Efficacy of a growth hormone-releasing hormone agonist in a murine model of cardiometabolic heart failure with preserved ejection fraction

Author:

Kanashiro-Takeuchi Rosemeire M.12ORCID,Takeuchi Lauro M.1,Dulce Raul A.1ORCID,Kazmierczak Katarzyna2ORCID,Balkan Wayne13,Cai Renzhi4,Sha Wei145,Schally Andrew V.67485ORCID,Hare Joshua M.123ORCID

Affiliation:

1. Interdisciplinary Stem Cell Institute, University of Miami Miller School of Medicine, Miami, Florida, United States

2. Department of Molecular and Cellular Pharmacology, University of Miami Miller School of Medicine, Miami, Florida, United States

3. Division of Cardiology, Department of Medicine, University of Miami Miller School of Medicine, Miami, Florida, United States

4. Endocrine, Polypeptide and Cancer Institute, Veterans Affairs Medical Center, Miami, Florida, United States

5. Sylvester Comprehensive Cancer Center, Miller School of Medicine, University of Miami, Miami, Florida, United States

6. Division of Oncology, Department of Medicine and Endocrinology, University of Miami Miller School of Medicine, Miami, Florida, United States

7. Division of Endocrinology, Department of Medicine, University of Miami Miller School of Medicine, Miami, Florida, United States

8. Department of Pathology, University of Miami Miller School of Medicine, Miami, Florida, United States

Abstract

This randomized study used rigorous hemodynamic tools to test the efficacy of a synthetic GHRH agonist to improve cardiac performance in a cardiometabolic HFpEF. Daily injection of the GHRH agonist, MR-356, reduced the HFpEF-like effects as evidenced by improved diastolic dysfunction, reduced cardiac hypertrophy, fibrosis, and pulmonary congestion. Notably, end-diastolic pressure and end-diastolic pressure-volume relationship were reset to control levels. Moreover, treatment with MR-356 increased exercise capacity and reduced myocardial stress associated with metabolic inflammation in HFpEF.

Funder

Lipson Foundation

U.S. Department of Veterans Affairs

HHS | NIH | National Heart, Lung, and Blood Institute

Soffer Family Foundation

Starr Foundation

HHS | NIH | National Cancer Institute

Leonard M. Miller School of Medicine, University of Miami

Publisher

American Physiological Society

Subject

Physiology (medical),Cardiology and Cardiovascular Medicine,Physiology

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