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1.
J Med Chem ; 64(13): 9365-9380, 2021 07 08.
Artículo en Inglés | MEDLINE | ID: mdl-34161728

RESUMEN

Cyclic peptide diversity has been broadened by elaborating the A3-macrocyclization to include various di-amino carboxylate components with different Nε-amine substituents. Triple-bond reduction provided new cyclic peptide macrocycles with Z-olefin and completely saturated structures. Moreover, cyclic azasulfurylpeptides were prepared by exchanging the propargylglycine (Pra) component for an amino sulfamide surrogate. Examination of such diversity-oriented methods on potent cyclic azapeptide modulators of the cluster of differentiation 36 receptor (CD36) identified the importance of the triple bond as well as the Nε-allyl lysine and azaPra residues for high CD36 binding affinity. Cyclic azapeptides which engaged CD36 effectively reduced pro-inflammatory nitric oxide and downstream cytokine and chemokine production in macrophages stimulated with a Toll-like receptor-2 agonist. Studying the triple bond and amine components in the multiple-component A3-macrocyclization has given a diverse array of macrocycles and pertinent information to guide the development of ideal CD36 modulators with biomedical potential for curbing macrophage-driven inflammation.


Asunto(s)
Antígenos CD36/metabolismo , Compuestos Macrocíclicos/farmacología , Péptidos Cíclicos/farmacología , Citocinas/antagonistas & inhibidores , Citocinas/biosíntesis , Relación Dosis-Respuesta a Droga , Humanos , Compuestos Macrocíclicos/síntesis química , Compuestos Macrocíclicos/química , Estructura Molecular , Óxido Nítrico/antagonistas & inhibidores , Óxido Nítrico/biosíntesis , Péptidos Cíclicos/síntesis química , Péptidos Cíclicos/química , Relación Estructura-Actividad
2.
Oxid Med Cell Longev ; 2021: 6691402, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33854697

RESUMEN

The retinal pigment epithelium (RPE) performs many functions that maintain photoreceptor health. Oxidative damage to the RPE is a critical component in the pathogenesis of eye diseases such as age-related macular degeneration (AMD). Ligands of the cluster of differentiation 36 (CD36) have previously preserved photoreceptor integrity in mouse models of AMD. The cytoprotective effect of the CD36 ligand MPE-001 on RPE cells has now been elucidated employing a model of oxidative stress. Sodium iodate (NaIO3) induced formation of reactive oxygen species and apoptosis in human RPE cells, which were decreased by MPE-001 without affecting antioxidant enzyme transcription. Immunoblotting and immunostaining assays showed a restorative effect of MPE-001 on the autophagic flux disrupted by NaIO3, which was associated with an increase in syntaxin 17-positive mature autophagosomes. The cytoprotective effect of MPE-001 was completely abolished by the autophagy inhibitors wortmannin and bafilomycin A1. In conclusion, we report for the first time an autophagy-dependent protection of RPE cells from oxidative stress by a CD36 ligand.


Asunto(s)
Antígenos CD36/metabolismo , Oligopéptidos/farmacología , Estrés Oxidativo/efectos de los fármacos , Epitelio Pigmentado de la Retina/metabolismo , Autofagia/efectos de los fármacos , Línea Celular , Humanos , Yodatos/farmacología , Ligandos , Terapia Molecular Dirigida , Oligopéptidos/química , Especies Reactivas de Oxígeno/metabolismo , Epitelio Pigmentado de la Retina/efectos de los fármacos
3.
Org Lett ; 23(9): 3491-3495, 2021 05 07.
Artículo en Inglés | MEDLINE | ID: mdl-33886343

RESUMEN

Fifteen N-aminoimidazolone (Nai) dipeptides having a variety of 5-position side-chain groups were synthesized by regioselective proline-catalyzed reactions of azopeptide and aldehyde components followed by acid-mediated dehydration of an aza-aspartate semialdehyde intermediate. The introduction of 5-aryl-Nai dipeptides into cluster of differentiation 36 receptor (CD36) peptide ligands has provided insight into the conformation responsible for binding affinity and anti-inflammatory activity.


