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Am J Physiol Heart Circ Physiol 293: H2952-H2958, 2007. First published August 31, 2007; doi:10.1152/ajpheart.00004.2007
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Hexarelin suppresses cardiac fibroblast proliferation and collagen synthesis in rat

Xiangbin Xu,1,* Jinjiang Pang,1,* Hongchao Yin,2 Meixiu Li,3 Wei Hao,1 Chen Chen,4 and Ji-Min Cao1

1Department of Physiology and Pathophysiology and 2Department of Pathology, Institute of Basic Medical Science, Chinese Academy of Medical Sciences, School of Basic Medical Sciences, Peking Union Medical College, Beijing, China; 3Department of Regional Anatomy, College of Basic Medicine, Jiamusi University, Jiamusi, China; and 4Endocrine Cell Biology, Prince Henry's Institute of Medical Research, Melbourne, Australia

Submitted 2 January 2007 ; accepted in final form 24 August 2007

Abnormal growth of cardiac fibroblasts is critically involved in the pathophysiology of cardiac hypertrophy/remodeling. Hexarelin is a synthetic growth hormone secretagogue (GHS), which possesses a variety of cardiovascular protective activities mediated via the GHS receptor (GHSR), including improving cardiac dysfunction and remodeling. The cellular and molecular mechanisms underlying the effect of GHS on cardiac fibrosis are, however, not clear. In this report, cultured cardiac fibroblasts from 8-day-old rats were stimulated with ANG II or FCS to induce proliferation. The fibroblast proliferation and DNA and collagen synthesis were evaluated utilizing 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assay, 3H-thymidine incorporation, and 3H-proline incorporation. The level of mRNA of transforming growth factor (TGF)-beta was evaluated by RT-PCR, and the active TGF-beta1 release from cardiac fibroblasts was evaluated by ELISA. The level of cellular cAMP was measured by radioimmunoassay. In addition, the effects of 3,7-dimethyl-l-propargylxanthine (DMPX; a specific adenosine receptor A2R antagonist) and 8-cyclopentyl-1,3-dipropylxanthine (DPCPX; a specific A1R antagonist) were tested. It was found that incubation with 10–7 mol/l hexarelin for 24 h 1) inhibited the ANG II-induced proliferation and collagen synthesis and the 5% FCS- and TGF-beta-induced increase of DNA synthesis in cardiac fibroblast and 2) reduced ANG II-induced upregulation of TGF-beta mRNA expression and active TGF-beta1 release from fibroblasts. Hexarelin increased the cellular level of cAMP in cardiac fibroblasts. DMPX (10–8 mol/l) but not DPCPX abolished the effect of hexarelin on cardiac fibroblast DNA synthesis. It is concluded that hexarelin inhibits DNA and collagen synthesis and proliferation of cardiac fibroblasts through activation of both GHSR and A2R and diminishment of ANG II-induced increase in TGF-beta expression and release.

growth hormone secretagogues; growth hormone-releasing peptides; heart



Address for reprint requests and other correspondence: C. Chen, Prince Henry's Institute of Medical Research, PO Box 5152, Clayton, Victoria 3168, Australia (e-mail: chen.chen{at}princehenrys.org); or J.-M. Cao, Dept. of Physiology and Pathophysiology, Inst. of Basic Medical Sciences, Chinese Academy of Medical Sciences, School of Basic Medical Sciences, Peking Union Medical College, Beijing 100005, People's Republic of China (e-mail: caojimin{at}126.com)







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