Growth hormone-releasing peptide can improve left ventricular dysfunction and attenuate dilation in dilated

Mitsunori Iwase1, Hiroaki Kanazawa, Yosuke Kato

  • 1Department of Medical Technology, Nagoya University School of Health Sciences, 1-1-20 Daiko Minami, Higashi, Nagoya 461-8673, Japan. iwase@met.nagoya-u.ac.jp

Cardiovascular Research
|January 21, 2004
PubMed

Insights

Growth hormone-releasing peptide (GHRP) improves heart function in a heart failure model, independent of the growth hormone (GH) and insulin-like growth factor-1 (IGF-1) pathway. This suggests GHRP as a potential heart failure treatment.

Area of Science:

  • Cardiology
  • Endocrinology
  • Pharmacology

Background:

  • Mammalian hearts have growth hormone-releasing peptide (GHRP) binding sites with unknown physiological roles.
  • Dilated cardiomyopathy is characterized by progressive left ventricular (LV) dysfunction.

Purpose of the Study:

  • To investigate the effects of GHRP and growth hormone (GH) on the progression of LV dysfunction in a hamster model of dilated cardiomyopathy.
  • To determine if GHRP acts through the GH-insulin-like growth factor-1 (IGF-1) axis.

Main Methods:

  • TO-2 hamsters with dilated cardiomyopathy were treated with GHRP-6, GH, or saline for 4 weeks.
  • Left ventricular (LV) function and structure were assessed using echocardiography and pathology.

Main Results:

  • Both GHRP-6 and GH treatments improved LV fractional shortening (LVFS) and reduced LV end-diastolic dimension (LVDd) in TO-2 hamsters.
  • GHRP-6 treatment resulted in a smaller LVDd compared to GH treatment.
  • GHRP-6 did not increase plasma GH or IGF-1 levels, nor did it increase LV myocyte area or atrial natriuretic peptide mRNA.

Conclusions:

  • GHRP ameliorates progressive LV dysfunction in a dilated cardiomyopathy model independently of the GH-IGF-1 axis.
  • GHRP represents a potential novel therapeutic strategy for heart failure.
Abstract