Anti-ischemic treatment with ranolazine normalized the cardiac lipid metabolism and cardiac function of mice with signs of heart failure. A,
B. The effect of 2 months of ranolazine treatment (Treated) on the expression of lipid metabolism genes was determined by microarray analysis of
hearts isolated from 10 month-old B6 mice with 6 months of AAC (A, AAC-B6; Untreated vs. Treated), and 18 month-old ApoE-/- mice with advanced
atherosclerosis (B, ApoE-/--18mo; Untreated vs. Treated). Gene expression is presented as fold change relative to the respective control, i.e.
untreated 10 month-old sham-operated B6 mice (A, -fold of sham), and untreated 18 month-old B6 mice (B, -fold of B6); *, p<0.01. C, D. Immunohistological
detection of Scd1 (upper panels), Fasn (middle panels) and Ucp1 (lower panels) was performed with the respective antibodies on heart
sections of untreated (Untreated; left panels) and ranolazine-treated (Treated; right panels) 10 month-old B6 mice after 6 months of AAC (C, AACB6),
and 18 month-old ApoE-/- mice (D, ApoE-/--18mo). Histology data are representative of at least 3 different mice/group (bar: 40 µm). Nuclei were
stained with hematoxylin (upper panels). E. Cardiac triglyceride content was determined with hearts isolated from untreated (Untreated) and ranolazine-
treated (Treated) 10 month-old B6 mice after 6 months of AAC (AAC-B6; left panel), and 18 month-old ApoE-/- mice (ApoE-/--18mo; right
panel). As controls, 10 month-old, sham-operated B6 mice (Sham, left panel), and 18 month-old B6 mice (B6, right panel) were included. Data represent
mean ± S. D., n=4 mice/group (**, p<0.001; *, p<0.01). F. Caspase-3 activity (Casp-3 activity) as a marker of apoptotic cell death was determined
with hearts isolated from untreated (Untreated) and ranolazine-treated (Treated) 10 month-old B6 mice after 6 months of AAC (AAC-B6; left
panel), and 18 month-old ApoE-/- mice (ApoE-/--18mo; right panel). Data are expressed as percentage of the respective control (set to 100 %), i.e. 10
month-old sham-operated B6 mice (Sham, left panel), and 18 month-old B6 mice (B6, right panel), and represent mean ± S. D., n=4 mice/group (**,
p<0.001). G. The ejection fraction of untreated (Untreated) and ranolazine-treated (Treated) 10 month-old B6 mice with 6 months of AAC (AAC-B6)
was determined by echocardiography. Untreated, sham-operated 10 month-old B6 mice (Sham) served as controls. Data represent mean ± S. D., n=4
mice/group (**, p<0.0005; *, p<0.01). H. The ejection fraction (expressed in %) of untreated (Untreated) and ranolazine-treated (Treated) 18 monthold
ApoE-/- mice (ApoE-/--18mo). Untreated 18 month-old B6 mice (B6) served as controls. Data represent mean ± S. D., n=4 mice/group (**,
p<0.001; *, p<0.01). I. Ranolazine-treatment (Treated; right panel) for two months did not significantly affect the atherosclerotic plaque load in the
aorta of 18 month-old ApoE-/- mice (Aorta; ApoE-/--18mo) relative to age-matched untreated ApoE-/- mice (Untreated; left panel).