volume":"139","author":"Ram","year":"2019","journal-title":"Circulation."},{"key":"B9","doi-asserted-by":"publisher","first-page":"590","DOI":"10.1161\/CIRCULATIONAHA.118.037654","article-title":"A three-arm randomized trial of different renal denervation devices and techniques in patients with resistant hypertension (RADIOSOUND-HTN).","volume":"139","author":"Fengler","year":"2019","journal-title":"Circulation."},{"key":"B10","doi-asserted-by":"publisher","first-page":"2622","DOI":"10.1016\/j.jacc.2018.09.027","article-title":"Renal denervation halts left ventricular remodeling and dysfunction in heart failure: new shores ahead.","volume":"72","author":"Bohm","year":"2018","journal-title":"J Am Coll Cardiol."},{"key":"B11","doi-asserted-by":"publisher","first-page":"2609","DOI":"10.1016\/j.jacc.2018.08.2186","article-title":"Renal denervation prevents heart failure progression via inhibition of the renin-angiotensin system.","volume":"72","author":"Sharp","year":"2018","journal-title":"J Am Coll Cardiol."},{"key":"B12","doi-asserted-by":"publisher","first-page":"1607","DOI":"10.1373\/clinchem.2018.292086","article-title":"Comparison between high-sensitivity cardiac troponin T and cardiac troponin I in a large general population cohort.","volume":"64","author":"Welsh","year":"2018","journal-title":"Clin Chem."},{"key":"B13","doi-asserted-by":"publisher","first-page":"308","DOI":"10.3389\/fimmu.2020.00308","article-title":"Neuro-immune circuits regulate immune responses in tissues and organ homeostasis.","volume":"11","author":"Jakob","year":"2020","journal-title":"Front Immunol."},{"key":"B14","doi-asserted-by":"publisher","first-page":"2999","DOI":"10.1161\/01.cir.0000041803.03687.7a","article-title":"Preconditioning and arrhythmias.","volume":"106","author":"Taggart","year":"2002","journal-title":"Circulation."},{"key":"B15","doi-asserted-by":"publisher","first-page":"166","DOI":"10.1016\/s0140-6736(12)60916-7","article-title":"Cardioprotection: chances and challenges of its translation to the clinic.","volume":"381","author":"Heusch","year":"2013","journal-title":"Lancet."},{"key":"B16","doi-asserted-by":"publisher","first-page":"39","DOI":"10.1146\/annurev-physiol-031620-093431","article-title":"Renal denervation to treat heart failure.","volume":"83","author":"Sharp Iii","year":"2020","journal-title":"Annu Rev Physiol."},{"key":"B17","doi-asserted-by":"publisher","first-page":"23","DOI":"10.1007\/s00395-021-00863-x","article-title":"Cytokines as therapeutic targets for cardio- and cerebrovascular diseases.","volume":"116","author":"Liberale","year":"2021","journal-title":"Basic Res Cardiol."},{"key":"B18","doi-asserted-by":"publisher","first-page":"2303","DOI":"10.1172\/jci116834","article-title":"Cellular basis for the negative inotropic effects of tumor necrosis factor-alpha in the adult mammalian heart.","volume":"92","author":"Yokoyama","year":"1993","journal-title":"J Clin Invest."},{"key":"B19","doi-asserted-by":"publisher","first-page":"173","DOI":"10.1016\/j.jacc.2018.04.051","article-title":"Epinephrine versus norepinephrine for cardiogenic shock after acute myocardial infarction.","volume":"72","author":"Levy","year":"2018","journal-title":"J Am Coll Cardiol."},{"key":"B20","doi-asserted-by":"publisher","first-page":"2139","DOI":"10.1016\/j.jacc.2017.08.056","article-title":"Renal Sympathetic denervation protects the failing heart via inhibition of neprilysin activity in the kidney.","volume":"70","author":"Polhemus","year":"2017","journal-title":"J Am Coll Cardiol."},{"key":"B21","doi-asserted-by":"publisher","first-page":"49","DOI":"10.1007\/s10741-010-9180-8","article-title":"TNFalpha in myocardial ischemia\/reperfusion, remodeling and heart failure.","volume":"16","author":"Kleinbongard","year":"2011","journal-title":"Heart Fail Rev."},{"key":"B22","doi-asserted-by":"publisher","first-page":"1594","DOI":"10.1161\/01.Cir.0000124490.27666.B2","article-title":"Targeted anticytokine therapy in patients with chronic heart failure: results of the randomized etanercept worldwide evaluation (RENEWAL).","volume":"109","author":"Mann","year":"2004","journal-title":"Circulation."