Demonstration of direct effects of growth hormone on neonatal cardiomyocytes

C Lu1, G Schwartzbauer, M A Sperling

  • 1Departments of Pediatrics, Molecular Genetics and Biochemistry, and Cardiology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania 15213, USA.

Insights

Growth hormone (GH) directly stimulates heart cell growth and alters metabolism, independent of insulin-like growth factor 1 (IGF-1). This study establishes a reliable model for investigating GH

Area of Science:

  • Cardiology
  • Endocrinology
  • Molecular Biology

Background:

  • The precise mechanisms of growth hormone (GH) action on the heart are not fully understood.
  • It remains uncertain if GH's cardiac effects are direct or mediated by insulin-like growth factor 1 (IGF-1).
  • Cultured neonatal cardiomyocytes typically lose growth hormone receptors (GHRs), hindering direct study of GH effects.

Purpose of the Study:

  • To establish a functional model for studying direct GH effects on cardiomyocytes.
  • To investigate the impact of GH on cardiomyocyte size, gene expression, and metabolic pathways.
  • To determine the role of IGF-1 in mediating GH's cardiac actions.

Main Methods:

  • Neonatal rat cardiomyocytes were infected with adenovirus expressing murine GHR to restore GHR function.
  • GH signaling pathways (JAK2/STAT5, MAPK, Akt) were assessed for activation.
  • Changes in cardiomyocyte size, expression of specific mRNAs (c-fos, MLC2, alpha-actin, IGF-1, ANF), and metabolic substrate uptake/transport were measured.

Main Results:

  • GH stimulation activated JAK2/STAT5, MAPK, and Akt pathways in cardiomyocytes expressing GHR.
  • GH significantly increased cardiomyocyte size and expression of c-fos, myosin light chain 2, and skeletal alpha-actin mRNAs.
  • GH altered cellular metabolism by increasing leucine and palmitic acid uptake and fatty acid transport protein mRNA, while decreasing 2-deoxy-d-glucose uptake and Glut1 protein levels, without affecting IGF-1 or ANF mRNA.

Conclusions:

  • GH directly induces hypertrophy in cardiomyocytes via a model expressing functional GHRs.
  • GH significantly alters cardiomyocyte metabolism, suggesting direct effects on substrate utilization.
  • These GH-induced cardiac effects occur independently of changes in IGF-1 mRNA levels, indicating a potential IGF-1-independent pathway.

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