Abstract

Objective To study the possible mechanism of ghrelin in heart failure and how it works. Method In vitro results demonstrated that ghrelin alleviates cardiac function and reduces myocardial fibrosis in rats with heart failure. Moreover, ghrelin intervention increased PTEN expression level and reduced ERK, c-jun, and c-Fos expression level; in vivo experiments demonstrated that ghrelin intervention reduces mast memory expression and increases cardiomyocyte surface area, PTEN expression level, ERK, c-jun, c-Fos expression level, and cell surface area, while ERK blockade suppresses mast gene expression and reduces cell surface area. Results In vitro experimental results prove that we have successfully constructed a rat model related to heart failure, and ghrelin can alleviate the heart function of heart failure rats and reduce myocardial fibrosis. In addition, ghrelin is closely related to the decrease of the expression levels of ERK, c-jun, and c-Fos, but it can also increase the expression of PTEN in the rat model; in vivo experiments proved that we successfully constructed an in vitro cardiac hypertrophy model, and the intervention of ghrelin would reduce the expression of hypertrophic memory and increase the surface area of cardiomyocytes, increase the expression level of PTEN, and reduce the expression levels of ERK, c-jun, and c-Fos, while the blockade of PTEN will increase the expression of hypertrophy genes and increase the cell surface area, while the blockade of ERK will increase the expression of hypertrophic genes, which in turn will make the cell surface area reducing. Conclusion Ghrelin inhibits the phosphorylation and nuclear entry of ERK by activating PTEN, thereby controlling the transcription of hypertrophic genes, improving myocardial hypertrophy, and enhancing cardiac function.

Highlights

  • Myocardial dysfunction is an important feature of cardiomyopathy caused by many reasons

  • Studies have found that ghrelin can play a certain role in the treatment of cardiovascular diseases, including regulating sympathetic nerve activity and hypertension, enhancing vascular activity and angiogenesis, inhibiting arrhythmia, reducing heart failure, and inhibiting cardiac remodeling after myocardial infarction [4]

  • The heart function of the heart failure (HF) + Ghr group treated with ghrelin was worse than that of the Ctrl group and the sham group, it was still improved compared to the HF myocardial failure model

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Summary

Introduction

Myocardial dysfunction is an important feature of cardiomyopathy caused by many reasons. Myocardial dysfunction eventually leads to heart failure (HF) [1]. In 1999, researchers discovered ghrelin in the stomach of rats for the first time. It can participate in the regulation of various life activities of the human body and play an important role in energy balance and weight maintenance. Studies have found that ghrelin can play a certain role in the treatment of cardiovascular diseases, including regulating sympathetic nerve activity and hypertension, enhancing vascular activity and angiogenesis, inhibiting arrhythmia, reducing heart failure, and inhibiting cardiac remodeling after myocardial infarction [4]. The cardiovascular protective effect of ghrelin may be related to antiinflammatory, antiapoptosis, inhibition of sympathetic nerve activation, regulation of autophagy, and endothelial dysfunction [5]. The relationship between ghrelin and the cardiovascular system has not been elaborated in the relevant literature; so, it is very important to further explore the pharmacology of ghrelin to regulate and treat cardiovascular diseases

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