The gut hormone ghrelin partially reverses energy substrate metabolic alterations in the failing heart.

ABSTRACT:

Background

The gut-derived hormone ghrelin, especially its acylated form, plays a major role in the regulation of systemic metabolism and exerts also relevant cardioprotective effects; hence, it has been proposed for the treatment of heart failure (HF). We tested the hypothesis that ghrelin can directly modulate cardiac energy substrate metabolism.

Methods and results

We used chronically instrumented dogs, 8 with pacing-induced HF and 6 normal controls. Human des-acyl ghrelin [1.2 nmol/kg per hour] was infused intravenously for 15 minutes, followed by washout (rebaseline) and infusion of acyl ghrelin at the same dose. (3)H-oleate and (14)C-glucose were coinfused and arterial and coronary sinus blood sampled to measure cardiac free fatty acid and glucose oxidation and lactate

SUBMITTER: Mitacchione G 

PROVIDER: S-EPMC4118426 | biostudies-literature | 2014 Jul

REPOSITORIES: biostudies-literature