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Phosphorylation of Akt/GSK-3β/eNOS amplifies 5-HT2B receptor blockade mediated anti-hypertrophic effect in rats
Saurabh Bharti1, Ratnakar Singh, S S Chauhan
1Department of Pharmacology, All India Institute of Medical Sciences, New Delhi 110 029, India.
Abstract:
Herein, we studied the cross talk between 5-HT(2B) receptor blocker (SB-204741) and GSK-3β inhibitor (SB-216763) in isoproterenol-induced cardiac hypertrophy for 28 days. SB-204741 treatment significantly ameliorated (P<0.05) myocardial dysfunction, myocyte area, fibrosis and myocardial architecture in isoproterenol insulted myocardium. Moreover, this improvement in functional and morphological changes was associated with suppression of hypertrophic (BNP and CK-MB), inflammatory (IKK-β/NF-κB/TNF-α and CRP), and apoptotic markers (TUNEL positivity and Bax expression) along with phosphorylation of Akt/GSK-3β/β-catenin/eNOS. Intriguingly, co-treatment with GSK-3β inhibitor (P<0.01) further amplified the anti-hypertrophic effect of SB-204741 (P<0.05) such that the effect was indistinguishable from that of vehicle treated rats. Thus, 5-HT(2B) receptor blockade mediated anti-hypertrophic effect is atleast in part is governed through phosphorylation of Akt/GSK-3β/β-catenin/eNOS via attenuating inflammatory and apoptotic pathways.
Insights
SB-204741, a 5-HT(2B) receptor blocker, reduced cardiac hypertrophy by improving heart function and structure. Co-treatment with a GSK-3β inhibitor enhanced these protective effects, highlighting a key molecular pathway.
Area of Science:
- Cardiovascular Pharmacology
- Molecular Cardiology
- Drug Discovery
Background:
- Cardiac hypertrophy is a maladaptive response to stress, leading to myocardial dysfunction.
- The 5-HT(2B) receptor and GSK-3β signaling pathways are implicated in cardiac remodeling.
- Understanding the interplay between these pathways is crucial for developing novel therapeutics.
Purpose of the Study:
- To investigate the therapeutic potential of 5-HT(2B) receptor blockade in isoproterenol-induced cardiac hypertrophy.
- To explore the crosstalk between 5-HT(2B) receptor and GSK-3β signaling in cardiac hypertrophy.
- To elucidate the molecular mechanisms underlying the anti-hypertrophic effects.
Main Methods:
- Isoproterenol was used to induce cardiac hypertrophy in a rat model over 28 days.
- Animals were treated with SB-204741 (5-HT(2B) receptor blocker) and/or SB-216763 (GSK-3β inhibitor).
- Cardiac function, morphology, and molecular markers of hypertrophy, inflammation, and apoptosis were assessed.
Main Results:
- SB-204741 treatment significantly improved myocardial function, reduced myocyte size, fibrosis, and architectural damage.
- SB-204741 suppressed hypertrophic, inflammatory, and apoptotic markers, alongside modulating Akt/GSK-3β/β-catenin/eNOS phosphorylation.
- Co-treatment with a GSK-3β inhibitor potentiated the anti-hypertrophic effects of SB-204741, indicating pathway synergy.
Conclusions:
- 5-HT(2B) receptor blockade effectively ameliorates cardiac hypertrophy and its associated pathologies.
- The anti-hypertrophic effects are mediated, at least in part, by the Akt/GSK-3β/β-catenin/eNOS pathway.
- Targeting 5-HT(2B) receptors, potentially in combination with GSK-3β inhibitors, offers a promising therapeutic strategy for cardiac hypertrophy.
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