L; #P,0.05 vs control-IR. doi:10.1371/journal.pone.0054984.get Sudan I gceramide and inflammatory markers such as iNOS has been found [38]. The model of early overnutrition used in the present study may reproduce, at least in part, the effects of childhood obesity. There is evidence that heart alterations due to obesity may begin during childhood. It has been reported that in obese children, although contractile ventricular function is usually preserved, there is already an 11089-65-9 biological activity increase in the index of left ventricular mass [39]. Likewise in obese adolescents, systolic ventricular function may be preserved but diastolic function may present evidence of impairment, which is associated by exercise intolerance [40]. These alterations could be explained, at least in part, by the effect of nutritional conditions on the development of the organs, as it has been reported that perinatal ambient has an important effect on the development of heart or kidney modifying the processes of apoptosis and cell survival [41]. Angiotensin may also be involved in the effects of early overnutrition in the heart. Indeed, early overnutrition is accompanied by hyperleptinemia and this hormone is reported to inhibitangiotensin II-induce vasoconstriction in vitro via a nitric oxidedependent mechanism [42]. In addition, angiotensin may mediate inflammation and oxidative stress [18], which can lead to apoptosis [19], and these effects may be mediated by AGTRa and/or AGTR2 [43,44]. We have found in the present study that the expression of AGTRa and AGTR2 was increased in the hearts of overfed rats. This partly agrees with studies finding an increase of AGTRa in the kidney [45], or of AGTR2 in the hearts [46]of obese rats. This overexpression of angiotensin receptors may result in hyperactivity of the angiotensin intracellular pathways, resulting in increased oxidative stress and/or apoptosis and inflammation. Although AGTR2 are reported to have protective effect in the heart [45,47,48], these receptors are also reported to cause cardiac impairment [49,50,51,52,53]. Therefore the increase in this subtype found in our study may contribute to the reduced contractility in hearts from overfed rats or it may be a compensatory mechanism. Although angiotensin receptors were increased in the hearts of overfed rats, the coronary vasoconstriction to angiotensin II was not modified by early overnutrition. ThisEffects of Ischemia in Early OvernutritionFigure 5. Levels of Bcl-2 ssociated X protein (Bax, (A)), caspase-8 (B), caspase-6 (C) and caspase-3 (D) in the myocardium of control and overfed (overfed) rats subjected or not to 30 min of ischemia and 15 min of reperfusion (IR). Values are represented as mean 6S.E.M (n = 4?/group). *P,0.05 vs control; ***P,0.001 vs control; #P,0.05 vs control-IR; ###P,0.001 vs control-IR. doi:10.1371/journal.pone.0054984.gdiscrepancy may be due to the fact that AGTRa 24786787 and AGTR2 have opposite 1317923 effects on vasomotor responses [54]. As both subtypes are increased in overfed rats, their effects may cancel each other with the final response not being modified. The deletereous effect of early overnutrition in cardiac contractility could also be related to alterations in baroreflex response due to increased plasma leptin levels. Indeed it has been reported that hyperleptinemia in early stages of development induces persistent sympathoexcitatory hyperresponsiveness with this fact possible mediating an early debut of hypertension [55]. Apoptosis and/or angiotensin pathway.L; #P,0.05 vs control-IR. doi:10.1371/journal.pone.0054984.gceramide and inflammatory markers such as iNOS has been found [38]. The model of early overnutrition used in the present study may reproduce, at least in part, the effects of childhood obesity. There is evidence that heart alterations due to obesity may begin during childhood. It has been reported that in obese children, although contractile ventricular function is usually preserved, there is already an increase in the index of left ventricular mass [39]. Likewise in obese adolescents, systolic ventricular function may be preserved but diastolic function may present evidence of impairment, which is associated by exercise intolerance [40]. These alterations could be explained, at least in part, by the effect of nutritional conditions on the development of the organs, as it has been reported that perinatal ambient has an important effect on the development of heart or kidney modifying the processes of apoptosis and cell survival [41]. Angiotensin may also be involved in the effects of early overnutrition in the heart. Indeed, early overnutrition is accompanied by hyperleptinemia and this hormone is reported to inhibitangiotensin II-induce vasoconstriction in vitro via a nitric oxidedependent mechanism [42]. In addition, angiotensin may mediate inflammation and oxidative stress [18], which can lead to apoptosis [19], and these effects may be mediated by AGTRa and/or AGTR2 [43,44]. We have found in the present study that the expression of AGTRa and AGTR2 was increased in the hearts of overfed rats. This partly agrees with studies finding an increase of AGTRa in the kidney [45], or of AGTR2 in the hearts [46]of obese rats. This overexpression of angiotensin receptors may result in hyperactivity of the angiotensin intracellular pathways, resulting in increased oxidative stress and/or apoptosis and inflammation. Although AGTR2 are reported to have protective effect in the heart [45,47,48], these receptors are also reported to cause cardiac impairment [49,50,51,52,53]. Therefore the increase in this subtype found in our study may contribute to the reduced contractility in hearts from overfed rats or it may be a compensatory mechanism. Although angiotensin receptors were increased in the hearts of overfed rats, the coronary vasoconstriction to angiotensin II was not modified by early overnutrition. ThisEffects of Ischemia in Early OvernutritionFigure 5. Levels of Bcl-2 ssociated X protein (Bax, (A)), caspase-8 (B), caspase-6 (C) and caspase-3 (D) in the myocardium of control and overfed (overfed) rats subjected or not to 30 min of ischemia and 15 min of reperfusion (IR). Values are represented as mean 6S.E.M (n = 4?/group). *P,0.05 vs control; ***P,0.001 vs control; #P,0.05 vs control-IR; ###P,0.001 vs control-IR. doi:10.1371/journal.pone.0054984.gdiscrepancy may be due to the fact that AGTRa 24786787 and AGTR2 have opposite 1317923 effects on vasomotor responses [54]. As both subtypes are increased in overfed rats, their effects may cancel each other with the final response not being modified. The deletereous effect of early overnutrition in cardiac contractility could also be related to alterations in baroreflex response due to increased plasma leptin levels. Indeed it has been reported that hyperleptinemia in early stages of development induces persistent sympathoexcitatory hyperresponsiveness with this fact possible mediating an early debut of hypertension [55]. Apoptosis and/or angiotensin pathway.
