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1 Division of Cardiology,
Cardiac hypertrophic and contractile responses
were studied in mice administered growth hormone (GH) and insulin-like
growth factor (IGF-I) (8 mg · kg
1 · day
1),
alone or in combination (IGF-I/GH), for 2 wk. Also, changes in
expression of selected left ventricular (LV) genes in response to
IGF-I/GH were compared with those in other forms of cardiac hypertrophy. GH or IGF-I alone at three to four times the usual dose in
rats failed to produce increases in heart and LV weights and
hemodynamic effects; however, IGF-I/GH was synergistic, increasing body
weight and LV weights by 39 and 35%, respectively. A measure of
myocardial contractility (maximal first derivative of LV pressure, catheter-tip micromanometry) was increased by 34% in the IGF/GH group,
related in part to a force-frequency effect, since the heart rate
increased by 21%. Other mice were treated surgically to produce
pressure overload (transverse aortic constriction) or volume overload
(arteriovenous fistula) for 2 wk; LV weights were then matched to those
in the IGF-I/GH group, and mRNA levels of selected markers were
assessed. In contrast to the increased mRNA levels of atrial
natriuretic factor,
-skeletal actin, and collagen III generally
observed in overloaded hearts, changes in IGF-I/GH-treated mice were
not significant. Thus high-dose IGF-I/GH produce cardiac hypertrophy
and a positive inotropic effect without causing significant changes in
expression of fetal and other selected myocardial genes, suggesting
that this hypertrophy may be of a more physiological type than that due
to mechanical overload.
insulin-like growth factor I; myocardial contractility; pressure overload; volume overload; messenger ribonucleic acid; mouse left ventricle; atrial natriuretic peptide
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