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Am J Physiol Heart Circ Physiol 294: H426-H432, 2008. First published November 16, 2007; doi:10.1152/ajpheart.00643.2007
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Ghrelin suppresses cardiac sympathetic activity and prevents early left ventricular remodeling in rats with myocardial infarction

Takeshi Soeki, Ichiro Kishimoto, Daryl O. Schwenke, Takeshi Tokudome, Takeshi Horio, Morikatsu Yoshida, Hiroshi Hosoda, and Kenji Kangawa

Department of Biochemistry, National Cardiovascular Center Research Institute, Osaka, Japan

Submitted 5 June 2007 ; accepted in final form 7 November 2007

A recent study suggests that exogenous ghrelin administration might decrease renal sympathetic nerve activity in conscious rabbits. In the present study, we investigated whether ghrelin administration would attenuate left ventricular (LV) remodeling following myocardial infarction (MI) via the suppression of cardiac sympathetic activity. Ghrelin (100 µg/kg sc, twice daily, n = 15) or saline (n = 15) were administered for 2 wk from the day after MI operation in Sprague-Dawley rats. The effects of ghrelin on cardiac remodeling were evaluated by echocardiographic, hemodynamic, histopathological, and gene analysis. In addition, before and after ghrelin (100 µg/kg sc, n = 6) was administered in conscious rats with MI, the autonomic nervous function was investigated by power spectral analysis obtained by a telemetry system. In ghrelin-treated rats, LV enlargement induced by MI was significantly attenuated compared with saline-treated rats. In addition, there was a substantial decrease in LV end-diastolic pressure and increases in the peak rate of the rise and fall of LV pressure in ghrelin-treated MI rats compared with saline-treated MI rats. Furthermore, ghrelin attenuated an increase in morphometrical collagen volume fraction in the noninfarct region, which was accompanied by the suppression of collagen I and III mRNA levels. Importantly, a 2-wk administration of ghrelin dramatically suppressed the MI-induced increase in heart rate and plasma norepinephrine concentration to the similar levels as in sham-operated controls. Moreover, acute administration of ghrelin to MI rats decreased the ratio of the low-to-high frequency spectra of heart rate variability (P < 0.01). In conclusion, these data suggest the potential usefulness of ghrelin as a new cardioprotective hormone early after MI.

autonomic nervous function; infarction; peptide hormones



Address for reprint requests and other correspondence: I. Kishimoto, National Cardiovascular Center Research Inst., 5-7-1 Fujishiro-dai, Suita City, Osaka, 565-8565, Japan (e-mail: kishimot{at}ri.ncvc.go.jp)







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