Skip to main content
Top
Published in: Respiratory Research 1/2006

Open Access 01-12-2006 | Research

Pharmacological inhibition of leukotrienes in an animal model of bleomycin-induced acute lung injury

Authors: Marco Failla, Tiziana Genovese, Emanuela Mazzon, Elisa Gili, Carmelo Muià, Mariangela Sortino, Nunzio Crimi, Achille P Caputi, Salvatore Cuzzocrea, Carlo Vancheri

Published in: Respiratory Research | Issue 1/2006

Login to get access

Abstract

Leukotrienes are increased locally in idiopathic pulmonary fibrosis. Furthermore, a role for these arachidonic acid metabolites has been thoroughly characterized in the animal bleomycin model of lung fibrosis by using different gene knock-out settings.
We investigated the efficacy of pharmacological inhibition of leukotrienes activity in the development of bleomycin-induced lung injury by comparing the responses in wild-type mice with mice treated with zileuton, a 5-lipoxygenase inhibitor and MK-571, a cys-leukotrienes receptor antagonist.
Mice were subjected to intra-tracheal administration of bleomycin or saline and were assigned to receive either MK-571 at 1 mg/Kg or zileuton at 50 mg/Kg daily. One week after bleomycin administration, BAL cell counts, lung histology with van Gieson for collagen staining and immunohistochemical analysis for myeloperoxidase, IL-1 and TNF-α were performed.
Following bleomycin administration both MK-571 and zileuton treated mice exhibited a reduced degree of lung damage and inflammation when compared to WT mice as shown by the reduction of:(i) loss of body weight, (ii) mortality rate, (iii) lung infiltration by neutrophils (myeloperoxidase activity, BAL total and differential cell counts), (iv) lung edema, (v) histological evidence of lung injury and collagen deposition, (vi) lung myeloperoxidase, IL-1 and TNF-α staining.
This is the first study showing that the pharmacological inhibition of leukotrienes activity attenuates bleomycin-induced lung injury in mice. Given our results as well as those coming from genetic studies, it might be considered meaningful to trial this drug class in the treatment of pulmonary fibrosis, a disease that still represents a major challenge to medical treatment.
Literature
1.
go back to reference American Thoracic Society. Idiopathic pulmonary fibrosis: diagnosis and treatment. International consensus statement. American Thoracic Society (ATS), and the European Respiratory Society (ERS)Am J Respir Crit Care Med 2000, 161:646–664. American Thoracic Society. Idiopathic pulmonary fibrosis: diagnosis and treatment. International consensus statement. American Thoracic Society (ATS), and the European Respiratory Society (ERS)Am J Respir Crit Care Med 2000, 161:646–664.
2.
go back to reference Kuhn C: The pathogenesis of pulmonary fibrosis. Monograph Pathol 1993, 36:78–92. Kuhn C: The pathogenesis of pulmonary fibrosis. Monograph Pathol 1993, 36:78–92.
3.
go back to reference Latsi PI, du Bois RM, Nicholson AG, Colby TV, Bisirtzoglou D, Nikolakopoulou A, Veeraraghavan S, Hansell DM, Wells AU: Fibrotic idiopathic interstitial pneumonia: the prognostic value of longitudinal functional trends. Am J Respir Crit Care Med 2003, 168:531–537.CrossRefPubMed Latsi PI, du Bois RM, Nicholson AG, Colby TV, Bisirtzoglou D, Nikolakopoulou A, Veeraraghavan S, Hansell DM, Wells AU: Fibrotic idiopathic interstitial pneumonia: the prognostic value of longitudinal functional trends. Am J Respir Crit Care Med 2003, 168:531–537.CrossRefPubMed
4.
go back to reference Selman M, King TE, Pardo A: Idiopathic pulmonary fibrosis: prevailing and evolving hypotheses about its pathogenesis and implications for therapy. Ann Intern Med 2001, 134:136–151.CrossRefPubMed Selman M, King TE, Pardo A: Idiopathic pulmonary fibrosis: prevailing and evolving hypotheses about its pathogenesis and implications for therapy. Ann Intern Med 2001, 134:136–151.CrossRefPubMed
5.
