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Fenofibrate Modulates Cytochrome P450 and Arachidonic Acid Metabolism in the Heart and Protects Against Isoproterenol-induced Cardiac Hypertrophy

Althurwi, Hassan N. BSc; Elshenawy, Osama H. BCPS; El-Kadi, Ayman O.S. PhD

Journal of Cardiovascular Pharmacology: February 2014 - Volume 63 - Issue 2 - p 167–177
doi: 10.1097/FJC.0000000000000036
Original Article

Abstract: It has been previously shown that the cytochrome P450 (P450) modulator, fenofibrate, protects against cardiovascular diseases. P450 and their metabolites, epoxyeicosatrienoic acids (EETs) and 20-hydroxyeicosatetraenoic acid (20-HETE) were found to play an important role in cardiovascular diseases. Therefore, it is important to examine whether fenofibrate would modulate the cardiac P450 and its associated arachidonic acid metabolites and whether this modulation protects against isoproterenol-induced cardiac hypertrophy. For this purpose, male Sprague-Dawley rats were treated with fenofibrate (30 mg·kg−1·d−1), isoproterenol (4.2 mg·kg−1·d−1), or the combination of both. The expression of hypertrophic markers and different P450s along with their metabolites was determined. Our results showed that fenofibrate significantly induced the cardiac P450 epoxygenases, such as CYP2B1, CYP2B2, CYP2C11, and CYP2C23, whereas it decreased the cardiac ω-hydroxylase, CYP4A3. Moreover, fenofibrate significantly increased the formation of 14,15-EET, 11,12-EET, and 8,9-EET, whereas it decreased the formation of 20-HETE in the heart. Furthermore, fenofibrate significantly decreased the hypertrophic markers and the increase in heart-to-body weight ratio induced by isoproterenol. This study demonstrates that fenofibrate alters the expression of cardiac P450s and their metabolites and partially protects against isoproterenol-induced cardiac hypertrophy, which further confirms the role of P450s, EETs, and 20-HETE in the development of cardiac hypertrophy.

Faculty of Pharmacy and Pharmaceutical Sciences, University of Alberta, Edmonton, Alberta, Canada.

Reprints: Ayman O.S. El-Kadi, PhD, Faculty of Pharmacy and Pharmaceutical Sciences, 2142J Katz Group-Rexall Centre for Pharmacy and Health Research, University of Alberta, Edmonton, Alberta T6G 2E1, Canada (e-mail:

Supported by Canadian Institute of Health Research (CIHR) Operating Grant 106665 to A. O. S. El-Kadi. H. N. Althurwi is the recipient of Salman Bin Abdulaziz University Scholarship, Saudi Arabia. O. H. Elshenawy is the recipient of Alberta Cancer Foundation Graduate Studentship Award and Alberta Innovates Technology Futures Scholarship.

The authors report no conflicts of interest.

Received April 14, 2013

Accepted October 16, 2013

© 2014 by Lippincott Williams & Wilkins.