Apelin regulates FoxO3 translocation to mediate cardioprotective responses to myocardial injury and obesity.

Abstract:

:The increasing incidence of obesity accentuates the importance of identifying mechanisms and optimal therapeutic strategies for patients with heart failure (HF) in relation to obesity status. Here, we investigated the association between plasma level of apelin, an adipocyte-derived factor, and clinicopathological features of obese and non-obese patients with HF. We further explored potential regulatory mechanisms of cardiac cell fate responses in conditions combining myocardial injury and obesity. In a prospective, cross-sectional study involving patients with HF we show that obese patients (BMI ≥ 30 kg/m(2)) have higher left ventricular ejection fraction (LVEF) and greater levels of plasma apelin (p < 0.005) than non-obese patients (< 30 kg/m(2)), independently of ischemic etiology. In a mouse model combining ischemia-reperfusion (I/R) injury and high-fat diet (HFD)-induced obesity, we identify apelin as a novel regulator of FoxO3 trafficking in cardiomyocytes. Confocal microscopy analysis of cardiac cells revealed that apelin prevents nuclear translocation of FoxO3 in response to oxygen deprivation through a PI3K pathway. These findings uncover apelin as a novel regulator of FoxO3 nucleocytoplasmic trafficking in cardiac cells in response to stress and provide insight into its potential clinical relevance in obese patients with HF.

journal_name

Sci Rep

journal_title

Scientific reports

authors

Boal F,Roumegoux J,Alfarano C,Timotin A,Calise D,Anesia R,Drougard A,Knauf C,Lagente C,Roncalli J,Desmoulin F,Tronchere H,Valet P,Parini A,Kunduzova O

doi

10.1038/srep16104

subject

Has Abstract

pub_date

2015-11-06 00:00:00

pages

16104

issn

2045-2322

pii

srep16104

journal_volume

5

pub_type

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