go back to reference Charbeneau RP, Peters-Golden M: Eicosanoids: mediators and therapeutic targets in fibrotic lung disease. Clin Sci (Lond) 2005, 108:479–491.CrossRef Charbeneau RP, Peters-Golden M: Eicosanoids: mediators and therapeutic targets in fibrotic lung disease. Clin Sci (Lond) 2005, 108:479–491.CrossRef
6.
go back to reference Funk CD: Prostaglandins and leukotrienes: advances in eicosanoids biology. Science 2001, 294:1871–1875.CrossRefPubMed Funk CD: Prostaglandins and leukotrienes: advances in eicosanoids biology. Science 2001, 294:1871–1875.CrossRefPubMed
7.
go back to reference Ozaki T, Moriguchi H, Nakamura Y, Kamei T, Yasuoka S, Ogura T: Regulatory effect of prostaglandin E2 on fibronectin release from human alveolar macrophages. Am Rev Respir Dis 1990, 141:965–969.CrossRefPubMed Ozaki T, Moriguchi H, Nakamura Y, Kamei T, Yasuoka S, Ogura T: Regulatory effect of prostaglandin E2 on fibronectin release from human alveolar macrophages. Am Rev Respir Dis 1990, 141:965–969.CrossRefPubMed
8.
go back to reference Wardlaw AJ, Hay H, Cromwell O, Collins JV, Kay AB: Leukotrienes, LTC4 and LTB4, in bronchoalveolar lavage in bronchial asthma and other respiratory diseases. J Allergy Clin Immunol 1989, 84:19–26.CrossRefPubMed Wardlaw AJ, Hay H, Cromwell O, Collins JV, Kay AB: Leukotrienes, LTC4 and LTB4, in bronchoalveolar lavage in bronchial asthma and other respiratory diseases. J Allergy Clin Immunol 1989, 84:19–26.CrossRefPubMed
9.
go back to reference Wilborn J, Bailie M, Coffey M, Burdick M, Strieter R, Peters-Golden M: Constitutive activation of 5-lipoxygenase in the lungs of patients with idiopathic pulmonary fibrosis. J Clin Invest 1996, 97:1827–1836.CrossRefPubMedPubMedCentral Wilborn J, Bailie M, Coffey M, Burdick M, Strieter R, Peters-Golden M: Constitutive activation of 5-lipoxygenase in the lungs of patients with idiopathic pulmonary fibrosis. J Clin Invest 1996, 97:1827–1836.CrossRefPubMedPubMedCentral
10.
go back to reference Peters-Golden M, Bailie M, Marshall T, Wilke C, Phan SH, Toews GB, Moore BB: Protection from pulmonary fibrosis in leukotriene-deficient mice. Am J Respir Crit Care Med 2002, 165:229–235.CrossRefPubMed Peters-Golden M, Bailie M, Marshall T, Wilke C, Phan SH, Toews GB, Moore BB: Protection from pulmonary fibrosis in leukotriene-deficient mice. Am J Respir Crit Care Med 2002, 165:229–235.CrossRefPubMed
11.
go back to reference Beller TC, Friend DS, Maekawa A, Lam BK, Austen KF, Kanaoka Y: Cysteinyl leukotriene 1 receptor controls the severity of chronic pulmonary inflammation and fibrosis. Proc Natl Acad Sci U S A 2004, 101:3047–3052.CrossRefPubMedPubMedCentral Beller TC, Friend DS, Maekawa A, Lam BK, Austen KF, Kanaoka Y: Cysteinyl leukotriene 1 receptor controls the severity of chronic pulmonary inflammation and fibrosis. Proc Natl Acad Sci U S A 2004, 101:3047–3052.CrossRefPubMedPubMedCentral
12.
go back to reference Nagase T, Uozumi N, Ishii S, Kita Y, Yamamoto H, Ohga E, Ouchi Y, Shimizu T: A pivotal role of cytosolic phospholipase A(2) in bleomycin-induced pulmonary fibrosis. Nat Med 2002, 8:480–484.CrossRefPubMed Nagase T, Uozumi N, Ishii S, Kita Y, Yamamoto H, Ohga E, Ouchi Y, Shimizu T: A pivotal role of cytosolic phospholipase A(2) in bleomycin-induced pulmonary fibrosis. Nat Med 2002, 8:480–484.CrossRefPubMed
13.
