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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Acta+Physiol+(Oxf)
2016 ; 216
(4
): 421-34
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Insulin-like growth factor 1 prevents diastolic and systolic dysfunction
associated with cardiomyopathy and preserves adrenergic sensitivity
#MMPMID26399932
Roof SR
; Boslett J
; Russell D
; del Rio C
; Alecusan J
; Zweier JL
; Ziolo MT
; Hamlin R
; Mohler PJ
; Curran J
Acta Physiol (Oxf)
2016[Apr]; 216
(4
): 421-34
PMID26399932
show ga
AIMS: Insulin-like growth factor 1 (IGF-1)-dependent signalling promotes
exercise-induced physiological cardiac hypertrophy. However, the in vivo
therapeutic potential of IGF-1 for heart disease is not well established. Here,
we test the potential therapeutic benefits of IGF-1 on cardiac function using an
in vivo model of chronic catecholamine-induced cardiomyopathy. METHODS: Rats were
perfused with isoproterenol via osmotic pump (1 mg kg(-1) per day) and treated
with 2 mg kg(-1) IGF-1 (2 mg kg(-1) per day, 6 days a week) for 2 or 4 weeks.
Echocardiography, ECG, and blood pressure were assessed. In vivo pressure-volume
loop studies were conducted at 4 weeks. Heart sections were analysed for fibrosis
and apoptosis, and relevant biochemical signalling cascades were assessed.
RESULTS: After 4 weeks, diastolic function (EDPVR, EDP, tau, E/A ratio), systolic
function (PRSW, ESPVR, dP/dtmax) and structural remodelling (LV chamber diameter,
wall thickness) were all adversely affected in isoproterenol-treated rats. All
these detrimental effects were attenuated in rats treated with Iso+IGF-1.
Isoproterenol-dependent effects on BP were attenuated by IGF-1 treatment.
Adrenergic sensitivity was blunted in isoproterenol-treated rats but was
preserved by IGF-1 treatment. Immunoblots indicate that cardioprotective p110?
signalling and activated Akt are selectively upregulated in Iso+IGF-1-treated
hearts. Expression of iNOS was significantly increased in both the Iso and
Iso+IGF-1 groups; however, tetrahydrobiopterin (BH4) levels were decreased in the
Iso group and maintained by IGF-1 treatment. CONCLUSION: IGF-1 treatment
attenuates diastolic and systolic dysfunction associated with chronic
catecholamine-induced cardiomyopathy while preserving adrenergic sensitivity and
promoting BH4 production. These data support the potential use of IGF-1 therapy
for clinical applications for cardiomyopathies.