Asunto(s)
Compuestos Azo/química , Dipéptidos/química , Imidazoles/química , Péptidos/química , Prolina/química , Fenómenos Biológicos , Catálisis , Ligandos , Conformación Molecular , Estructura Molecular
4.
J Med Chem ; 62(24): 11071-11079, 2019 12 26.
Artículo en Inglés | MEDLINE | ID: mdl-31774287

RESUMEN

Dynamic chirality influences numerous processes in nature from protein folding to catalysis. Azapeptides are peptidomimetics possessing semicarbazide residues that can interconvert between sp2 and sp3 hybridization, resulting in stereodynamic interconversions of pseudo-R and -S-configurations by means of a planar intermediate. Cyclic azapeptides have shown unprecedented binding affinity to the cluster of differentiation 36 receptor (CD36) and ability to mitigate macrophage-driven inflammation by modulation of the toll-like receptor 2/6 pathway. A novel approach to synthesize cyclic peptides via A3-macrocyclization has been used to make R- and S-configuration controls to study the relevance of semicarbazide hybridization for modulator activity. Nuclear magnetic resonance spectroscopy analysis of potent cyclic azapeptide CD36 modulators (e.g., 1 and 2) and related cyclic peptides demonstrated that binding affinity correlated with conformational rigidity, and a hybridization preference for sp2 > S- > R-sp3 semicarbazide nitrogen configuration was evaluated. Evidence of the active conformation and the relevance for dynamic chirality serve as insights for creating cyclic (aza)peptide CD36 modulators to curb inflammation.


Asunto(s)
Compuestos Aza/farmacología , Antígenos CD36/química , Inflamación/tratamiento farmacológico , Macrófagos/efectos de los fármacos , Óxido Nítrico/metabolismo , Péptidos Cíclicos/farmacología , Animales , Compuestos Aza/química , Antígenos CD36/metabolismo , Inflamación/metabolismo , Macrófagos/metabolismo , Ratones , Conformación Molecular , Péptidos Cíclicos/química , Células RAW 264.7
5.
Sci Rep ; 9(1): 12903, 2019 09 09.
Artículo en Inglés | MEDLINE | ID: mdl-31501473

RESUMEN

In subretinal inflammation, activated mononuclear phagocytes (MP) play a key role in the progression of retinopathies. Little is known about the mechanism involved in the loss of photoreceptors leading to vision impairment. Studying retinal damage induced by photo-oxidative stress, we observed that cluster of differentiation 36 (CD36)-deficient mice featured less subretinal MP accumulation and attenuated photoreceptor degeneration. Moreover, treatment with a CD36-selective azapeptide ligand (MPE-001) reduced subretinal activated MP accumulation in wild type mice and preserved photoreceptor layers and function as assessed by electroretinography in a CD36-dependent manner. The azapeptide modulated the transcriptome of subretinal activated MP by reducing pro-inflammatory markers. In isolated MP, MPE-001 induced dissociation of the CD36-Toll-like receptor 2 (TLR2) oligomeric complex, decreasing nuclear factor-kappa B (NF-κB) and NLR family pyrin domain containing 3 (NLRP3) inflammasome activation. In addition, MPE-001 caused an aerobic metabolic shift in activated MP, involving peroxisome proliferator-activated receptor-γ (PPAR-γ) activation, which in turn mitigated inflammation. Accordingly, PPAR-γ inhibition blocked the cytoprotective effect of MPE-001 on photoreceptor apoptosis elicited by activated MP. By altering activated MP metabolism, MPE-001 decreased immune responses to alleviate subsequent inflammation-dependent neuronal injury characteristic of various vision-threatening retinal disorders.


Asunto(s)
Antígenos CD36/metabolismo , Metabolismo Energético/efectos de los fármacos , Inmunomodulación/efectos de los fármacos , Retinitis/etiología , Retinitis/metabolismo , Animales , Biomarcadores , Citocinas/metabolismo , Susceptibilidad a Enfermedades , Inflamasomas/metabolismo , Mediadores de Inflamación/metabolismo , Ligandos , Metaboloma , Metabolómica/métodos , Ratones , Proteína con Dominio Pirina 3 de la Familia NLR/metabolismo , Células Fotorreceptoras de Vertebrados/metabolismo , Células Fotorreceptoras de Vertebrados/patología , Unión Proteica , Retinitis/patología , Transducción de Señal/efectos de los fármacos , Receptor Toll-Like 2/metabolismo
6.
J Org Chem ; 84(10): 6006-6016, 2019 05 17.
Artículo en Inglés | MEDLINE | ID: mdl-30957495

RESUMEN

Solid-phase chemistry for the synthesis and Diels-Alder reaction of Fmoc-protected azopeptides has been developed and used to construct aza-pipecolyl (azaPip) peptides. Considering their ability to induce electronic and structural constraints that favor cis-amide isomer geometry and type VI ß-turn conformation in model peptides, azaPip residues have now been introduced into biologically relevant targets by this enabling synthetic method. Turn conformers were shown to be important for receptor affinity, selectivity, and activity by employing azaPip residues to study the conformational requirements of opioid and cluster of differentiation 36 receptor peptide ligands.

