Chronic treatment with metformin suppresses toll-like receptor 4 signaling and attenuates left ventricular dysfunction following myocardial infarction

Soraya, H and Clanachan, A.S and Rameshrad, M and Maleki Dizaji, N and Ghazi Khansari, M and Garjani, A (2014) Chronic treatment with metformin suppresses toll-like receptor 4 signaling and attenuates left ventricular dysfunction following myocardial infarction. European Journal of Pharmacology, 737. pp. 77-84.

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Abstract

Acutetreatmentwithmetforminhasaprotectiveeffectinmyocardialinfarctionbysuppressionof inflammatoryresponsesduetoactivationofAMP-activatedproteinkinase(AMPK).Inthepresentstudy, the effectofchronicpre-treatmentwithmetforminoncardiacdysfunctionandtoll-likereceptor4 (TLR4) activitiesfollowingmyocardialinfarctionandtheirrelationwithAMPKwereassessed.Male Wistar ratswererandomlyassignedtooneof5groups(n¼6): normalcontrolandgroupswereinjected isoproterenolafterchronicpre-treatmentwith0,25,50,or100mg/kgofmetformintwicedailyfor14 days.Isoproterenol(100mg/kg)wasinjectedsubcutaneouslyonthe13thand14thdaystoinduceacute myocardialinfarction.Isoproterenolalonedecreasedleftventricularsystolicpressureandmyocardial contractility indexedasLV dp/dtmax and LV dp/dtmin. Theleftventriculardysfunctionwassignificantly lowerinthegroupstreatedwith25and50mg/kgofmetformin.Metfrominmarkedlylowered isoproterenol-inducedelevationinthelevelsofTLR4mRNA,myeloiddifferentiationprotein88 (MyD88), tumornecrosisfactor-alpha(TNF-α), andinterleukin6(IL-6)inthehearttissues.Similar changes werealsoseenintheserumlevelsofTNF-α and IL-6.However,thelowerdosesof25and50mg/ kg weremoreeffectivethan100mg/kg.PhosphorylatedAMPKα (p-AMPK) inthemyocardiumwas significantly elevatedby25mg/kgofmetformin,slightlyby50mg/kg,butnotby100mg/kg.Chronic pre-treatmentwithmetforminreducespost-myocardialinfarctioncardiacdysfunctionandsuppresses inflammatoryresponses,possiblythroughinhibitionofTLR4activities.Thismechanismcanbe considered asatargettoprotectinfarctedmyocardium

Item Type: Article
Additional Information: cited By 10
Uncontrolled Keywords: Metformin Myocardialinfarction Inflammation AMP-activatedproteinkinase Toll-likereceptor
Subjects: R Medicine > R Medicine (General)
Depositing User: Unnamed user with email gholipour.s@umsu.ac.ir
Date Deposited: 24 Jul 2017 08:02
Last Modified: 18 Feb 2019 09:57
URI: http://eprints.umsu.ac.ir/id/eprint/570

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