PMID- 28967097 OWN - NLM STAT- MEDLINE DCOM- 20180717 LR - 20210109 IS - 1476-5381 (Electronic) IS - 0007-1188 (Print) IS - 0007-1188 (Linking) VI - 174 IP - 24 DP - 2017 Dec TI - Chronic treatment with novel nanoformulated micelles of rapamycin, Rapatar, protects diabetic heart against ischaemia/reperfusion injury. PG - 4771-4784 LID - 10.1111/bph.14059 [doi] AB - BACKGROUND AND PURPOSE: Enhanced mammalian target of rapamycin (mTOR) signalling contributes to the pathogenesis of diabetes and plays a critical role in myocardial ischaemia/reperfusion (I/R) injury. Rapatar is a novel nanoformulated micellar of rapamycin, a putative inhibitor of mTOR that has been rationally designed to increase water solubility of rapamycin to facilitate p.o. administration and enhance bioavailability. We examined the effect of Rapatar on the metabolic status and protection against myocardial I/R injury in type 2 diabetic mice. EXPERIMENTAL APPROACH: Adult male db/db mice were treated daily for 10 weeks with Rapatar (0.75 mg.kg(-1) .day(-1) , p.o.) or vehicle. Isolated hearts were connected to a Langendorff perfusion system and subjected to global ischaemia (30 min) and reperfusion (1 h). KEY RESULTS: Rapatar reduced fasting plasma glucose and triglyceride levels, prevented the gain in body weight and also improved glucose tolerance and insulin sensitivity in db/db mice compared with control. Cardiac function was improved following Rapatar treatment in db/db mice. Myocardial infarct size was reduced in Rapatar-treated mice with improved post-ischaemic rate-force product. Western blot analyses demonstrated a significant inhibition of phosphorylation of ribosomal protein S6 (downstream target of mTORC1), but not Akt (Ser(473) , target of mTORC2) following chronic treatment with Rapatar. Rapatar also induced phosphorylation of AMPK, STAT3, ERK1/2 and glycogen synthase kinase 3beta, without interfering with phosphorylation of p38. CONCLUSION AND IMPLICATIONS: Our studies indicate that chronic treatment with Rapatar improves metabolic status and cardiac function with a reduction of infarct size following myocardial I/R injury in diabetic mice. CI - (c) 2017 The British Pharmacological Society. FAU - Samidurai, Arun AU - Samidurai A AD - Pauley Heart Center, Division of Cardiology, Virginia Commonwealth University, Richmond, VA, USA. FAU - Salloum, Fadi N AU - Salloum FN AD - Pauley Heart Center, Division of Cardiology, Virginia Commonwealth University, Richmond, VA, USA. FAU - Durrant, David AU - Durrant D AD - Pauley Heart Center, Division of Cardiology, Virginia Commonwealth University, Richmond, VA, USA. FAU - Chernova, Olga B AU - Chernova OB AD - Everon Biosciences, Inc., Buffalo, NY, USA. FAU - Kukreja, Rakesh C AU - Kukreja RC AD - Pauley Heart Center, Division of Cardiology, Virginia Commonwealth University, Richmond, VA, USA. FAU - Das, Anindita AU - Das A AUID- ORCID: 0000-0003-4422-7277 AD - Pauley Heart Center, Division of Cardiology, Virginia Commonwealth University, Richmond, VA, USA. LA - eng GR - R01 HL118808/HL/NHLBI NIH HHS/United States GR - R01 HL133167/HL/NHLBI NIH HHS/United States GR - R01 HL134366/HL/NHLBI NIH HHS/United States GR - R21 AG053654/AG/NIA NIH HHS/United States PT - Journal Article DEP - 20171124 PL - England TA - Br J Pharmacol JT - British journal of pharmacology JID - 7502536 RN - 0 (Micelles) RN - 0 (Protective Agents) RN - W36ZG6FT64 (Sirolimus) SB - IM MH - Animals MH - Diabetes Mellitus, Experimental/drug therapy/*prevention & control MH - Diabetic Cardiomyopathies/drug therapy/*prevention & control MH - Male MH - Mice MH - Mice, Obese MH - Micelles MH - Myocardial Reperfusion Injury/drug therapy/*prevention & control MH - Nanostructures/*chemistry MH - Protective Agents/chemistry/*therapeutic use MH - Sirolimus/chemistry/*therapeutic use PMC - PMC5727242 EDAT- 2017/10/03 06:00 MHDA- 2018/07/18 06:00 PMCR- 2018/12/01 CRDT- 2017/10/03 06:00 PHST- 2017/04/25 00:00 [received] PHST- 2017/08/17 00:00 [revised] PHST- 2017/09/13 00:00 [accepted] PHST- 2017/10/03 06:00 [pubmed] PHST- 2018/07/18 06:00 [medline] PHST- 2017/10/03 06:00 [entrez] PHST- 2018/12/01 00:00 [pmc-release] AID - BPH14059 [pii] AID - 10.1111/bph.14059 [doi] PST - ppublish SO - Br J Pharmacol. 2017 Dec;174(24):4771-4784. doi: 10.1111/bph.14059. Epub 2017 Nov 24.