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胰高血糖素样肽-1 通过 AngII/AT1R/ACE2 和 AMPK/mTOR/p70S6K 途径减轻心肌肥厚。

Glucagon-like peptide-1 attenuates cardiac hypertrophy via the AngII/AT1R/ACE2 and AMPK/mTOR/p70S6K pathways.

机构信息

Department of Cardiology, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Shanxi Medical University, Tongji Shanxi Hospital, Tongji Medical College, Huazhong University of Science and Technology, Taiyuan 030032, China.

Key Laboratory of Chemical Biology and Molecular Engineering of Ministry of Education, Institute of Biotechnology, Shanxi University, Taiyuan 030006, China.

出版信息

Acta Biochim Biophys Sin (Shanghai). 2021 Aug 31;53(9):1189-1197. doi: 10.1093/abbs/gmab099.

Abstract

Glucagon-like peptide-1 (GLP-1), a novel type of glucose-lowering agent, has been reported to exert cardioprotective effects. However, the cardioprotective mechanism of GLP-1 on spontaneous hypertension-induced cardiac hypertrophy has not been fully elucidated. In this study, we revealed that liraglutide or alogliptin treatment ameliorated spontaneous hypertension-induced cardiac hypertrophy, as evidenced by decreased levels of cardiac hypertrophic markers (atrial natriuretic peptide, brain natriuretic peptide, and β-myosin heavy chain), as well as systolic blood pressure, diastolic blood pressure, mean arterial pressure, and histological changes. Both drugs significantly reduced the levels of angiotensin II (AngII) and AngII type 1 receptor (AT1R) and upregulated the levels of AngII type 2 receptor (AT2R) and angiotensin-converting enzyme 2 (ACE2), as indicated by a reduced AT1R/AT2R ratio. Simultaneously, treatment with liraglutide or alogliptin significantly increased GLP-1 receptor expression and adenosine monophosphate-activated protein kinase (AMPK) phosphorylation and downregulated the phosphorylation of mammalian target of rapamycin (mTOR), p70 ribosomal S6 protein kinase, and eukaryotic translation initiation factor 4E binding protein 1 in spontaneous hypertension rats. Furthermore, our data demonstrated that the AMPK inhibitor compound C or mTOR activator MHY1485 inhibited the anti-hypertrophic effect of GLP-1. In summary, our study suggests that liraglutide or alogliptin protects the heart against cardiac hypertrophy by regulating the expression of AngII/AT1R/ACE2 and activating the AMPK/mTOR pathway, and GLP-1 agonist can be used in the treatment of patients with cardiac hypertrophy.

摘要

胰高血糖素样肽-1(GLP-1)是一种新型的降血糖药物,据报道具有心脏保护作用。然而,GLP-1 对自发性高血压引起的心肌肥厚的心脏保护机制尚未完全阐明。在这项研究中,我们揭示了利拉鲁肽或阿格列汀治疗可改善自发性高血压引起的心肌肥厚,表现为心肌肥厚标志物(心房利钠肽、脑利钠肽和β-肌球蛋白重链)水平以及收缩压、舒张压、平均动脉压和组织学变化降低。两种药物均显著降低血管紧张素 II(AngII)和 AngII 型 1 受体(AT1R)水平,并上调 AngII 型 2 受体(AT2R)和血管紧张素转换酶 2(ACE2)水平,表现为 AT1R/AT2R 比值降低。同时,利拉鲁肽或阿格列汀治疗可显著增加 GLP-1 受体表达和腺苷酸活化蛋白激酶(AMPK)磷酸化,并下调哺乳动物雷帕霉素靶蛋白(mTOR)、p70 核糖体 S6 蛋白激酶和真核翻译起始因子 4E 结合蛋白 1 的磷酸化水平自发性高血压大鼠。此外,我们的数据表明,AMPK 抑制剂化合物 C 或 mTOR 激活剂 MHY1485 抑制了 GLP-1 的抗肥厚作用。综上所述,我们的研究表明,利拉鲁肽或阿格列汀通过调节 AngII/AT1R/ACE2 的表达和激活 AMPK/mTOR 通路来保护心脏免受心肌肥厚的影响,GLP-1 激动剂可用于治疗心肌肥厚患者。

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