A Glucagon-Like Peptide-1 Analog Reverses the Molecular Pathology and Cardiac Dysfunction of a Mouse Model of Obesity
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Background—: Cardiac consequences of obesity include inflammation, hypertrophy, and compromised energy metabolism. Glucagon-like peptide-1 is an incretin hormone capable of cytoprotective actions that reduces inflammation and endoplasmic reticulum stress in other tissues. Here we examine the cardiac effects of the glucagon-like peptide-1 analog liraglutide in a model of obesity, independent of changes in body weight. Methods and Results—: C57Bl6 mice were placed on a 45% high-fat diet (HFD) or a regular chow diet. Mice on HFD developed 46±2% and 60±2% greater body weight relative to regular chow diet–fed mice at 16 and 32 weeks, respectively (both P <0.0001), manifesting impaired glucose tolerance, insulin resistance, and cardiac ceramide accumulation by 16 weeks. One-week treatment with liraglutide (30 µg/kg twice daily) did not reduce body weight, but reversed insulin resistance, cardiac tumor necrosis factor-α expression, nuclear factor kappa B translocation, obesity-induced perturbations in cardiac endothelial nitric oxide synthase, connexin-43, and markers of hypertrophy and fibrosis, in comparison with placebo-treated HFD controls. Liraglutide improved the cardiac endoplasmic reticulum stress response and also improved cardiac function in animals on HFD by an AMP-activated protein kinase–dependent mechanism. Supporting a direct mechanism of action, liraglutide (100 nmol/L) prevented palmitate-induced lipotoxicity in isolated mouse cardiomyocytes and primary human coronary smooth muscle cells and prevented adhesion of human monocytes to tumor necrosis factor-α–activated human endothelial cells in vitro. Conclusions—: Weight-neutral treatment with a glucagon-like peptide-1 analog activates several cardioprotective pathways, prevents HFD-induced insulin resistance and inflammation, reduces monocyte vascular adhesion, and improves cardiac function in vivo by activating AMP-activated protein kinase. These data support a role for glucagon-like peptide-1 analogs in limiting the cardiovascular risks of obesity.
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Antiinflammatory benefits of GLP-1 medicines have been observed in various preclinical models, such as obesity, atherosclerosis, steatohepatitis, and nephritis, even in the absence of direct immune cell targeting.
“antiinflammatory benefits have been observed in various preclinical models, such as obesity, atherosclerosis, steatohepatitis, and nephritis, even in the absence of direct immune cell targeting (27–32).”
From Antiinflammatory actions of glucagon-like peptide-1–based therapies beyond metabolic benefits (2025) · cites this paper as [32]
In “Liraglutide Reduced Inflammation in the Hearts of HFD-Fed Mice” (page unavailable), the paper reports reduced cardiac TNF-α and NFκB activation after liraglutide treatment, supporting the obesity example. Its endothelial-cell experiments also show reduced monocyte adhesion, but the paper does not establish that the benefits occurred without direct immune-cell targeting. The other listed disease models are not findings of this study. (LLM, conf=0.83)
Experimental — accuracy not yet measuredTreatment with GLP-1RAs activates several cardioprotective pathways, prevents HFD-induced insulin resistance and inflammation, improves endothelial function, and ameliorates cardiac function in obese mice.
“treatment with GLP-1RAs activates several cardioprotective pathways, prevents HFD-induced insulin resistance and inflammation, improves endothelial function, and ameliorates cardiac function in obese mice.”
From The cardioprotective effects of semaglutide exceed those of dietary weight loss in mice with HFpEF (2023) · cites this paper as [53]
Other vitro studies observed a beneficial effect of GLP-1RAs on ANGII-induced cardiac fibrosis.
“Other vitro studies observed a beneficial effect of GLP-1RAs on ANGII-induced cardiac fibrosis as well.”
From The cardioprotective effects of semaglutide exceed those of dietary weight loss in mice with HFpEF (2023) · cites this paper as [53]
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- Authors
- Noyan-Ashraf, M. H., Shikatani, E. A., Schuiki, I., Mukovozov, I., Wu, J., Li, R.-K., Volchuk, A., Robinson, L. A., Billia, F., Drucker, D. J., & Husain, M.
- Affiliations
- University of Toronto (CA)
- ORCID
- Venue
- Circulation
- Published
- 2013-01
- Volume
- 127
- Issue
- 1
- Pages
- 74-85
- ISSN
- 0009-7322 (ISSN-L)
- 1524-4539
- OpenAlex
- W2065623326
- Cited by
- 259
- References
- 57
- Citations by year
- 2026: 12 · 2025: 17 · 2024: 23 · 2023: 15 · 2022: 16 · 2021: 15 · 2020: 21 · 2019: 16 · 2018: 15 · 2017: 15 · 2016: 21 · 2015: 29 · 2014: 31 · 2013: 13
- FWCI
- 14.84
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Circulation (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Heart and Stroke Foundation of Canada
- Novo Nordisk
- Canadian Institutes of Health Research (114922_1)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Function and Risk Factors
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Fibrosis and Remodeling
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Treatment and Management
- Keywords
- glucagon-like peptide-1 analogues, liraglutide, obesity, cardiac dysfunction, high-fat diet, insulin resistance, endoplasmic reticulum stress, AMPK, ceramide accumulation, cardiac inflammation, TNF-α, NF-κB, endothelial nitric oxide synthase, connexin 43, cardiac hypertrophy, myocardial fibrosis, lipotoxicity, monocyte adhesion
- MeSH terms
- Liraglutide, Animals, Blood Glucose, Cardiotonic Agents, Cell Line, Coronary Vessels, Disease Models, Animal, Heart Diseases, Humans, Hypercholesterolemia, Insulin Resistance, Mice, Inbred C57BL, Monocytes, Muscle, Smooth, Vascular, Obesity, Risk Factors, Tumor Necrosis Factor-alpha, Signal Transduction, Gene Expression, Connexin 43, Myocytes, Cardiac, Endothelial Cells, Mice, Glucagon-Like Peptide 1, Nitric Oxide Synthase Type III, Endoplasmic Reticulum Stress
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