go back to reference Blain JF, Sirois P: Involvement of LTD(4)in allergic pulmonary inflammation in mice: modulation by cysLT(1)antagonist MK-571. Prostaglandins Leukot Essent Fatty Acids 2000, 62:361–368.CrossRefPubMed Blain JF, Sirois P: Involvement of LTD(4)in allergic pulmonary inflammation in mice: modulation by cysLT(1)antagonist MK-571. Prostaglandins Leukot Essent Fatty Acids 2000, 62:361–368.CrossRefPubMed
14.
go back to reference Mazzon E, Sautebin L, Caputi AP, Cuzzocrea S: 5-lipoxygenase modulates the alteration of paracellular barrier function in mice ileum during experimental colitis. Shock 2006, 25:377–383.CrossRefPubMed Mazzon E, Sautebin L, Caputi AP, Cuzzocrea S: 5-lipoxygenase modulates the alteration of paracellular barrier function in mice ileum during experimental colitis. Shock 2006, 25:377–383.CrossRefPubMed
15.
go back to reference Cuzzocrea S, Ianaro A, Wayman NS, Mazzon E, Pisano B, Dugo L, Serraino I, Di PR, Chatterjee PK, Di RM, Caputi AP, Thiemermann C: The cyclopentenone prostaglandin 15-deoxy-delta(12,14)- PGJ2 attenuates the development of colon injury caused by dinitrobenzene sulphonic acid in the rat. Br J Pharmacol 2003, 138:678–688.CrossRefPubMedPubMedCentral Cuzzocrea S, Ianaro A, Wayman NS, Mazzon E, Pisano B, Dugo L, Serraino I, Di PR, Chatterjee PK, Di RM, Caputi AP, Thiemermann C: The cyclopentenone prostaglandin 15-deoxy-delta(12,14)- PGJ2 attenuates the development of colon injury caused by dinitrobenzene sulphonic acid in the rat. Br J Pharmacol 2003, 138:678–688.CrossRefPubMedPubMedCentral
16.
18.
go back to reference Ozaki T, Hayashi H, Tani K, Ogushi F, Yasuoka S, Ogura T: Neutrophil chemotactic factors in the respiratory tract of patients with chronic airway diseases or idiopathic pulmonary fibrosis. Am Rev Respir Dis 1992, 145:85–91.CrossRefPubMed Ozaki T, Hayashi H, Tani K, Ogushi F, Yasuoka S, Ogura T: Neutrophil chemotactic factors in the respiratory tract of patients with chronic airway diseases or idiopathic pulmonary fibrosis. Am Rev Respir Dis 1992, 145:85–91.CrossRefPubMed
19.
go back to reference Phan SH, McGarry BM, Loeffler KM, Kunkel SL: Binding of leukotriene C4 to rat lung fibroblasts and stimulation of collagen synthesis in vitro. Biochemistry 1988, 27:2846–2853.CrossRefPubMed Phan SH, McGarry BM, Loeffler KM, Kunkel SL: Binding of leukotriene C4 to rat lung fibroblasts and stimulation of collagen synthesis in vitro. Biochemistry 1988, 27:2846–2853.CrossRefPubMed
20.
go back to reference Mensing H, Czarnetzki BM: Leukotriene B4 induces in vitro fibroblast chemotaxis. J Invest Dermatol 1984, 82:9–12.CrossRefPubMed Mensing H, Czarnetzki BM: Leukotriene B4 induces in vitro fibroblast chemotaxis. J Invest Dermatol 1984, 82:9–12.CrossRefPubMed
21.
go back to reference Fireman E, Schwartz Y, Mann A, Greif J: Effect of montelukast, a cysteinyl receptor antagonist, on myofibroblasts in interstitial lung disease. J Clin Immunol 2004, 24:418–425.CrossRefPubMed Fireman E, Schwartz Y, Mann A, Greif J: Effect of montelukast, a cysteinyl receptor antagonist, on myofibroblasts in interstitial lung disease. J Clin Immunol 2004, 24:418–425.CrossRefPubMed
22.