7.
Biomedicines ; 6(4)2018 Oct 22.
Artículo en Inglés | MEDLINE | ID: mdl-30360354

RESUMEN

Modulation of the cluster of differentiation-36 receptor (CD36) has proven promising for dampening pro-inflammatory macrophage signaling. For example, azapeptides (e.g., 1 and 2) bind CD36 selectively with high affinity, mitigate Toll-like receptor (TLR) agonist-induced overproduction of nitric oxide (NO), and reduce pro-inflammatory cytokine and chemokine production in macrophages. Moreover, semicarbazides 1 and 2 inhibit microvascular sprouting mediated through CD36 in the choroid explant. Seeking a selective CD36 modulator that mediated inflammation without influencing neovascularization, a set of azasulfurylpeptides (e.g., 3a⁻e) were synthesized in which the semicarbazide was replaced by an N-aminosulfamide residue using a novel solid-phase approach. Notably, azasulfurylpeptide 3c diminished selectively CD36-mediated TLR-2-triggered inflammatory response without affecting neovascularization. Subtle chemical modification at the peptide backbone from a carbonyl to a sulfuryl residue has had a selective effect on biological activity providing a valuable probe for studying CD36 chemical biology.

8.
J Med Chem ; 60(22): 9263-9274, 2017 11 22.
Artículo en Inglés | MEDLINE | ID: mdl-29028172

RESUMEN

Azapeptide analogues of growth hormone releasing peptide-6 (GHRP-6) exhibit promising affinity, selectivity, and modulator activity on the cluster of differentiation 36 receptor (CD36). For example, [A1, azaF4]- and [azaY4]-GHRP-6 (1a and 2b) were previously shown to bind selectively to CD36 and exhibited respectively significant antiangiogenic and slight angiogenic activities in a microvascular sprouting assay using choroid explants. The influences of the 1- and 4-position residues on the affinity, anti-inflammatory, and antiangiogenic activity of these azapeptides have now been studied in detail by the synthesis and analysis of a set of 25 analogues featuring Ala1 or His1 and a variety of aromatic side chains at the aza-amino acid residue in the 4-position. Although their binding affinities differed only by a factor of 17, the analogues exhibited significant differences in ability to modulate production of nitric oxide (NO) in macrophages and choroidal neovascularization.


Asunto(s)
Inhibidores de la Angiogénesis/farmacología , Antiinflamatorios no Esteroideos/farmacología , Antígenos CD36/metabolismo , Histidina/química , Oligopéptidos/farmacología , Fenilalanina/análogos & derivados , Sustitución de Aminoácidos , Inhibidores de la Angiogénesis/síntesis química , Inhibidores de la Angiogénesis/química , Animales , Antiinflamatorios no Esteroideos/síntesis química , Antiinflamatorios no Esteroideos/química , Antígenos CD36/química , Coroides/irrigación sanguínea , Macrófagos/efectos de los fármacos , Ratones , Neovascularización Fisiológica/efectos de los fármacos , Óxido Nítrico/biosíntesis , Oligopéptidos/síntesis química , Oligopéptidos/química , Fenilalanina/química , Relación Estructura-Actividad
9.
Angew Chem Int Ed Engl ; 56(22): 6284-6288, 2017 05 22.
Artículo en Inglés | MEDLINE | ID: mdl-28090719

RESUMEN

Macrocyclization has enabled the use of peptides in drug discovery creating a need for methods to synthesize diverse peptide macrocycles. Azapeptides have advanced to clinically used drugs, however, few cyclic azapeptides have been studied. A multiple component "A3 -macrocyclization" strategy is described for the preparation of diverse cyclic azapeptides and is demonstrated by the synthesis of 15 growth hormone releasing hormone-6 (GHRP-6) analogs. Certain cyclic aza-GHRP-6 analogs exhibited unprecedented affinity for the CD36 receptor, and capacity to modulate Toll-like receptor agonist-induced overproduction of nitric oxide, and reduce pro-inflammatory cytokine and chemokine production in macrophages.


