Chang Pan, Zhang Xiaomeng, Chen Weiguo, Zhang Jing, Wang Jianbang, Wang Xihui, Yu Jun, Zhu Xiaoling
Department of Cardiology, the Second Affiliated Hospital of Xi'an Medical University, Xi'an, Shaanxi 710038, China.
Department of Anesthesiology, Xijing Hospital, Fourth Military Medical University, Xi'an, Shaanxi 710032, China.
Peptides. 2021 Mar;137:170474. doi: 10.1016/j.peptides.2020.170474. Epub 2020 Dec 24.
Isoprenaline-induced cardiac hypertrophy can deteriorate to heart failure, which is a leading cause of mortality. Endogenous vasonatrin peptide (VNP) has been reported to be cardioprotective against myocardial ischemia/reperfusion injury in diabetic rats. However, little is known about the effect of exogenous VNP on cardiac hypertrophy. We further explored whether VNP attenuated isoprenaline-induced cardiomyocyte hypertrophy by examining the levels and activities of cGMP and PKG. In this study, we found that VNP significantly attenuated isoprenaline-induced myocardial hypertrophy and cardiac fibroblast activation in vivo. Moreover, VNP effectively halted the activation of apoptosis and oxidative stress in the isoprenaline-treated myocardium. VNP promoted superoxide dismutase (SOD) activity. Further study revealed that the protective effects of VNP might be mediated by the activity of the cGMP-PKG signaling pathway in vivo or in vitro, while the use of agonists and antagonists confirmed these results. Therefore, we demonstrated that the antiapoptosis and antioxidative stress effects of VNP depends on elevated cGMP-PKG signaling activity both in vivo and in vitro. These results suggest that VNP may be used in the treatment of myocardial hypertrophy.
异丙肾上腺素诱导的心脏肥大可恶化为心力衰竭,而心力衰竭是导致死亡的主要原因。据报道,内源性血管钠肽(VNP)对糖尿病大鼠的心肌缺血/再灌注损伤具有心脏保护作用。然而,关于外源性VNP对心脏肥大的影响知之甚少。我们通过检测环磷酸鸟苷(cGMP)和蛋白激酶G(PKG)的水平及活性,进一步探讨VNP是否能减轻异丙肾上腺素诱导的心肌细胞肥大。在本研究中,我们发现VNP在体内可显著减轻异丙肾上腺素诱导的心肌肥大和心脏成纤维细胞活化。此外,VNP有效阻止了异丙肾上腺素处理的心肌中凋亡和氧化应激的激活。VNP促进了超氧化物歧化酶(SOD)的活性。进一步研究表明,VNP的保护作用可能在体内或体外由cGMP-PKG信号通路的活性介导,而使用激动剂和拮抗剂证实了这些结果。因此,我们证明VNP的抗凋亡和抗氧化应激作用在体内和体外均依赖于升高的cGMP-PKG信号活性。这些结果表明VNP可能用于治疗心肌肥大。