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Acute effects of euglycemic-hyperinsulinemia on myocardial contractility in male mice
Journal article   Open access   Peer reviewed

Acute effects of euglycemic-hyperinsulinemia on myocardial contractility in male mice

Satya Murthy Tadinada, Wojciech J. Grzesik, William Kutschke, Robert M. Weiss and E. Dale Abel
Physiological reports, Vol.10(17), pp.e15388-n/a
09/01/2022
DOI: 10.14814/phy2.15388
PMCID: PMC9453172
PMID: 36073057
url
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9453172View
Published (Version of record) Open Access

Abstract

Type 2 diabetes and obesity are associated with increased risk of cardiovascular disease, including heart failure. A hallmark of these dysmetabolic states is hyper-insulinemia and decreased cardiac reserve. However, the direct effects of hyper-insulinemia on myocardial function are incompletely understood. In this study, using invasive hemodynamics in mice, we studied the effects of short-term euglycemic hyperinsulinemia on basal myocardial function and subsequent responses of the myocardium to beta-adrenergic stimulation. We found that cardiac function as measured by left ventricular (LV) invasive hemodynamics is not influenced by acute exposure to hyperinsulinemia, induced by an intravenous insulin injection with concurrent inotropic stimulation induced by beta-adrenergic stimulation secondary to isoproterenol administration. When animals were exposed to 120-min of hyperinsulinemia by euglycemic-hyperinsulinemic clamps, there was a significant decrease in LV developed pressure, perhaps secondary to the systemic vasodilatory effects of insulin. Despite the baseline reduction, the contractile response to beta-adrenergic stimulation remained intact in animals subject to euglycemic hyperinsulinemic clamps. beta-adrenergic activation of phospholamban phosphorylation was not impaired by hyperinsulinemia. These results suggest that short-term hyperinsulinemia does not impair cardiac inotropic response to beta-adrenergic stimulation in vivo.
Physiology Life Sciences & Biomedicine Science & Technology

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