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Articles in PresS, published online ahead of print June 25, 2002
Am J Physiol Endocrinol Metab, 10.1152/ajpendo.00003.2002
Submitted on January 7, 2002
Accepted on June 19, 2002
1 Pharmacology, Physiology, and Therapeutics, University of North Dakota, Grand Forks, ND, USA
* To whom correspondence should be addressed. E-mail: jren{at}medicine.nodak.edu.
Diabetic cardiomyopathy is characterized by impaired ventricular contraction and altered function of insulin-like growth factor-1 (IGF-1), a key factor for cardiac growth and function. Endogenous IGF-1 has been shown to alleviate diabetic cardiomyopathy. This study was designed to evaluate exogenous IGF-1 treatment on the development of diabetic cardiomyopathy. Adult rats were divided into four groups: control, control + IGF-1, diabetic and diabetic + IGF-1. Streptozotocin (STZ, 55mg/kg) was used to induce experimental diabetes immediately followed by a 7-week IGF-1 (3 mg/kg/d, i.p.) treatment. Mechanical properties were assessed in ventricular myocytes including peak shortening (PS), time-to-PS (TPS), time-to-90% relengthening (TR90) and maximal velocities of shortening/relengthening (± dL/dt). Intracellular Ca2+ transients were evaluated as Ca2+-induced Ca2+ release and Ca2+ clearing constant. Levels of sarco(endo)plasmic reticulum Ca2+-ATPase (SERCA), phospholamban (PLB) and glucose transporter (GLUT4) were assessed by Western blot. STZ caused significant weight loss and elevated blood glucose, demonstrating the diabetic status. The diabetic state is associated with reduced serum IGF-1 levels, which was restored by IGF-1 treatment. Diabetic myocytes showed reduced PS and ± dL/dt as well as prolonged TPS, TR90 and intracellular Ca2+ clearing compared to control. IGF-1 treatment prevented the diabetes-induced abnormalities in PS, ± dL/dt, TR90 and Ca2+ clearing but not TPS. The levels of SERCA and GLUT4 but not PLB were significantly reduced in diabetic hearts compared to controls. IGF-1 treatment restored the diabetes-induced decline in SERCA whereas it had no effect on GLUT4 and PLB levels. These results suggest that exogenous IGF-1 treatment may ameliorate contractile disturbances in cardiomyocytes from diabetic animals and could provide therapeutic potential in the treatment of diabetic cardiomyopathy.
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