AI Article Synopsis

  • Chronic heart failure (CHF) is linked to metabolic changes that contribute to muscle wasting, and this study investigates how proinflammatory cytokines affect insulin-like growth factor-I (IGF-I) expression in a rat model of CHF.
  • Ligation of the left coronary artery was performed on rats to induce CHF, and various measurements, including levels of IL-1beta, TNFalpha, and IGF-I, were taken after 12 weeks to analyze their relationship.
  • Results showed a significant decrease in local IGF-I expression in CHF rats, correlating with muscle fiber atrophy, while serum IGF-I levels remained normal, suggesting that inflammation and reduced IGF-I are factors in muscle deterioration associated with CHF.

Article Abstract

Objective: Chronic heart failure (CHF) is associated with metabolic abnormalities leading to a catabolic syndrome in advanced stages of the disease. To assess the role of proinflammatory cytokines for the local expression of insulin-like growth factor-I (IGF-I) in this process, muscular and systemic levels of interleukin-1 beta (IL-1beta), tumor necrosis factor alpha (TNFalpha) and IGF-I were analyzed in an animal model of CHF.

Methods: Ligation of the left coronary artery or sham operation was performed in adult Wistar Kyoto rats. After 12 weeks, all animals were assessed by echocardiography and cardiac catheterization. Serum levels of IGF-I, IL-1beta, TNFalpha and IL-6 were determined by ELISA. In the quadriceps muscle, the expression of IGF-I, IGF-I receptor, IL-1beta and TNFalpha were assessed by RT-PCR and quantitative immunohistochemistry. Alterations in muscle fiber morphology were analyzed microscopically.

Results: The local expression of IGF-I decreased significantly in animals with CHF (0.47 +/- 0.07 versus 0.77 +/- 0.09; p < 0.01). This reduction correlated with a decreased muscle fiber cross-sectional area (r = 0.62; p < 0.01) and inversely with the local expression of IL-1beta (r = -0.49; p < 0.05). IGF-I serum levels showed no significant differences between the two groups.

Conclusions: In CHF, the local IGF-I expression is reduced in the presence of normal serum levels of IGF-I. Both elevated proinflammatory cytokines and reduced local IGF-I expression contribute to a catabolic metabolism that may finally result in skeletal muscle atrophy and cardiac cachexia.

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http://dx.doi.org/10.1007/s00395-003-0411-1DOI Listing

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