Document Detail


A growth hormone secretagogue prevents ischemic-induced mortality independently of the growth hormone pathway in dogs with chronic dilated cardiomyopathy.
MedLine Citation:
PMID:  12750438     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
To determine the functional role of growth hormone (GH) secretagogue in myocardium with ischemia, left ventricular (LV) pressure gauge, wall thickness crystals, coronary occluder, pacers, and catheters were implanted in 26 dogs. Beginning 1 week after ventricular pacing (240 beats/min) was initiated, dogs were treated (s.c.) with GH releasing peptide-6 (GHRP-6, n = 8, 0.2 mg/kg/day), GH (n = 7, 0.06 mg/kg/day), or vehicle (n = 11). Two weeks of pacing was associated with similar decreases in LV pressure, rate of change of LV pressure, systolic wall thickening (WT), and an increase in left atrial pressure in all groups. Coronary artery occlusion (CAO) resulted in a similar loss of WT in ischemic regions, which did not recover during reperfusion period in all groups. WT in nonischemic regions, however, was enhanced in the GHRP-6 group compared with the GH and vehicle groups, e.g., increase of WT after 1 h of reperfusion was greater (p <0.05) in the GHRP-6 (+53 +/- 8%) than in the GH (+14 +/- 12%) or (+14 +/- 6%). There were no differences in myocardial blood flow, hemodynamics, or arrhythmic beats among all groups during CAO and reperfusion periods. Strikingly, no dogs in the GHRP-6 group died during CAO, whereas the survival rates for GH and vehicle groups were 57 and 55%, respectively. Our data demonstrate, for the first time, that chronic therapy with a GH secretagogue prevents sudden death in dogs with dilated cardiomyopathy subjected to acute ischemia. This seems to be related to an enhanced nonischemic compensatory mechanism mediated by the GH secretagogue receptors rather than via the GH/insulin growth factor-1 pathway.
Authors:
You-Tang Shen; Joseph J Lynch; Richard J Hargreaves; Robert J Gould
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Publication Detail:
Type:  Journal Article     Date:  2003-05-15
Journal Detail:
Title:  The Journal of pharmacology and experimental therapeutics     Volume:  306     ISSN:  0022-3565     ISO Abbreviation:  J. Pharmacol. Exp. Ther.     Publication Date:  2003 Aug 
Date Detail:
Created Date:  2003-07-21     Completed Date:  2003-08-28     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0376362     Medline TA:  J Pharmacol Exp Ther     Country:  United States    
Other Details:
Languages:  eng     Pagination:  815-20     Citation Subset:  IM    
Affiliation:
Department of Pharmacology, Merck Research Laboratories, West Point, PA 19486, USA. you-tang_shen@merck.com
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MeSH Terms
Descriptor/Qualifier:
Animals
Cardiomyopathy, Dilated / complications*,  mortality
Chronic Disease
Coronary Stenosis / complications
Disease Models, Animal
Dogs
Growth Hormone / therapeutic use*
Heart Ventricles / drug effects
Hemodynamics / drug effects
Mortality
Myocardial Contraction
Myocardial Ischemia / complications*,  mortality
Myocardial Reperfusion
Oligopeptides / therapeutic use*
Reperfusion Injury / prevention & control*
Chemical
Reg. No./Substance:
0/Oligopeptides; 87616-84-0/growth hormone releasing hexapeptide; 9002-72-6/Growth Hormone

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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