Carvedilol Diminishes Cardiac Remodeling Induced by High-Fructose/High-Fat Diet in Mice via Enhancing Cardiac

Wael S Ibrahim1,2, Islam A A E-H Ibrahim1, Mona F Mahmoud1

  • 1Department of Pharmacology and Toxicology, Faculty of Pharmacy, Zagazig University, Zagazig, Egypt.

Abstract

Insights

This study shows that a high-fructose/high-fat diet induces insulin resistance and cardiac remodeling in mice. Carvedilol treatment improved cardiac function by enhancing beta-arrestin2 signaling.

Area of Science:

  • Cardiovascular Research
  • Metabolic Disorders
  • Pharmacology

Background:

  • Insulin resistance (IR) is a significant risk factor for cardiovascular complications.
  • Dietary models are crucial for studying IR-induced cardiac changes.
  • Beta-arrestin2 signaling plays a role in cardiac pathophysiology.

Purpose of the Study:

  • To investigate the impact of a dietary model of IR on cardiac remodeling and beta-arrestin2 signaling in mice.
  • To evaluate the protective effects of carvedilol, a beta-arrestin-biased agonist, in this model.

Main Methods:

  • Mice were fed a high-fructose/high-fat diet (HFrHFD) for 16 weeks to induce insulin resistance.
  • Carvedilol was administered for the last 4 weeks of the study.
  • Cardiac remodeling, beta-arrestin2 signaling, and metabolic parameters were assessed.

Main Results:

  • HFrHFD induced insulin resistance, cardiac fibrosis, and myofibril degeneration, with reduced cardiotrophin-1, beta-arrestin2, PIP2, and pS473 Akt.
  • Carvedilol treatment mitigated these effects, reducing cardiac remodeling markers and improving metabolic parameters.
  • Carvedilol significantly increased cardiac cardiotrophin-1, beta-arrestin2, PIP2, and pS473 Akt levels.

Conclusions:

  • Carvedilol demonstrates protective effects against diet-induced cardiac remodeling in mice with insulin resistance.
  • The drug enhances cardiac beta-arrestin2 signaling, suggesting a therapeutic mechanism.
  • Targeting beta-arrestin2 signaling may be a viable strategy for managing cardiovascular complications of insulin resistance.

Related Concept Videos

Heart Failure Drugs: Inhibitors of Renin-Angiotensin System01:26

Heart Failure Drugs: Inhibitors of Renin-Angiotensin System

The activation of the sympathetic nervous system and the renin-angiotensin-aldosterone system (RAAS) contributes to cardiac remodeling, and inhibiting the RAAS is a pharmacological target in heart failure management. As a result, neurohumoral modulation is a crucial treatment principle for managing heart failure. This approach involves using medications like ACE inhibitors (ACEIs), angiotensin receptor blockers (ARBs), β-blockers, mineralocorticoid receptor antagonists (MRAs), and neutral...
832
Heart Failure Drugs: β-Blockers01:22

Heart Failure Drugs: β-Blockers

β-adrenergic antagonists, commonly known as β-blockers, block the effects of sympathetic neurotransmitters such as noradrenaline (NA) and adrenaline (ADR). They have several beneficial effects in heart failure treatment. They reduce heart rate, the force of contraction, and cardiac muscle relaxation. They also slow the atrial-ventricular conduction rate and raise the threshold for arrhythmias. The concentration of β-blockers determines their effects on bronchodilation,...
693
Adrenergic Antagonists: ɑ and β-Receptor Blockers01:31

Adrenergic Antagonists: ɑ and β-Receptor Blockers

Third-generation β-blockers, such as labetalol and carvedilol, represent a significant advancement in managing cardiovascular conditions. Unlike conventional β-blockers, which can induce peripheral vasoconstriction, third-generation drugs block α1 adrenoceptors. This promotes vasodilation through several mechanisms, such as increased nitric oxide production, inhibition of calcium ion entry, opening of potassium ion channels, and antioxidant action. Labetalol, for instance, is...
1.1K