go back to reference Snider GL, Hayes JA, Korthy AL: Chronic interstitial pulmonary fibrosis produced in hamsters by endotracheal bleomycin: pathology and stereology. Am Rev Respir Dis 1978, 117:1099–1108.PubMed Snider GL, Hayes JA, Korthy AL: Chronic interstitial pulmonary fibrosis produced in hamsters by endotracheal bleomycin: pathology and stereology. Am Rev Respir Dis 1978, 117:1099–1108.PubMed
23.
go back to reference Slosman DO, Costabella PM, Roth M, Werlen G, Polla BS: Bleomycin primes monocytes-macrophages for superoxide production. Eur Respir J 1990, 3:772–778.PubMed Slosman DO, Costabella PM, Roth M, Werlen G, Polla BS: Bleomycin primes monocytes-macrophages for superoxide production. Eur Respir J 1990, 3:772–778.PubMed
24.
go back to reference Phan SH, Kunkel SL: Inhibition of bleomycin-induced pulmonary fibrosis by nordihydroguaiaretic acid. The role of alveolar macrophage activation and mediator production. Am J Pathol 1986, 124:343–352.PubMedPubMedCentral Phan SH, Kunkel SL: Inhibition of bleomycin-induced pulmonary fibrosis by nordihydroguaiaretic acid. The role of alveolar macrophage activation and mediator production. Am J Pathol 1986, 124:343–352.PubMedPubMedCentral
25.
go back to reference Van WJ, Goossens J: Effects of antioxidants on cyclooxygenase and lipoxygenase activities in intact human platelets: comparison with indomethacin and ETYA. Prostaglandins 1983, 26:725–730.CrossRef Van WJ, Goossens J: Effects of antioxidants on cyclooxygenase and lipoxygenase activities in intact human platelets: comparison with indomethacin and ETYA. Prostaglandins 1983, 26:725–730.CrossRef
26.
go back to reference Ziboh VA, Yun M, Hyde DM, Giri SN: gamma-Linolenic acid-containing diet attenuates bleomycin-induced lung fibrosis in hamsters. Lipids 1997, 32:759–767.CrossRefPubMed Ziboh VA, Yun M, Hyde DM, Giri SN: gamma-Linolenic acid-containing diet attenuates bleomycin-induced lung fibrosis in hamsters. Lipids 1997, 32:759–767.CrossRefPubMed
27.
go back to reference Chilton L, Surette ME, Swan DD, Fonteh AN, Johnson MM, Chilton FH: Metabolism of gammalinolenic acid in human neutrophils. J Immunol 1996, 156:2941–2947.PubMed Chilton L, Surette ME, Swan DD, Fonteh AN, Johnson MM, Chilton FH: Metabolism of gammalinolenic acid in human neutrophils. J Immunol 1996, 156:2941–2947.PubMed
28.
go back to reference Beller TC, Maekawa A, Friend DS, Austen KF, Kanaoka Y: Targeted gene disruption reveals the role of the cysteinyl leukotriene 2 receptor in increased vascular permeability and in bleomycin-induced pulmonary fibrosis in mice. J Biol Chem 2004, 279:46129–46134.CrossRefPubMed Beller TC, Maekawa A, Friend DS, Austen KF, Kanaoka Y: Targeted gene disruption reveals the role of the cysteinyl leukotriene 2 receptor in increased vascular permeability and in bleomycin-induced pulmonary fibrosis in mice. J Biol Chem 2004, 279:46129–46134.CrossRefPubMed
29.
go back to reference Coffey MJ, Phare SM, Peters-Golden M, Huffnagle GB: Regulation of 5-lipoxygenase metabolism in mononuclear phagocytes by CD4 T lymphocytes. Exp Lung Res 1999, 25:617–629.CrossRefPubMed Coffey MJ, Phare SM, Peters-Golden M, Huffnagle GB: Regulation of 5-lipoxygenase metabolism in mononuclear phagocytes by CD4 T lymphocytes. Exp Lung Res 1999, 25:617–629.CrossRefPubMed
30.
