Title:Calcium-Regulating Hormonal System and HMGB1 in Cardiomyopathies
Volume: 23
Issue: 1
Author(s): Knarik R. Harutyunyan, Hermine T. Abrahamyan, Satenik H. Adamyan, Souren Mkrtchian and Anna S. Ter-Markosyan*
Affiliation:
- Yerevan State Medical University after M. Heratsi, Yerevan, Armenia
Keywords:
Cardiomyopathy, calcium-regulating hormonal system, calcium, phosphate, parathyroid hormone, calcitonin, vitamin D, HMGB1.
Abstract:
Background: Calcium ions play a key role in the heart's functional activity. The steadystate
levels of calcium are contingent on the calcium regulating hormonal system, impairment of
which might result in the development of cardiac pathology. An important role in these processes is
also attributed to the specific inflammatory mediator, HMGB1, one of the damage-associated molecular
patterns (DAMPs) released by immune cells or cell damage.
Objective: This study investigated the cardioprotective potential of the calcium-regulating hormonal
system in cardiomyopathies with an emphasis on the possible role of HMGB1.
Methods: Ca2+ and inorganic phosphate levels were determined in the serum using an electrolyte
analyzer and spectrophotometric analyzer correspondingly. The 1-34 fragment of parathyroid hormone
(PTH), calcitonin, vitamin D, and HMGB1 were detected using ELISA kits.
Results: The levels of PTH, calcitonin, phosphate, and HMGB1 were found elevated in females suffering
from cardiomyopathy. The same tendency was observed in men; however, statistically significant
changes were registered only for PTH and phosphate.
Conclusion: It can be suggested that among other reasons, the decrease of the left ventricular function
in cardiomyopathy patients can be linked to the high HMGB1, whereas the activation of the calciumregulating
system as manifested by the elevated PTH aims at restoration of calcium homeostasis and
thus have positive, i.e. cardioprotective consequences.