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Insulin-like growth factor 1 prevents diastolic and systolic dysfunction associated with cardiomyopathy and preserves
Insights
Insulin-like growth factor 1 (IGF-1) therapy improved heart function in a rat model of cardiomyopathy. IGF-1 treatment attenuated detrimental effects of catecholamine exposure, preserving cardiac function and adrenergic sensitivity.
Area of Science:
- Cardiovascular Research
- Endocrinology
- Pharmacology
Background:
- Insulin-like growth factor 1 (IGF-1) signaling is known to promote exercise-induced cardiac hypertrophy.
- The therapeutic potential of IGF-1 for heart disease in vivo remains incompletely understood.
- Chronic catecholamine exposure can induce cardiomyopathy, a significant cardiovascular condition.
Purpose of the Study:
- To investigate the therapeutic benefits of IGF-1 on cardiac function in an established in vivo model of chronic catecholamine-induced cardiomyopathy.
- To assess the impact of IGF-1 on both systolic and diastolic cardiac dysfunction.
- To evaluate IGF-1's effects on adrenergic sensitivity and underlying molecular signaling pathways.
Main Methods:
- Rats were administered isoproterenol to induce cardiomyopathy and treated with IGF-1.
- Cardiac function was assessed using echocardiography, ECG, blood pressure measurements, and in vivo pressure-volume loop studies.
- Histological analysis for fibrosis and apoptosis, alongside biochemical assessments of signaling cascades, were performed.
Main Results:
- Isoproterenol treatment led to significant diastolic and systolic dysfunction, alongside adverse structural remodeling.
- IGF-1 treatment attenuated these detrimental effects, improving cardiac function and preserving adrenergic sensitivity.
- IGF-1 upregulated cardioprotective p110α/Akt signaling and maintained tetrahydrobiopterin (BH4) levels, which were reduced by isoproterenol alone.
Conclusions:
- IGF-1 therapy effectively attenuates cardiac dysfunction in a model of catecholamine-induced cardiomyopathy.
- The treatment preserves adrenergic sensitivity and promotes beneficial signaling pathways, including BH4 production.
- These findings support the potential clinical application of IGF-1 for treating cardiomyopathies.
Aims:
Insulin-like growth factor 1 (IGF-1)-dependent signalling promotes exercise-induced physiological cardiac hypertrophy. However, the in vivo therapeutic potential of IGF-1 for heart disease is not well established. Here, we test the potential therapeutic benefits of IGF-1 on cardiac function using an in vivo model of chronic catecholamine-induced cardiomyopathy.
Methods:
Rats were perfused with isoproterenol via osmotic pump (1 mg kg(-1) per day) and treated with 2 mg kg(-1) IGF-1 (2 mg kg(-1) per day, 6 days a week) for 2 or 4 weeks. Echocardiography, ECG, and blood pressure were assessed. In vivo pressure-volume loop studies were conducted at 4 weeks. Heart sections were analysed for fibrosis and apoptosis, and relevant biochemical signalling cascades were assessed.
Results:
After 4 weeks, diastolic function (EDPVR, EDP, tau, E/A ratio), systolic function (PRSW, ESPVR, dP/dtmax) and structural remodelling (LV chamber diameter, wall thickness) were all adversely affected in isoproterenol-treated rats. All these detrimental effects were attenuated in rats treated with Iso+IGF-1. Isoproterenol-dependent effects on BP were attenuated by IGF-1 treatment. Adrenergic sensitivity was blunted in isoproterenol-treated rats but was preserved by IGF-1 treatment. Immunoblots indicate that cardioprotective p110α signalling and activated Akt are selectively upregulated in Iso+IGF-1-treated hearts. Expression of iNOS was significantly increased in both the Iso and Iso+IGF-1 groups; however, tetrahydrobiopterin (BH4) levels were decreased in the Iso group and maintained by IGF-1 treatment.
Conclusion:
IGF-1 treatment attenuates diastolic and systolic dysfunction associated with chronic catecholamine-induced cardiomyopathy while preserving adrenergic sensitivity and promoting BH4 production. These data support the potential use of IGF-1 therapy for clinical applications for cardiomyopathies.
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