go back to reference Dupre DJ, Le GC, Gingras D, Rola-Pleszczynski M, Stankova J: Inverse agonist activity of selected ligands of the cysteinyl-leukotriene receptor 1. J Pharmacol Exp Ther 2004, 309:102–108.CrossRefPubMed Dupre DJ, Le GC, Gingras D, Rola-Pleszczynski M, Stankova J: Inverse agonist activity of selected ligands of the cysteinyl-leukotriene receptor 1. J Pharmacol Exp Ther 2004, 309:102–108.CrossRefPubMed
31.
go back to reference Piguet PF, Ribaux C, Karpuz V, Grau GE, Kapanci Y: Expression and localization of tumor necrosis factor-alpha and its mRNA in idiopathic pulmonary fibrosis. Am J Pathol 1993, 143:651–655.PubMedPubMedCentral Piguet PF, Ribaux C, Karpuz V, Grau GE, Kapanci Y: Expression and localization of tumor necrosis factor-alpha and its mRNA in idiopathic pulmonary fibrosis. Am J Pathol 1993, 143:651–655.PubMedPubMedCentral
32.
go back to reference Warshamana GS, Corti M, Brody AR: TNF-alpha, PDGF, and TGF-beta(1) expression by primary mouse bronchiolar-alveolar epithelial and mesenchymal cells: tnf-alpha induces TGF-beta(1). Exp Mol Pathol 2001, 71:13–33.CrossRefPubMed Warshamana GS, Corti M, Brody AR: TNF-alpha, PDGF, and TGF-beta(1) expression by primary mouse bronchiolar-alveolar epithelial and mesenchymal cells: tnf-alpha induces TGF-beta(1). Exp Mol Pathol 2001, 71:13–33.CrossRefPubMed
33.
go back to reference Piguet PF, Vesin C: Treatment by human recombinant soluble TNF receptor of pulmonary fibrosis induced by bleomycin or silica in mice. Eur Respir J 1994, 7:515–518.CrossRefPubMed Piguet PF, Vesin C: Treatment by human recombinant soluble TNF receptor of pulmonary fibrosis induced by bleomycin or silica in mice. Eur Respir J 1994, 7:515–518.CrossRefPubMed
34.
go back to reference Maeba S, Ichiyama T, Ueno Y, Makata H, Matsubara T, Furukawa S: Effect of montelukast on nuclear factor kappaB activation and proinflammatory molecules. Ann Allergy Asthma Immunol 2005, 94:670–674.CrossRefPubMed Maeba S, Ichiyama T, Ueno Y, Makata H, Matsubara T, Furukawa S: Effect of montelukast on nuclear factor kappaB activation and proinflammatory molecules. Ann Allergy Asthma Immunol 2005, 94:670–674.CrossRefPubMed
35.
go back to reference Pan LH, Ohtani H, Yamauchi K, Nagura H: Co-expression of TNF alpha and IL-1 beta in human acute pulmonary fibrotic diseases: an immunohistochemical analysis. Pathol Int 1996, 46:91–99.CrossRefPubMed Pan LH, Ohtani H, Yamauchi K, Nagura H: Co-expression of TNF alpha and IL-1 beta in human acute pulmonary fibrotic diseases: an immunohistochemical analysis. Pathol Int 1996, 46:91–99.CrossRefPubMed
36.
go back to reference Piguet PF, Vesin C, Grau GE, Thompson RC: Interleukin 1 receptor antagonist (IL-1ra) prevents or cures pulmonary fibrosis elicited in mice by bleomycin or silica. Cytokine 1993, 5:57–61.CrossRefPubMed Piguet PF, Vesin C, Grau GE, Thompson RC: Interleukin 1 receptor antagonist (IL-1ra) prevents or cures pulmonary fibrosis elicited in mice by bleomycin or silica. Cytokine 1993, 5:57–61.CrossRefPubMed
37.
go back to reference Kolb M, Margetts PJ, Anthony DC, Pitossi F, Gauldie J: Transient expression of IL-1beta induces acute lung injury and chronic repair leading to pulmonary fibrosis. J Clin Invest 2001, 107:1529–1536.CrossRefPubMedPubMedCentral Kolb M, Margetts PJ, Anthony DC, Pitossi F, Gauldie J: Transient expression of IL-1beta induces acute lung injury and chronic repair leading to pulmonary fibrosis. J Clin Invest 2001, 107:1529–1536.CrossRefPubMedPubMedCentral
38.
