title: Liraglutide relieves myocardial damage by promoting autophagy via AMPK-mTOR signaling pathway in zucker diabetic fatty rat.
abstract: Liraglutide, a glucose-lowering agent used to treat type 2 diabetic mellitus is reported to exert cardioprotective effects in clinical trials and animal experiments. However, the cardioprotective mechanism of liraglutide on diabetic cardiomyopathy has not been fully illustrated. The present study was performed to investigate whether liraglutide alleviates diabetic myocardium injury by promoting autophagy and its underlying mechanisms. Our results show that liraglutide significantly reduced the levels of creatine kinase (CK) and lactate dehydrogenase (LDH), improved left ventricular functional status and alleviated myocardial fibrosis in the Zucker diabetic fatty (ZDF) rat model. Liraglutide also mitigated high glucose-induced injury in NRCs. However these effects were partly reversed by the autophagic inhibitor chloroquine (CQ). Liraglutide promoted myocardial autophagy in the vivo and in the vitro models. Furthermore, liraglutide-induced enhancement of autophagy was related to increased AMPK phosphorylation and decreased mTOR phosphorylation, which was partially abolished by the AMPK inhibitor compound C (Comp C). Collectively, our data provide evidence that liraglutide mediated diabetic myocardium injury by promoting AMPK-dependent autophagy.
authors.affiliation: Department of Cardiology, Zhujiang Hospital, Southern Medical University, Guangzhou, 510282, PR China.
authors.forename: Ya
authors.initials: Y
authors.lastname: Zhang
authors.affiliation: Department of Cardiology, Zhujiang Hospital, Southern Medical University, Guangzhou, 510282, PR China.
authors.forename: Yuanna
authors.initials: Y
authors.lastname: Ling
authors.affiliation: Department of Endocrinology, Zhujiang Hospital, Southern Medical University, Guangzhou, 510282, PR China.
authors.forename: Li
authors.initials: L
authors.lastname: Yang
authors.affiliation: Department of Endocrinology, Zhujiang Hospital, Southern Medical University, Guangzhou, 510282, PR China.
authors.forename: Yanzhen
authors.initials: Y
authors.lastname: Cheng
authors.affiliation: Department of Cardiology, Zhujiang Hospital, Southern Medical University, Guangzhou, 510282, PR China.
authors.forename: Pingzhen
authors.initials: P
authors.lastname: Yang
authors.affiliation: Department of Cardiology, Zhujiang Hospital, Southern Medical University, Guangzhou, 510282, PR China.
authors.forename: Xudong
authors.initials: X
authors.lastname: Song
authors.affiliation: Department of Cardiology, Zhujiang Hospital, Southern Medical University, Guangzhou, 510282, PR China.
authors.forename: Huixiong
authors.initials: H
authors.lastname: Tang
authors.affiliation: Department of Cardiology, Zhujiang Hospital, Southern Medical University, Guangzhou, 510282, PR China.
authors.forename: Yongkang
authors.initials: Y
authors.lastname: Zhong
authors.affiliation: Department of Cardiology, Zhujiang Hospital, Southern Medical University, Guangzhou, 510282, PR China.
authors.forename: Lu
authors.initials: L
authors.lastname: Tang
authors.affiliation: Department of Cardiology, Zhujiang Hospital, Southern Medical University, Guangzhou, 510282, PR China.
authors.forename: Shangfei
authors.initials: S
authors.lastname: He
authors.affiliation: Department of Endocrinology, Zhujiang Hospital, Southern Medical University, Guangzhou, 510282, PR China.
authors.forename: Shuangli
authors.initials: S
authors.lastname: Yang
authors.affiliation: Department of Cardiology, Zhujiang Hospital, Southern Medical University, Guangzhou, 510282, PR China. Electronic address: zjchenaihua@163.com.
authors.forename: Aihua
authors.initials: A
authors.lastname: Chen
authors.affiliation: Department of Cardiology, Zhujiang Hospital, Southern Medical University, Guangzhou, 510282, PR China. Electronic address: wxb2007wxb@126.com.
authors.forename: Xianbao
authors.initials: X
authors.lastname: Wang
mesh_terms: D055372:AMP-Activated Protein Kinases / Q000378:metabolism*; D000818:Animals; D001343:Autophagy / Q000187:drug effects*; D003921:Diabetes Mellitus, Experimental / Q000097:blood / Q000473:pathology*; D005947:Glucose / Q000633:toxicity; D006334:Heart Function Tests / Q000187:drug effects; D000069450:Liraglutide / Q000494:pharmacology*; D008954:Models, Biological; D009206:Myocardium / Q000473:pathology* / Q000648:ultrastructure; D032383:Myocytes, Cardiac / Q000187:drug effects / Q000378:metabolism / Q000473:pathology; D010766:Phosphorylation / Q000187:drug effects; D051381:Rats; D011924:Rats, Zucker; D015398:Signal Transduction / Q000187:drug effects*; D058570:TOR Serine-Threonine Kinases / Q000378:metabolism*
chemical_list: D000069450:Liraglutide; D058570:TOR Serine-Threonine Kinases; D055372:AMP-Activated Protein Kinases; D005947:Glucose
keywords: AMPK; Autophagy; Diabetic cardiomyopathy; Liraglutide