1. Liraglutide Effect on Ventricular Transient Outward K + Channel and Connexin-43 Protein Expression
- Author
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Dalia Shaalan, Elhamy El-Kholy, Nehal M. Ramadan, Hala Abdel Malek, Wagdi Elkashef, and Karawan Abdel Rahman
- Subjects
0301 basic medicine ,Ramipril ,medicine.medical_specialty ,Diabetic Cardiomyopathies ,Endocrinology, Diabetes and Metabolism ,medicine.medical_treatment ,030209 endocrinology & metabolism ,QT interval ,Diabetes Mellitus, Experimental ,Random Allocation ,03 medical and health sciences ,0302 clinical medicine ,Endocrinology ,Internal medicine ,Internal Medicine ,Animals ,Hypoglycemic Agents ,Medicine ,Ventricular Remodeling ,business.industry ,Liraglutide ,Myocardium ,Insulin ,Quantitative insulin sensitivity check index ,Type 2 Diabetes Mellitus ,General Medicine ,Streptozotocin ,Rats ,Metformin ,Shal Potassium Channels ,030104 developmental biology ,Diabetes Mellitus, Type 2 ,Connexin 43 ,business ,medicine.drug - Abstract
Background Human glucagon-like peptide-1 analogue, Liraglutide, has shown cardioprotective effects in animal and clinical studies of type 2 diabetes mellitus. This study was conducted to assess the effect of Liraglutide on diabetes-induced myocardial electrical remodeling. Materials and Methods A rat model of type 2 diabetes mellitus was induced by high-fat diet and low dose Streptozotocin (35 mg/kg). Diabetic rats were randomized into 4 subgroups (n=6–7): diabetic-untreated, diabetics treated with Liraglutide, diabetics treated with Ramipril, and diabetics treated with Metformin in addition to a control group. Changes in serum glucose, insulin, lipid profile and revised quantitative insulin sensitivity check index (QUICKI index) were assessed. QT and QTc intervals were measured and the degree of cardiac interstitial and perivascular fibrosis was examined. The expression of myocardial Ito channel α subunits, gap junction protein; Kv 4.2/4.3 and connexin 43 (Cx43) respectively, were assessed by western blotting and immunohistochemistry. Results Similar to Ramipril, both Liraglutide and Metformin effectively inhibited the diabetes-induced myocardial hypertrophy and fibrosis. However, Liraglutide treatment significantly improved Kv 4.2/4.3 and Cx43 expression/distribution and prevented diabetes-related QTc interval prolongation. Conclusions We have shown that pathological alterations in myocardial Cx43 expression and distribution, in addition to reduced Ito channel expression, may underlie the QTc interval prolongation in high-fat diet/STZ rat model of type 2 diabetes mellitus. The beneficial effects of Liraglutide, as those of Ramipril, on cardiac electrophysiology could be at least attributed to its direct ability to normalize expression and distribution of Cx43 and Ito channels in the diabetic rat heart.
- Published
- 2020