go back to reference Rainsford KD, Ying C, Smith F: Effects of 5-lipoxygenase inhibitors on interleukin production by human synovial tissues in organ culture: comparison with interleukin-1-synthesis inhibitors. J Pharm Pharmacol 1996, 48:46–52.CrossRefPubMed Rainsford KD, Ying C, Smith F: Effects of 5-lipoxygenase inhibitors on interleukin production by human synovial tissues in organ culture: comparison with interleukin-1-synthesis inhibitors. J Pharm Pharmacol 1996, 48:46–52.CrossRefPubMed
39.
go back to reference Gekeler V, Ise W, Sanders KH, Ulrich WR, Beck J: The leukotriene LTD4 receptor antagonist MK571 specifically modulates MRP associated multidrug resistance. Biochem Biophys Res Commun 1995, 208:345–352.CrossRefPubMed Gekeler V, Ise W, Sanders KH, Ulrich WR, Beck J: The leukotriene LTD4 receptor antagonist MK571 specifically modulates MRP associated multidrug resistance. Biochem Biophys Res Commun 1995, 208:345–352.CrossRefPubMed
40.
go back to reference Cole SP, Bhardwaj G, Gerlach JH, Mackie JE, Grant CE, Almquist KC, Stewart AJ, Kurz EU, Duncan AM, Deeley RG: Overexpression of a transporter gene in a multidrug-resistant human lung cancer cell line. Science 1992, 258:1650–1654.CrossRefPubMed Cole SP, Bhardwaj G, Gerlach JH, Mackie JE, Grant CE, Almquist KC, Stewart AJ, Kurz EU, Duncan AM, Deeley RG: Overexpression of a transporter gene in a multidrug-resistant human lung cancer cell line. Science 1992, 258:1650–1654.CrossRefPubMed
41.
go back to reference Wijnholds J, Evers R, van Leusden MR, Mol CA, Zaman GJ, Mayer U, Beijnen JH, van V, Krimpenfort P, Borst P: Increased sensitivity to anticancer drugs and decreased inflammatory response in mice lacking the multidrug resistance-associated protein. Nat Med 1997, 3:1275–1279.CrossRefPubMed Wijnholds J, Evers R, van Leusden MR, Mol CA, Zaman GJ, Mayer U, Beijnen JH, van V, Krimpenfort P, Borst P: Increased sensitivity to anticancer drugs and decreased inflammatory response in mice lacking the multidrug resistance-associated protein. Nat Med 1997, 3:1275–1279.CrossRefPubMed
42.
go back to reference Schaub T, Ishikawa T, Keppler D: ATP-dependent leukotriene export from mastocytoma cells. FEBS Lett 1991, 279:83–86.CrossRefPubMed Schaub T, Ishikawa T, Keppler D: ATP-dependent leukotriene export from mastocytoma cells. FEBS Lett 1991, 279:83–86.CrossRefPubMed
43.
go back to reference Prechtl S, Roellinghoff M, Scheper R, Cole SP, Deeley RG, Lohoff M: The multidrug resistance protein 1: a functionally important activation marker for murine Th1 cells. J Immunol 2000, 164:754–761.CrossRefPubMed Prechtl S, Roellinghoff M, Scheper R, Cole SP, Deeley RG, Lohoff M: The multidrug resistance protein 1: a functionally important activation marker for murine Th1 cells. J Immunol 2000, 164:754–761.CrossRefPubMed
Metadata
Title
Pharmacological inhibition of leukotrienes in an animal model of bleomycin-induced acute lung injury
Authors
Marco Failla
Tiziana Genovese
Emanuela Mazzon
Elisa Gili
Carmelo Muià
Mariangela Sortino
Nunzio Crimi
Achille P Caputi
Salvatore Cuzzocrea
Carlo Vancheri
Publication date
01-12-2006
Publisher
BioMed Central
Published in
Respiratory Research / Issue 1/2006
Electronic ISSN: 1465-993X
DOI
https://doi.org/10.1186/1465-9921-7-137

Other articles of this Issue 1/2006

Respiratory Research 1/2006 Go to the issue
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.