Hexarelin suppresses cardiac fibroblast proliferation and collagen synthesis in rat

Xiangbin Xu1, Jinjiang Pang, Hongchao Yin

  • 1Department of Physiology and Pathophysiology, Institute of Basic Medical Sciences, Chinese Academy of Medical Sciences, School of Basic Medical Sciences, Peking Union Medical College, Beijing 100005, People's Republic of China.

Insights

Hexarelin, a growth hormone secretagogue, inhibits cardiac fibroblast proliferation and collagen synthesis. This effect is mediated by activating growth hormone secretagogue receptors (GHSR) and adenosine A2 receptors (A2R), reducing TGF-beta.

Area of Science:

  • Cardiovascular Biology
  • Cellular Physiology
  • Pharmacology

Background:

  • Cardiac fibroblast proliferation is central to cardiac hypertrophy and remodeling.
  • Hexarelin, a synthetic growth hormone secretagogue (GHS), shows cardiovascular protective effects.
  • Mechanisms of GHS action on cardiac fibrosis remain unclear.

Purpose of the Study:

  • To elucidate the cellular and molecular mechanisms of hexarelin's effect on cardiac fibroblasts.
  • To investigate hexarelin's impact on fibroblast proliferation, DNA synthesis, and collagen production.
  • To determine the role of growth hormone secretagogue receptor (GHSR) and adenosine receptors in hexarelin's action.

Main Methods:

  • Cultured rat cardiac fibroblasts were stimulated with angiotensin II (ANG II) or fetal calf serum (FCS).
  • Proliferation and collagen synthesis assessed via MTT assay, (3)H-thymidine, and (3)H-proline incorporation.
  • Transforming growth factor-beta (TGF-beta) mRNA and active TGF-beta1 levels measured by RT-PCR and ELISA; cellular cAMP by radioimmunoassay. Adenosine receptor antagonists (DMPX, DPCPX) were used.

Main Results:

  • Hexarelin inhibited ANG II-induced proliferation and collagen synthesis.
  • Hexarelin reduced FCS- and TGF-beta-induced DNA synthesis and ANG II-induced TGF-beta mRNA upregulation and TGF-beta1 release.
  • Hexarelin increased cellular cAMP levels; its effects were abolished by the adenosine A(2)R antagonist DMPX, but not the A(1)R antagonist DPCPX.

Conclusions:

  • Hexarelin inhibits cardiac fibroblast proliferation, DNA, and collagen synthesis.
  • These effects are mediated through activation of both GHSR and adenosine A(2)R.
  • Hexarelin diminishes ANG II-induced increases in TGF-beta expression and release, contributing to its cardioprotective role.

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