Asunto(s)
Compuestos Aza/síntesis química , Antígenos CD36/química , Péptidos Cíclicos/síntesis química , Peptidomiméticos/química , Ciclización
10.
Biochim Biophys Acta ; 1851(5): 657-66, 2015 May.
Artículo en Inglés | MEDLINE | ID: mdl-25677823

RESUMEN

QRFP (RFamide) peptides are neuropeptides involved in food intake and adiposity regulation in rodents. We have previously shown that QRFP-43 (43RFa) and QRFP-26 (26RFa) inhibited isoproterenol (ISO)-induced lipolysis in adipocytes. However, the antilipolytic signaling pathways activated by QRFP peptides have not been investigated. In the present study, 3T3-L1 adipocytes were used to identify the main pathways involved in QRFP-43 decreasing ISO-induced lipolysis. Our results show that QRFP-43 reduced ISO-induced phosphorylation of perilipin A (PLIN) and hormone-sensitive lipase (HSL) on Ser660 by 43 and 25%, respectively, but increased Akt phosphorylation by 44%. However, the inhibition of phosphodiesterase 3B (PDE3B), a regulator of lipolysis activated by Akt, did not reverse the antilipolytic effect of QRFP-43. PDE3B inhibition reversed the decrease of Ser660 HSL phosphorylation associated with QRFP-43 antilipolytic effect. QRFP-43 also prevented PKC activation and ISO-induced Src kinases activation leading to the inhibition of the caveolin-1 (CAV-1) translocation on lipid droplets. Indeed, QRFP-43 attenuated phorbol 12-myristate 13-acetate-induced lipolysis and ISO-induced extracellular signal-regulated and Src kinases by 28, 37 and 48%, respectively. The attenuation of ISO-induced lipolysis by QRFP-43 was associated with a decrease of phosphorylated Ser660 HSL, PKA-catalytic (PKA-c) subunit and CAV-1 translocation on lipid droplets by 37, 50 and 46%, respectively. The decrease in ISO-induced CAV-1 and PKA-c translocation was associated with a reduction of PLIN phosphorylation by 44% in QRFP-43-treated adipocytes. These results suggest that QRFP-43 attenuated ISO-induced lipolysis by preventing the formation of an active complex on lipid droplets and the activation of Src kinases and PKC.


Asunto(s)
Adipocitos/efectos de los fármacos , Proteínas Portadoras/metabolismo , Caveolina 1/metabolismo , Subunidades Catalíticas de Proteína Quinasa Dependientes de AMP Cíclico/metabolismo , Lipólisis/efectos de los fármacos , Péptidos/farmacología , Fosfoproteínas/metabolismo , Esterol Esterasa/metabolismo , Células 3T3-L1 , Adipocitos/enzimología , Animales , Fosfodiesterasas de Nucleótidos Cíclicos Tipo 3/metabolismo , Relación Dosis-Respuesta a Droga , Activación Enzimática , Péptidos y Proteínas de Señalización Intercelular , Isoproterenol/farmacología , Gotas Lipídicas/efectos de los fármacos , Gotas Lipídicas/metabolismo , Ratones , Complejos Multiproteicos , Perilipina-1 , Inhibidores de Fosfodiesterasa 3/farmacología , Fosforilación , Proteína Quinasa C/metabolismo , Transporte de Proteínas , Receptores Acoplados a Proteínas G/metabolismo , Serina , Transducción de Señal/efectos de los fármacos , Acetato de Tetradecanoilforbol/farmacología , Familia-src Quinasas/metabolismo
11.
Mol Endocrinol ; 28(1): 65-79, 2014 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-24284825

