PMID- 23709595 OWN - NLM STAT- MEDLINE DCOM- 20131017 LR - 20200930 IS - 1522-1539 (Electronic) IS - 0363-6135 (Linking) VI - 305 IP - 3 DP - 2013 Aug 1 TI - Glucagon-like peptide-1 receptor activation reverses cardiac remodeling via normalizing cardiac steatosis and oxidative stress in type 2 diabetes. PG - H295-304 LID - 10.1152/ajpheart.00990.2012 [doi] AB - Glucagon-like peptide-1 receptor (GLP-1R) agonist exendin-4 (Ex-4) is a remedy for type 2 diabetes mellitus (T2DM). Ex-4 ameliorates cardiac dysfunction induced by myocardial infarction in preclinical and clinical settings. However, it remains unclear whether Ex-4 may modulate diabetic cardiomyopathy. We tested the impact of Ex-4 on two types of diabetic cardiomyopathy models, genetic (KK) and acquired T2DM induced by high-fat diet [diet-induced obesity (DIO)], to clarify whether Ex-4 may combat independently of etiology. Each type of mice was divided into Ex-4 (24 nmol.kg(-1).day(-1) for 40 days; KK-ex4 and DIO-ex4) and vehicle (KK-v and DIO-v) groups. Ex-4 ameliorated systemic and cardiac insulin resistance and dyslipidemia in both T2DM models. T2DM mice exhibited systolic (DIO-v) and diastolic (DIO-v and KK-v) left ventricular dysfunctions, which were restored by Ex-4 with reduction in left ventricular hypertrophy. DIO-v and KK-v exhibited increased myocardial fibrosis and steatosis (lipid accumulation), in which were observed cardiac mitochondrial remodeling and enhanced mitochondrial oxidative damage. Ex-4 treatment reversed these cardiac remodeling and oxidative stress. Cytokine array revealed that Ex-4-sensitive inflammatory cytokines were ICAM-1 and macrophage colony-stimulating factor. Ex-4 ameliorated myocardial oxidative stress via suppression of NADPH oxidase 4 with concomitant elevation of antioxidants (SOD-1 and glutathione peroxidase). In conclusion, GLP-1R agonism reverses cardiac remodeling and dysfunction observed in T2DM via normalizing imbalance of lipid metabolism and related inflammation/oxidative stress. FAU - Monji, Akio AU - Monji A AD - Department of Cardiology, Nagoya University Graduate School of Medicine, Nagoya, Japan. FAU - Mitsui, Toko AU - Mitsui T FAU - Bando, Yasuko K AU - Bando YK FAU - Aoyama, Morihiko AU - Aoyama M FAU - Shigeta, Toshimasa AU - Shigeta T FAU - Murohara, Toyoaki AU - Murohara T LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20130524 PL - United States TA - Am J Physiol Heart Circ Physiol JT - American journal of physiology. Heart and circulatory physiology JID - 100901228 RN - 0 (Glp1r protein, mouse) RN - 0 (Glucagon-Like Peptide-1 Receptor) RN - 0 (Hypoglycemic Agents) RN - 0 (Icam1 protein, mouse) RN - 0 (Inflammation Mediators) RN - 0 (Peptides) RN - 0 (Receptors, Glucagon) RN - 0 (Venoms) RN - 126547-89-5 (Intercellular Adhesion Molecule-1) RN - 81627-83-0 (Macrophage Colony-Stimulating Factor) RN - 9P1872D4OL (Exenatide) RN - EC 1.11.1.9 (Glutathione Peroxidase) RN - EC 1.15.1.1 (Sod1 protein, mouse) RN - EC 1.15.1.1 (Superoxide Dismutase) RN - EC 1.15.1.1 (Superoxide Dismutase-1) RN - EC 1.6.3.- (NADPH Oxidase 4) RN - EC 1.6.3.- (NADPH Oxidases) RN - EC 1.6.3.- (Nox4 protein, mouse) SB - IM MH - Animals MH - Diabetes Mellitus, Type 2/blood/*drug therapy/genetics MH - Diabetic Cardiomyopathies/blood/diagnostic imaging/*drug therapy/physiopathology MH - Diet, High-Fat MH - Disease Models, Animal MH - Dyslipidemias/blood/drug therapy MH - Echocardiography, Doppler MH - Exenatide MH - Fibrosis MH - Glucagon-Like Peptide-1 Receptor MH - Glutathione Peroxidase/metabolism MH - Hypertrophy, Left Ventricular/blood/drug therapy/physiopathology MH - Hypoglycemic Agents/administration & dosage/*pharmacology MH - Inflammation Mediators/metabolism MH - Infusions, Subcutaneous MH - Insulin Resistance MH - Intercellular Adhesion Molecule-1/metabolism MH - Lipid Metabolism/*drug effects MH - Macrophage Colony-Stimulating Factor/metabolism MH - Male MH - Mice MH - Mitochondria, Heart/drug effects/metabolism/pathology MH - Myocardium/*metabolism/pathology MH - NADPH Oxidase 4 MH - NADPH Oxidases/metabolism MH - Oxidative Stress/*drug effects MH - Peptides/administration & dosage/*pharmacology MH - Receptors, Glucagon/*agonists/metabolism MH - Superoxide Dismutase/metabolism MH - Superoxide Dismutase-1 MH - Time Factors MH - Venoms/administration & dosage/*pharmacology MH - Ventricular Dysfunction, Left/blood/drug therapy/physiopathology MH - Ventricular Function, Left/drug effects MH - Ventricular Remodeling/*drug effects OTO - NOTNLM OT - diabetes mellitus OT - glucagon-like peptide-1 OT - insulin resistance OT - mitochondria OT - oxidative stress EDAT- 2013/05/28 06:00 MHDA- 2013/10/18 06:00 CRDT- 2013/05/28 06:00 PHST- 2013/05/28 06:00 [entrez] PHST- 2013/05/28 06:00 [pubmed] PHST- 2013/10/18 06:00 [medline] AID - ajpheart.00990.2012 [pii] AID - 10.1152/ajpheart.00990.2012 [doi] PST - ppublish SO - Am J Physiol Heart Circ Physiol. 2013 Aug 1;305(3):H295-304. doi: 10.1152/ajpheart.00990.2012. Epub 2013 May 24.