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Infarct-Limiting Efficacy of the μ2‑Opioid Receptor Peptide Agonist Endomorphin‑1 in Metabolic Syndrome and Aging
N V Naryzhnaya1, A V Mukhomedzyanov2, I A Derkachev2
1Cardiology Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences, Tomsk, Russia. natalynar@yandex.ru.
Abstract:
Infarct-limiting efficacy of endomorphin‑1, a peptide agonist of μ2‑opioid receptors (μ2‑OR), was studied in rats with metabolic syndrome and during aging. Metabolic syndrome was induced by HFHC diet for 84 days. Coronary artery occlusion (45 min) and reperfusion (2 h) were modeled. Endomorphin‑1 produced a pronounced infarct-limiting effect in control 5‑month-old animals; however, this effect was significantly attenuated in aged (18‑month-old) rats and did not appear in 5‑month-old rats with metabolic syndrome. The μ2‑OR agonist endomorphin‑1 is a promising compound for cardioprotection, but its efficacy in the treatment of myocardial infarction in elderly patients and in metabolic syndrome requires additional studies.
Insights
Endomorphin-1 showed infarct-limiting effects in young rats, but this benefit was lost in aged rats and those with metabolic syndrome. Further research is needed for these patient groups.
Area of Science:
- Cardiology
- Pharmacology
- Gerontology
Background:
- Myocardial infarction (MI) remains a leading cause of death globally.
- Aging and metabolic syndrome are significant risk factors that exacerbate MI outcomes.
- μ2-opioid receptors (μ2-OR) are implicated in cardioprotection.
Purpose of the Study:
- To investigate the infarct-limiting efficacy of endomorphin-1, a selective μ2-OR agonist.
- To assess the impact of aging and metabolic syndrome on endomorphin-1's cardioprotective effects.
Main Methods:
- Metabolic syndrome was induced in 5-month-old rats using a high-fat, high-carbohydrate (HFHC) diet for 84 days.
- Myocardial infarction was modeled using 45 minutes of coronary artery occlusion followed by 2 hours of reperfusion.
- The infarct-limiting effect of endomorphin-1 was evaluated in control (5-month-old), aged (18-month-old), and metabolically compromised rats.
Main Results:
- Endomorphin-1 demonstrated a significant infarct-limiting effect in young, healthy control rats.
- This cardioprotective effect was substantially attenuated in aged rats.
- The infarct-limiting efficacy of endomorphin-1 was completely absent in rats with diet-induced metabolic syndrome.
Conclusions:
- Endomorphin-1 shows potential as a cardioprotective agent.
- Its efficacy is significantly diminished in the context of aging and metabolic syndrome.
- Additional studies are crucial to determine the therapeutic potential of endomorphin-1 for myocardial infarction in elderly and metabolically compromised individuals.
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