RESUMEN

Pyroglutamylated RF-amide peptide (QRFP) is involved in the regulation of food intake, thermogenesis, adipogenesis, and lipolysis. The expression of QRFP in adipose tissue is reduced in diet-induced obesity, a mouse model in which plasma concentrations of endotoxins are slightly elevated. The present study investigated the role of metabolic endotoxemia (ME) on QRFP gene regulation. Our results uncovered the expression of QRFP in murine macrophages and cell lines. This expression has been found to be decreased in mice with ME. Low doses of lipopolysaccharide (LPS) transiently down-regulated QRFP by 59% in RAW264.7 macrophages but not in 3T3-L1 adipocytes. The effect of LPS on QRFP expression in macrophages was dependent on the inhibitor of kB kinase and TIR-domain-containing adapter-inducing interferon (IFN)-ß (TRIF) but not myeloid differentiation primary response gene 88. IFN-ß was induced by ME in macrophages. IFN-ß sustainably reduced QRFP expression in macrophages (64%) and adipocytes (49%). IFN-γ down-regulated QRFP (74%) in macrophages only. Both IFNs inhibited QRFP secretion from macrophages. LPS-stimulated macrophage-conditioned medium reduced QRFP expression in adipocytes, an effect blocked by IFN-ß neutralizing antibody. The effect of IFN-ß on QRFP expression was dependent on phosphoinositide 3-kinase, p38 MAPK, and histone deacetylases. The effect of IFN-γ was dependent on MAPK/ERK kinase 1/2 and histone deacetylases. Macrophage-conditioned medium containing increased amounts of QRFP preserved adipogenesis in adipocytes. In conclusion, LPS induces IFN-ß release from macrophages, which reduces QRFP expression in both macrophages and adipocytes in an autocrine/paracrine-dependent manner, suggesting QRFP as a potential biomarker in ME.


Asunto(s)
Endotoxemia/metabolismo , Regulación de la Expresión Génica/inmunología , Receptores Acoplados a Proteínas G/genética , Células 3T3-L1 , Adipocitos/metabolismo , Adipogénesis , Animales , Medios de Cultivo Condicionados , Endotoxemia/genética , Interferones/fisiología , Metabolismo de los Lípidos , Lipopolisacáridos/sangre , Lipopolisacáridos/farmacología , Macrófagos Peritoneales/inmunología , Macrófagos Peritoneales/metabolismo , Masculino , Ratones , Ratones Endogámicos C57BL , Ratones Obesos , Receptores Acoplados a Proteínas G/metabolismo , Factor de Necrosis Tumoral alfa/fisiología
12.
Mol Endocrinol ; 24(8): 1615-25, 2010 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-20534693

RESUMEN

The activation of G protein-coupled receptor 103 (GPR103) by its endogenous peptidic ligands, QRFPs, is involved in the central regulation of feeding by increasing food intake, body weight, and fat mass after intracerebroventricular injection in mice. However, the role of GPR103 in regulating peripheral metabolic pathways has not yet been explored. The present study aimed to investigate the role of GPR103 in adipogenesis and lipid metabolism using 3T3-L1 adipocyte cells. Our results show that differentiated 3T3-L1 cells expressed the GPR103b subtype mRNA and protein, as well as QRFP mRNA. QRFP-43 and -26 induced an increase in triglyceride accumulation of 50 and 41%, respectively, and elicited a dose-dependent increase in fatty acid uptake, by up to approximately 60% at the highest concentration, in 3T3-L1-differentiated cells. QRFP-43 and -26 inhibited isoproterenol (ISO)-induced lipolysis in a dose-dependent manner, with IC(50)s of 2.3 +/- 1.2 and 1.1 +/- 1.0 nm, respectively. The expression of genes involved in lipid uptake (FATP1, CD36, LPL, ACSL1, PPAR-gamma, and C/EBP-alpha), was increased by 2- to 3-fold after treatment with QRFP. The effects of QRFP on ISO-induced lipolysis and fatty acid uptake were abolished when GPR103b was silenced. In a mouse model of diet-induced obesity, the expression of GPR103b in epididymal fat pads was elevated by 16-fold whereas that of QRFP was reduced by 46% compared to lean mice. Furthermore, QRFP was bioactive in omental adipocytes from obese individuals, inhibiting ISO-induced lipolysis in these cells. Our results suggest that GPR103b and QRFP work in an autocrine/paracrine manner to regulate adipogenesis.


Asunto(s)
Adipogénesis/genética , Receptores Acoplados a Proteínas G/metabolismo , Células 3T3-L1 , Adipocitos/citología , Adipocitos/efectos de los fármacos , Adipocitos/metabolismo , Adipogénesis/efectos de los fármacos , Adulto , Animales , Diferenciación Celular/efectos de los fármacos , Diferenciación Celular/genética , Células Cultivadas , Expresión Génica/efectos de los fármacos , Humanos , Técnicas In Vitro , Péptidos y Proteínas de Señalización Intercelular , Isoproterenol/farmacología , Lipólisis/efectos de los fármacos , Ratones , Obesidad/metabolismo , Péptidos/genética , Péptidos/metabolismo , Péptidos/farmacología , Receptores Acoplados a Proteínas G/genética
13.
Growth Horm IGF Res ; 17(2): 96-103, 2007 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-17280860

