Cardioprotective GLP-1 Metabolite Prevents Ischemic Cardiac Injury by Inhibiting Mitochondrial Trifunctional Protein-Α
RESEARCH ARTICLE The Journal of Clinical Investigation Cardioprotective GLP-1 metabolite prevents ischemic cardiac injury by inhibiting mitochondrial trifunctional protein-α M. Ahsan Siraj,1,2 Dhanwantee Mundil,2,3 Sanja Beca,4 Abdul Momen,2 Eric A. Shikatani,2,5 Talat Afroze,2 Xuetao Sun,2 Ying Liu,2 Siavash Ghaffari,6 Warren Lee,5,6,7,8 Michael B. Wheeler,2,3 Gordon Keller,9,10 Peter Backx,2 and Mansoor Husain1,2,3,4,5,8,9,10,11 1Ted Rogers Centre for Heart Research, University of Toronto, Toronto, Ontario, Canada. 2Toronto General Hospital Research Institute, University Health Network, Toronto, Ontario, Canada. 3Department of Physiology, University of Toronto, Toronto, Ontario, Canada. 4Heart and Stroke Richard Lewar Center of Excellence in Cardiovascular Research, and 5Laboratory Medicine and Pathobiology, University of Toronto, Toronto, Ontario, Canada. 6Keenan Research Centre for Biomedical Research, St. Michael’s Hospital, Toronto, Ontario, Canada. 7Department of Biochemistry, 8Department of Medicine, and 9Department of Medical Biophysics, University of Toronto, Toronto, Ontario, Canada. 10McEwen Centre for Regenerative Medicine, and 11Peter Munk Cardiac Centre, University Health Network, Toronto, Ontario, Canada. Mechanisms mediating the cardioprotective actions of glucagon-like peptide 1 (GLP-1) were unknown. Here, we show in both ex vivo and in vivo models of ischemic injury that treatment with GLP-1(28–36), a neutral endopeptidase–generated (NEP- generated) metabolite of GLP-1, was as cardioprotective as GLP-1 and was abolished by scrambling its amino acid sequence. GLP-1(28–36) enters human coronary artery endothelial cells (caECs) through macropinocytosis and acts directly on mouse and human coronary artery smooth muscle cells (caSMCs) and caECs, resulting in soluble adenylyl cyclase Adcy10–dependent (sAC-dependent) increases in cAMP, activation of protein kinase A, and cytoprotection from oxidative injury.
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