1. Glucagon Receptor Antagonism Ameliorates Progression of Heart Failure
- Author
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Hai Yan, Chunyu Zeng, John Lu, Chen Gao, Dung Thai, Junyi Yu, Yibin Wang, Shuxun Vincent Ren, and Ulysis Baal
- Subjects
0301 basic medicine ,medicine.medical_specialty ,polymerase chain reaction ,Cardiac pathology ,Clinical Sciences ,PBS, phosphate-buffered saline ,heart failure ,phosphate-buffered saline ,030204 cardiovascular system & hematology ,Cardiorespiratory Medicine and Haematology ,03 medical and health sciences ,PRECLINICAL RESEARCH ,0302 clinical medicine ,PCR, polymerase chain reaction ,Internal medicine ,medicine ,Myocardial infarction ,PBS ,GLC, glucagon ,Pressure overload ,MI ,TAC, transaortic constriction ,GCGR ,business.industry ,TAC ,glucagon receptor ,glucagon receptor antagonism ,pressure overload ,medicine.disease ,3. Good health ,GCGR, glucagon receptor ,GLC ,030104 developmental biology ,PCR ,myocardial infarction ,glucagon ,transaortic constriction ,Heart failure ,Cardiac hypertrophy ,Monoclonal ,Cardiology ,MI, myocardial infarction ,Cardiology and Cardiovascular Medicine ,Antagonism ,business ,Glucagon receptor - Abstract
Visual Abstract, Highlights • Systemic treatment of an antibody-based glucagon receptor antagonist confers cardioprotection against myocardial infarction and post-myocardial infarction remodeling in mice. • Systemic treatment of glucagon receptor antagonist prevents pressure overload induced cardiac remodeling and dysfunction in mice. • Glucagon receptor antagonist treatment attenuates the pathological progression of heart failure induced by pressure overload in mice. • Long-term suppression of glucagon signaling is potentially an effective therapy for heart failure with different etiologies independent of metabolic disorders., Summary Mice were treated with a fully human monoclonal glucagon receptor antagonistic antibody REMD2.59 following myocardial infarction or pressure overload. REMD2.59 treatment blunted cardiac hypertrophy and fibrotic remodeling, and attenuated contractile dysfunction at 4 weeks after myocardial infarction. In addition, REMD2.59 treatment at the onset of pressure overload significantly suppressed cardiac hypertrophy and chamber dilation with marked preservation of cardiac systolic and diastolic function. Initiation of REMD2.59 treatment 2 weeks after pressure overload significantly blunted the progression of cardiac pathology. These results provide the first in vivo proof-of-concept evidence that glucagon receptor antagonism is a potentially efficacious therapy to ameliorate both onset and progression of heart failure.
- Published
- 2019