RESUMEN

OBJECTIVE: To assess the effect of short-term treatment with GH on left ventricular contractility and remodeling, after the development of heart failure in cardiomyopathic hamsters (CMH). DESIGN: Two groups of 200-day-old UM-X7.1 CMH received daily subcutaneous injections of recombinant bovine (rb) GH (1mg/kg/day) or 0.9% NaCl for 40 days. Golden Syrian hamsters (GSH) were used as controls. At 240-day-old, the hamsters were randomly subjected to (i) assessment of left ventricular systolic function in a Langendorff perfused mode followed by the determination of the passive diastolic pressure-volume relationship and morphometric measurements; (ii) assessment of left ventricular mRNA expression of genes belonging to the fetal gene program including atrial (ANP) and brain (BNP) natriuretic peptides and cardiac myosin heavy chain isoforms and of the circulating levels of the natriuretic peptides. RESULTS: Hearts from CMH were hypertrophied and dilated (p<0.05) compared to hearts from GSH, along with a approximately 10-fold increase in the circulating ANP and BNP levels. Left ventricular BNP and ANP mRNAs were elevated by 2- and 3-fold, respectively, compared to GSH. rbGH reduced both ANP mRNA and ANP circulating levels by 34% (p<0.01) but did not significantly modulate BNP levels. This effect was associated with a preserved systolic function and reverse remodeling as assessed by a leftward shift of the passive diastolic pressure-volume relationship indicating reduced ventricular dilatation. CONCLUSIONS: The data show that a short-term administration of GH in the terminal phase of the disease confers cardioprotection by attenuating systolic dysfunction and by inducing beneficial reverse remodeling.


Asunto(s)
Factor Natriurético Atrial/antagonistas & inhibidores , Cardiomiopatías/tratamiento farmacológico , Cardiotónicos/uso terapéutico , Hormona del Crecimiento/uso terapéutico , Insuficiencia Cardíaca/tratamiento farmacológico , Función Ventricular Izquierda/efectos de los fármacos , Animales , Factor Natriurético Atrial/sangre , Factor Natriurético Atrial/metabolismo , Cardiomiopatías/complicaciones , Cardiomiopatías/genética , Cardiotónicos/farmacología , Bovinos , Cricetinae , Hormona del Crecimiento/farmacología , Insuficiencia Cardíaca/etiología , Ventrículos Cardíacos/química , Ventrículos Cardíacos/efectos de los fármacos , Ventrículos Cardíacos/metabolismo , Factor I del Crecimiento Similar a la Insulina/metabolismo , Mesocricetus , Contracción Miocárdica/efectos de los fármacos , Cadenas Pesadas de Miosina/metabolismo , Péptidos Natriuréticos/sangre , Péptidos Natriuréticos/metabolismo , Isoformas de Proteínas/metabolismo
14.
Cardiovasc Res ; 69(1): 26-35, 2006 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-16219302

RESUMEN

Ischemic and nonischemic cardiomyopathies are associated with significant morbidity and mortality in industrialized countries. Cardiomyopathies of primary origin, and more specifically the dilated form of the disease, have been associated with a number of gene defects in cytoskeletal, membrane, and sarcomeric proteins. Cardiomyopathies of secondary origin such as ischemic cardiomyopathy remain the leading cause of left ventricular systolic dysfunction and heart failure. Among novel strategies to improve cardiac function in heart failure, treatment with growth hormone, insulin growth factor-1 (IGF-1), and natural and synthetic growth hormone-releasing peptides such as ghrelin and hexarelin have been explored. The present review focuses on the issues involved in the use of exogenous growth hormone and its releasing peptides in experimental animal models of chronic heart failure and in clinical studies on cardiomyopathic patients as potential releasing peptides for the treatment of chronic heart failure developing as a consequence of cardiomyopathy.


Asunto(s)
Cardiomiopatías/tratamiento farmacológico , Hormona Liberadora de Hormona del Crecimiento/metabolismo , Hormona del Crecimiento/metabolismo , Miocardio/metabolismo , Animales , Cardiomiopatías/metabolismo , Ghrelina , Insuficiencia Cardíaca/tratamiento farmacológico , Hormona de Crecimiento Humana/uso terapéutico , Humanos , Factor I del Crecimiento Similar a la Insulina/uso terapéutico , Modelos Animales , Oligopéptidos/uso terapéutico , Hormonas Peptídicas/uso terapéutico
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