},{"key":"B23","doi-asserted-by":"publisher","first-page":"3133","DOI":"10.1161\/01.Cir.0000077913.60364.D2","article-title":"Randomized, double-blind, placebo-controlled, pilot trial of infliximab, a chimeric monoclonal antibody to tumor necrosis factor-alpha, in patients with moderate-to-severe heart failure: results of the anti-TNF therapy against congestive heart failure (ATTACH) trial.","volume":"107","author":"Chung","year":"2003","journal-title":"Circulation."},{"key":"B24","doi-asserted-by":"publisher","first-page":"424","DOI":"10.1093\/cvr\/cvq078","article-title":"Antibody against interleukin-6 receptor attenuates left ventricular remodelling after myocardial infarction in mice.","volume":"87","author":"Kobara","year":"2010","journal-title":"Cardiovasc Res."},{"key":"B25","doi-asserted-by":"publisher","first-page":"1845","DOI":"10.1016\/j.jacc.2021.02.049","article-title":"Randomized trial of interleukin-6 receptor inhibition in patients with acute ST-segment elevation myocardial infarction.","volume":"77","author":"Broch","year":"2021","journal-title":"J Am Coll Cardiol."},{"key":"B26","doi-asserted-by":"publisher","first-page":"255","DOI":"10.1038\/nrcardio.2014.28","article-title":"The inflammatory response in myocardial injury, repair, and remodelling.","volume":"11","author":"Frangogiannis","year":"2014","journal-title":"Nat Rev Cardiol."},{"key":"B27","doi-asserted-by":"publisher","first-page":"271","DOI":"10.1161\/circulationaha.111.028282","article-title":"Determinants and consequences of renal function variations with aldosterone blocker therapy in heart failure patients after myocardial infarction: insights from the eplerenone post-acute myocardial infarction heart failure efficacy and survival study.","volume":"125","author":"Rossignol","year":"2012","journal-title":"Circulation."},{"key":"B28","doi-asserted-by":"publisher","first-page":"159","DOI":"10.1161\/CIRCRESAHA.111.243162","article-title":"Regulation of the inflammatory response in cardiac repair.","volume":"110","author":"Frangogiannis","year":"2012","journal-title":"Circ Res."},{"key":"B29","doi-asserted-by":"publisher","first-page":"325","DOI":"10.1038\/nature11260","article-title":"Myocardial infarction accelerates atherosclerosis.","volume":"487","author":"Dutta","year":"2012","journal-title":"Nature."},{"key":"B30","doi-asserted-by":"publisher","first-page":"121","DOI":"10.1016\/j.jcmg.2014.10.009","article-title":"Splenic metabolic activity predicts risk of future cardiovascular events: demonstration of a cardiosplenic axis in humans.","volume":"8","author":"Emami","year":"2015","journal-title":"JACC Cardiovasc Imaging."},{"key":"B31","doi-asserted-by":"publisher","first-page":"376","DOI":"10.1093\/eurheartj\/eht331","article-title":"Monocyte subset accumulation in the human heart following acute myocardial infarction and the role of the spleen as monocyte reservoir.","volume":"35","author":"van der Laan","year":"2014","journal-title":"Eur Heart J."},{"key":"B32","doi-asserted-by":"publisher","first-page":"1152","DOI":"10.1161\/CIRCRESAHA.118.313859","article-title":"Vago-splenic axis in signal transduction of remote ischemic preconditioning in pigs and rats.","volume":"123","author":"Lieder","year":"2018","journal-title":"Circ Res."}],"container-title":["Frontiers in Cardiovascular Medicine"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fcvm.2022.832014\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,4,28]],"date-time":"2022-04-28T05:12:03Z","timestamp":1651122723000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fcvm.2022.832014\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,4,28]]},"references-count":32,"alternative-id":["10.3389\/fcvm.2022.832014"],"URL":"https:\/\/doi.org\/10.3389\/fcvm.2022.832014","relation":{},"ISSN":["2297-055X"],"issn-type":[{"value":"2297-055X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,4,28]]},"article-number":"832014"}}