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Reflections on what makes the heart grow

Advances in Myocardiology
|January 1, 1983
PubMed

Insights

Researchers discovered a digoxin-like substance in rat serum during cardiac overload, suggesting a new cardiotropic factor called endocardin may stimulate heart cell growth.

Area of Science:

  • Cardiology
  • Endocrinology
  • Molecular Biology

Background:

  • Cardiac hypertrophy and overload trigger physiological changes in the heart.
  • Digoxin-like immunoreactivity has been observed in serum under certain conditions.
  • The existence of endogenous cardiotropic factors is under investigation.

Purpose of the Study:

  • To investigate the origin of digoxin-like immunoreactivity in experimental cardiac overload.
  • To identify a potential endogenous cardiotropic factor involved in cardiac growth.
  • To explore the role of this factor in stimulating cardiac myocyte proliferation.

Main Methods:

  • Induction of experimental cardiac overload and hypertrophy in rats.
  • Measurement of digoxin-like immunoreactivity in serum.
  • Assessment of serum's effect on rat cardiac myocyte multiplication in tissue culture.
  • Analysis of potential steroid origins.

Main Results:

  • Digoxin-like immunoreactivity in rat serum correlated with cardiac growth during overload.
  • Sera from overloaded rats stimulated cardiac myocyte proliferation in vitro.
  • The factor demonstrated cross-immunoreactivity with digoxin, suggesting a structural similarity.
  • The factor is hypothesized to be an adrenal steroid distinct from corticosterone and aldosterone.

Conclusions:

  • An endogenous cardiotropic factor, potentially an adrenal steroid, is present during cardiac overload.
  • This factor exhibits digoxin-like immunoreactivity and stimulates cardiac myocyte growth.
  • The proposed name for this factor is endocardin or endocardiotonin.

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