The cardioprotective effects of carvedilol on ischemia and reperfusion injury by AMPK signaling pathway
Open accessAbstract
Carvedilol, a third generation beta blocker, is in clinical use for heart failure patients. However, besides adrenergic receptor blockade, the pharmacological effects of carvedilol on cardiomyocytes remain unknown. AMP-activated protein kinase (AMPK) is an emerging target recognized for heart failure treatment. The mechanical properties and intracellular Ca2+ properties were measured in isolated cardiomyocyte contractile functions in response to ischemic stress. Treatment of cardiomyocytes with carvedilol augmented phosphorylation of AMPK and downstream acetyl CoA carboxylase (ACC), and ameliorated hypoxia-induced impairment in maximal velocity of shortening (+dL/dt) and relengthening (-dL/dt), and the impaired peak height and peak shortening (PS) amplitude caused by hypoxia. Carvedilol treatment improved calcium homeostasis with rescuing the peak Ca2+ signal, the maximum rate of Ca2+ change during contraction (+dF/dt) and the maximum rate of Ca2+ change during relaxation (-dF/dt) under hypoxia conditions. In mouse hearts perfused ex vivo with carvedilol, the function of post-ischemia left ventricle was improved and an augmentation in myocardial glucose uptake and glucose oxidation, and inhibition of fatty acid oxidation during ischemia and reperfusion. The protective effect of carvedilol was further supported in an in vivo regional ischemia model by ligation of left anterior descending coronary artery (LAD), mice treated with carvedilol followed by LAD occlusion and reperfusion showed significant size reduction in infarcted myocardium and improved cardiac functions. Therefore, Carvedilol as a clinical drug can modulate cardiac AMPK signaling pathway to reduce ischemic insults by ischemia and reperfusion.
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Treatment of cardiomyocytes with carvedilol augmented phosphorylation of AMPK and its downstream substrate ACC, and ameliorated hypoxia-induced impairment.
“Treatment of cardiomyocytes with carvedilol augmented phosphorylation of AMPK and its downstream substrate ACC, and ameliorated hypoxia-induced impairment [182].”
From AMPK, Mitochondrial Function, and Cardiovascular Disease (2020) · cites this paper as [182]
Carvedilol treatment improved calcium homeostasis with rescuing the peak Ca2+ signal, the maximum rate of Ca2+ change during contraction and relaxation under hypoxia conditions.
“Importantly, carvedilol treatment improved calcium homeostasis with rescuing the peak Ca2+ signal, the maximum rate of Ca2+ change during contraction and relaxation under hypoxia conditions [182].”
From AMPK, Mitochondrial Function, and Cardiovascular Disease (2020) · cites this paper as [182]
Carvedilol modulates cardiac AMPK signaling to reduce ischemic insults by I/R.
“Carvedilol modulates cardiac AMPK signaling to reduce ischemic insults by I/R [182].”
From AMPK, Mitochondrial Function, and Cardiovascular Disease (2020) · cites this paper as [182]
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AMPK, Mitochondrial Function, and Cardiovascular Disease
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- Authors
- Hu, H., Li, X., Ren, D., Tan, Y., Chen, J., Yang, L., Chen, R., Li, J., & Zhu, P.
- Affiliations
- University of Mississippi Medical Center (US)
- University of Louisville (US)
- Guangdong Academy of Medical Sciences (CN)
- Corresponding author
- Zhu, Ping
- Venue
- Biomedicine & Pharmacotherapy
- Publisher
- Elsevier BV
- Published
- 2019-09
- Volume
- 117
- Pages
- 109106
- ISSN
- 0753-3322 (ISSN-L)
- OpenAlex
- W2950834644
- Cited by
- 43
- References
- 31
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 5 · 2023: 8 · 2022: 5 · 2021: 9 · 2020: 8 · 2019: 1
- FWCI
- 4.23
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Biomedicine & Pharmacotherapy (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- National Natural Science Foundation of China (81570279, 81720102004)
- Natural Science Foundation of Guangdong Province (2017A030312007)
- National Basic Research Program of China (2017YFA0105602, 2018YFA0108700)
- Topics
- Health Sciences › Medicine › Pathology and Forensic Medicine › Cardiac Ischemia and Reperfusion
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Function and Risk Factors
- Health Sciences › Medicine › Nephrology › Acute Kidney Injury Research
- Keywords
- carvedilol, cardioprotection, myocardial ischemia-reperfusion injury, AMPK signaling, beta-blockers, cardiomyocyte contractility, intracellular calcium homeostasis, acetyl-CoA carboxylase, myocardial glucose uptake, fatty acid oxidation, myocardial infarct size, heart failure
- MeSH terms
- Carvedilol, Animals, Cardiotonic Agents, Heart Function Tests, Mice, Inbred C57BL, Myocardial Contraction, Myocardium, Phosphorylation, Signal Transduction, Myocardial Reperfusion Injury, Cell Hypoxia, Calcium Signaling, Myocytes, Cardiac, AMP-Activated Protein Kinases
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