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Updated: May 10, 2026

Testing the Efficacy of Pharmacological Agents in a Pericardial Target Delivery Model in the Swine
Published on: July 7, 2016
Cardiac peroxisome proliferator-activated receptor δ (PPARδ) as a new target for increased contractility without
Zhih-Cherng Chen1, Kung Shing Lee, Li-Jen Chen
1Department of Cardiology, Chi-Mei Medical Center, Yong Kang, Tainan City, Taiwan.
Background And Aims:
Agents having a positive inotropic effect on the heart are widely used for the treatment of heart failure. However, these agents have the side effect of altering heart rate. It has been established that peroxisome proliferator-activated receptor δ (PPARδ) is mediated in cardiac contraction, however the effect on heart rate is unknown. Thus, we used an agonist of PPARδ, GW0742, to investigate this issue in the present study.
Methods And Results:
We used isolated hearts in Langendorff apparatus and hemodynamic analysis in catheterized rats to measure the actions of GW0742 extra-vivo and in vivo. In diabetic rats with heart failure, GW0742 at a dose sufficient to activate PPARδ reversed cardiac contraction without changes in heart rate. In normal rats, PPARδ enhanced cardiac contractility and hemodynamic dP/dtmax significantly more than dobutamine. Both actions were diminished by GSK0660 at a dose enough to block PPARδ. However, GW0742 at the same dose failed to modify heart rate, although it did produce a mild increase in blood pressure. Detection of intracellular calcium level and Western blotting analysis showed that the intracellular calcium concentration and troponin I phosphorylation were both enhanced by GW0742.
Conclusion:
Activation of PPARδ by GW0742 increases cardiac contractility but not heart rate. Thus, PPARδ may be a suitable target for the development of inotropic agents to treat heart failure without changing heart rate.
Insights
Peroxisome proliferator-activated receptor delta (PPARδ) activation enhances cardiac contractility without altering heart rate. This suggests PPARδ is a potential therapeutic target for heart failure treatment, offering improved heart function without side effects on heart rate.
Area of Science:
- Cardiology
- Molecular Biology
- Pharmacology
Background:
- Positive inotropic agents treat heart failure but affect heart rate.
- Peroxisome proliferator-activated receptor delta (PPARδ) involvement in cardiac contraction is known, but its effect on heart rate is unclear.
Purpose of the Study:
- To investigate the effect of PPARδ activation on heart rate using the agonist GW0742.
- To determine if PPARδ can enhance cardiac contractility without affecting heart rate.
Main Methods:
- Isolated hearts (Langendorff apparatus) and catheterized rats were used for in vitro and in vivo hemodynamic analysis.
- Intracellular calcium levels and troponin I phosphorylation were measured using Western blotting.
- The effects of GW0742 were assessed in normal and diabetic rats with heart failure, with and without the PPARδ blocker GSK0660.
Main Results:
- GW0742 activated PPARδ, reversing cardiac contraction in diabetic rats with heart failure without changing heart rate.
- In normal rats, GW0742 significantly enhanced cardiac contractility and dP/dtmax more than dobutamine, an effect blocked by GSK0660.
- GW0742 increased intracellular calcium and troponin I phosphorylation, but did not alter heart rate, only mildly increasing blood pressure.
Conclusions:
- PPARδ activation by GW0742 enhances cardiac contractility.
- PPARδ activation does not affect heart rate.
- PPARδ represents a promising therapeutic target for developing heart failure treatments with improved cardiac contractility and no heart rate side effects.
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