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通过艾塞那肽-4刺激胰高血糖素样肽-1受体可维持心肌功能,并防止梗死心肌发生心脏重塑。

Stimulation of glucagon-like peptide-1 receptor through exendin-4 preserves myocardial performance and prevents cardiac remodeling in infarcted myocardium.

作者信息

DeNicola Megan, Du Jianfeng, Wang Zhengke, Yano Naohiro, Zhang Ling, Wang Yigang, Qin Gangjian, Zhuang Shougang, Zhao Ting C

机构信息

Department of Surgery, Roger Williams Medical Center, Boston University Medical School, Boston University, Providence, Rhode Island;

Department of Obstetrics and Gynecology, Women and Infants' Hospital of Rhode Island, Providence, Rhode Island;

出版信息

Am J Physiol Endocrinol Metab. 2014 Oct 15;307(8):E630-43. doi: 10.1152/ajpendo.00109.2014. Epub 2014 Aug 12.

Abstract

We have demonstrated that GLP-1 improved myocardial functional recovery in acute myocardial ischemic injury. However, whether stimulation of the GLP-1 receptor (GLP-1R) with exendin-4, a selective GLP-1R agonist, could initiate a protective effect in the heart remains to be determined. Mouse myocardial infarction (MI) was created by ligation of the left descending artery. After 48 h of MI, animals were divided into the following groups (n = 5-7/group): 1) sham (animals that underwent thoracotomy without ligation), 2) MI [animals that underwent MI and received a daily dose of intraperitoneal injection (ip) of saline]; and 3) MI + exendin-4 [infarcted mice that received injections of exendin-4 (0.1 mg/kg ip)]. Two weeks later, cardiac function was assessed by echocardiography and an isovolumetrically perfused heart. Compared with control MI hearts, stimulation of GLP-1R improved cardiac function, which was associated with attenuation of myocardial hypertrophy, the mitigation of interstitial fibrosis, and an increase in survival rate in post-MI hearts. Furthermore, H9c2 cardiomyoblasts were preconditioned with exendin-4 at a dose of 100 nmol/l and then subjected to hydrogen peroxide exposure at concentrations of 50 and 100 μmol/l. The exendin-4 treatment decreased lactate dehydrogenase leakage and increased cell survival. Notably, this event was also associated with the reduction of cleaved caspase-3 and caspase-9 and attenuation of reactive oxygen species production. Exendin-4 treatments improved mitochondrial respiration and suppressed the opening of mitochondrial permeability transition pore and protected mitochondria function. Our results indicate that GLP-1R serves as a novel approach to eliciting cardioprotection and mitigating oxidative stress-induced injury.

摘要

我们已经证明,胰高血糖素样肽-1(GLP-1)可改善急性心肌缺血损伤后的心肌功能恢复。然而,用选择性GLP-1受体(GLP-1R)激动剂艾塞那肽-4刺激GLP-1R是否能在心脏中引发保护作用仍有待确定。通过结扎左冠状动脉前降支制造小鼠心肌梗死(MI)模型。MI后48小时,将动物分为以下几组(每组n = 5 - 7):1)假手术组(开胸但未结扎的动物),2)MI组[经历MI并每日腹腔注射(ip)生理盐水的动物];3)MI + 艾塞那肽-4组[接受艾塞那肽-4注射(0.1 mg/kg ip)的梗死小鼠]。两周后,通过超声心动图和等容灌注心脏评估心脏功能。与对照MI心脏相比,刺激GLP-1R可改善心脏功能,这与心肌肥大减轻、间质纤维化减轻以及MI后心脏存活率增加有关。此外,用100 nmol/l的艾塞那肽-4预处理H9c2心肌成纤维细胞,然后使其暴露于浓度为50和100 μmol/l的过氧化氢中。艾塞那肽-4处理可减少乳酸脱氢酶泄漏并提高细胞存活率。值得注意的是,这一事件还与裂解的半胱天冬酶-3和半胱天冬酶-9减少以及活性氧产生减少有关。艾塞那肽-4处理改善了线粒体呼吸,抑制了线粒体通透性转换孔的开放并保护了线粒体功能。我们的结果表明,GLP-1R是一种引发心脏保护和减轻氧化应激诱导损伤的新方法。

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