Ghrelin improves left ventricular dysfunction and cardiac cachexia in heart failure

被引:79
作者
Nagaya, N
Kangawa, K
机构
[1] Natl Cardiovasc Ctr, Dept Internal Med, Osaka 5658565, Japan
[2] Natl Cardiovasc Ctr, Res Inst, Dept Biochem, Osaka, Japan
关键词
D O I
10.1016/S1471-4892(03)00013-4
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Ghrelin is a novel growth-hormone-releasing peptide isolated from the stomach that has been identified as an endogenous ligand for the growth-hormone secretagogue receptor. This peptide results in a positive energy balance by stimulating food intake and inducing adiposity through growth-hormone-independent mechanisms. In addition, ghrelin has several cardiovascular effects, as indicated by the presence of its receptor in blood vessels and ventricles of the heart. Infusion of ghrelin decreases systemic vascular resistance and increases cardiac output in patients with heart failure. Furthermore, repeated administration of ghrelin improves cardiac structure and function, and attenuates the development of cardiac cachexia in rats with heart failure. These results suggest that ghrelin has therapeutic potential in the treatment of severe chronic heart failure.
引用
收藏
页码:146 / 151
页数:6
相关论文
共 54 条
[31]   Hemodynamic, renal, and hormonal effects of ghrelin infusion in patients with chronic heart failure [J].
Nagaya, N ;
Miyatake, K ;
Uematsu, M ;
Oya, H ;
Shimizu, W ;
Hosoda, H ;
Kojima, M ;
Nakanishi, N ;
Mori, H ;
Kangawa, K .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 2001, 86 (12) :5854-5859
[32]   Elevated circulating level of ghrelin in cachexia associated with chronic heart failure - Relationships between ghrelin and anabolic/catabolic factors [J].
Nagaya, N ;
Uematsu, M ;
Kojima, M ;
Date, Y ;
Nakazato, M ;
Okumura, H ;
Hosoda, H ;
Shimizu, W ;
Yamagishi, M ;
Oya, H ;
Koh, H ;
Yutani, C ;
Kangawa, K .
CIRCULATION, 2001, 104 (17) :2034-2038
[33]   Chronic administration of ghrelin improves left ventricular dysfunction and attenuates development of cardiac cachexia in rats with heart failure [J].
Nagaya, N ;
Uematsu, M ;
Kojima, M ;
Ikeda, Y ;
Yoshihara, F ;
Shimizu, W ;
Hosoda, H ;
Hirota, Y ;
Ishida, H ;
Mori, H ;
Kangawa, K .
CIRCULATION, 2001, 104 (12) :1430-1435
[34]   Hemodynamic and hormonal effects of human ghrelin in healthy volunteers [J].
Nagaya, N ;
Kojima, M ;
Uematsu, M ;
Yamagishi, M ;
Hosoda, H ;
Oya, H ;
Hayashi, Y ;
Kangawa, K .
AMERICAN JOURNAL OF PHYSIOLOGY-REGULATORY INTEGRATIVE AND COMPARATIVE PHYSIOLOGY, 2001, 280 (05) :R1483-R1487
[35]   Hyperglycaemia suppresses the secretion of ghrelin, a novel growth-hormone-releasing peptide: responses to the intravenous and oral administration of glucose [J].
Nakagawa, E ;
Nagaya, N ;
Okumura, H ;
Enomoto, M ;
Oya, H ;
Ono, F ;
Hosoda, H ;
Kojima, M ;
Kangawa, K .
CLINICAL SCIENCE, 2002, 103 (03) :325-328
[36]   A role for ghrelin in the central regulation of feeding [J].
Nakazato, M ;
Murakami, N ;
Date, Y ;
Kojima, M ;
Matsuo, H ;
Kangawa, K ;
Matsukura, S .
NATURE, 2001, 409 (6817) :194-198
[37]   Deficient insulin-like growth factor I in chronic heart failure predicts altered body composition, anabolic deficiency, cytokine and neurohormonal activation [J].
Niebauer, J ;
Pflaum, CD ;
Clark, AL ;
Strasburger, CJ ;
Hooper, J ;
Poole-Wilson, PA ;
Coats, AJS ;
Anker, SD .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1998, 32 (02) :393-397
[38]   Vasodilatory effect of ghrelin, an endogenous peptide from the stomach [J].
Okumura, H ;
Nagaya, N ;
Enomoto, M ;
Nakagawa, E ;
Oya, H ;
Kangawa, K .
JOURNAL OF CARDIOVASCULAR PHARMACOLOGY, 2002, 39 (06) :779-783
[39]   Randomised, double-blind, placebo-controlled trial of human recombinant growth hormone in patients with chronic heart failure due to dilated cardiomyopathy [J].
Osterziel, KJ ;
Strohm, O ;
Schuler, J ;
Friedrich, M ;
Hänlein, D ;
Willenbrock, R ;
Anker, SD ;
Poole-Wilson, PA ;
Ranke, MB ;
Dietz, R .
LANCET, 1998, 351 (9111) :1233-1237
[40]   Effect of carvedilol on survival in severe chronic heart failure. [J].
Packer, M ;
Coats, AJS ;
Fowler, MB ;
Katus, HA ;
Krum, H ;
Mohacsi, P ;
Rouleau, JL ;
Tendera, M ;
Castaigne, A ;
Roecker, EB ;
Schultz, MK ;
DeMets, DL .
NEW ENGLAND JOURNAL OF MEDICINE, 2001, 344 (22) :1651-1658