Authors: Wenjuan Xing Wenjun Yan Feng Fu Yulan Jin Lele Ji Wenchong Liu Li Wang Anlin Lv Yunyan Duan Jun Zhang Haifeng Zhang Feng Gao
Publish Date: 2009/07/10
Volume: 14, Issue: 9, Pages: 1050-1060
Abstract
Insulin has been shown to possess significant antiapoptotic effect in myocardial ischemia/reperfusion MI/R However the contribution by this protection of insulin to the prolonged cardiac function in rats subjected to ischemia remains unclear The present study attempted to test whether early insulin treatment influences adverse prolonged postischemic cardiac structural and functional changes Adult male rats were subjected to left anterior descending coronary artery occlusion and were randomized to receive one of the following treatments saline 4 ml/kg/h iv injection beginning 10 min before the ischemia and continuing for 2 h insulin 60 U/l iv injection following the same routine and hypodermic injection of insulin 05 U/ml 1 ml/kg/d for 3 days after the ischemia surgery or insulin plus wortmannin 15 μg/kg iv injection 15 min before each insulin administration Treatment with insulin significantly reduced infarct size decreased plasma creatine kinase and lactate dehydrogenase activities decreased apoptosis index and caspase3 activity all P 001 vs saline and improved cardiac function 24 h after ischemia Importantly at the end of 4 weeks after the ischemia surgery MI rats receiving insulin treatment showed smaller left ventricle LV cavity and thicker systolic interventricular septum and increased cardiac ejection fraction and LV fractional shortening all P 005 vs saline Inhibition of insulin signaling with wortmannin not only blocked insulin’s antiapoptotic effect but also almost completely abolished effects of insulin on cardiac structure and function These data indicate that inhibition of apoptosis by early insulin treatment alleviates chronic adverse changes in postischemic cardiac structure and functionThis study was supported by the National Science Fund for Outstanding Young Investigators No30625033 National Basic Research Program of China No2007CB512106 and grants from the National Natural Science Foundation of China Nos 30800376 30800447
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