Treatment of type 2 diabetic db/db mice with a novel PPARγ agonist improves cardiac metabolism but not contractile function
Abstract
Hearts from insulin-resistant type 2 diabetic db/db mice exhibit features of a diabetic cardiomyopathy with altered metabolism of exogenous substrates and reduced contractile performance. Therefore, the effect of chronic oral administration of 2-(2-(4-phenoxy-2-propylphenoxy)ethyl)indole-5-acetic acid (COOH), a novel ligand for peroxisome proliferator-activated receptor-γ that produces insulin sensitization, to db/db mice (30 mg/kg for 6 wk) on cardiac function was assessed. COOH treatment reduced blood glucose from 27 mM in untreated db/db mice to a normal level of 10 mM. Insulin-stimulated glucose uptake was enhanced in cardiomyocytes from COOH-treated db/db hearts. Working perfused hearts from COOH-treated db/db mice demonstrated metabolic changes with enhanced glucose oxidation and decreased palmitate oxidation. However, COOH treatment did not improve contractile performance assessed with ex vivo perfused hearts and in vivo by echocardiography. The reduced outward K+currents in diabetic cardiomyocytes were still attenuated after COOH. Metabolic changes in COOH-treated db/db hearts are most likely indirect, secondary to changes in supply of exogenous substrates in vivo and insulin sensitization.
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Treatment of db/db mice with PPAR-γ or PPAR-α agonists can improve cardiac metabolism, but do not necessarily restore cardiac function.
“Similar studies in db/db mice revealed that treatment of these mice with PPAR-γ or PPAR-α agonists can improve cardiac metabolism, but do not necessarily restore cardiac function (1, 2, 36).”
From Cardiac remodeling in obesity (2008) · cites this paper as [36]
Treatment with PPAR-γ or PPAR-α agonists while improving myocardial substrate utilization did not increase postischemic recovery in db/db hearts, but acute treatment with high concentrations of glucose and insulin increased postischemic recovery and cardiac efficiency.
“Treatment with PPAR-γ or PPAR-α agonists while improving myocardial substrate utilization did not increase postischemic recovery in db/db hearts (3, 36), but acute treatment with high concentrations of glucose and insulin, which substantially increased glucose oxidation rates, increased postischemic recovery and cardiac efficiency (90).”
From Cardiac remodeling in obesity (2008) · cites this paper as [36]
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- Authors
- Carley, A. N., Semeniuk, L. M., Shimoni, Y., Aasum, E., Larsen, T. S., Berger, J. P., & Severson, D. L.
- Affiliations
- University of Calgary (CA)
- Venue
- American Journal of Physiology-Endocrinology and Metabolism
- Publisher
- American Physiological Society
- Published
- 2004-03
- Volume
- 286
- Issue
- 3
- Pages
- E449-E455
- ISSN
- 0193-1849 (ISSN-L)
- 1522-1555
- OpenAlex
- W2059844165
- Cited by
- 94
- References
- 55
- Citations by year
- 2024: 1 · 2023: 1 · 2021: 1 · 2020: 1 · 2019: 1 · 2018: 2 · 2017: 2 · 2016: 2 · 2015: 3 · 2014: 4 · 2013: 4 · 2012: 5
- FWCI
- 4.26
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Physiology-Endocrinology and Metabolism (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Canadian Diabetes Association
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Peroxisome Proliferator-Activated Receptors
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Function and Risk Factors
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Treatment and Management
- Keywords
- type 2 diabetes, diabetic cardiomyopathy, PPARγ agonists, db/db mice, insulin resistance, myocardial metabolism, insulin sensitization, glucose uptake, glucose oxidation, palmitate oxidation, cardiac contractile function, cardiomyocytes
- MeSH terms
- Acetates, Administration, Oral, Animals, Blood Glucose, Diabetes Mellitus, Experimental, Diabetes Mellitus, Type 2, Echocardiography, Heart, Indoles, Male, Mice, Inbred C57BL, Myocardial Contraction, Cardiomyopathies, Myocardium, Receptors, Cell Surface, Transcription Factors, Treatment Outcome, Receptors, Cytoplasmic and Nuclear, Mice, Receptors, Leptin
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