Key result
Euglycemic hyperinsulinemia lowers baseline LV developed pressure ~10% in mice while preserving beta-adrenergic inotropic response.
Why the study?
Hyperinsulinemia is a hallmark of type 2 diabetes and obesity, but its direct effects on myocardial function are incompletely understood.
Acute hyperinsulinemia may modestly impair basal LV contractility without blunting beta-adrenergic reserve in male mice; leaves open relevance to human insulin-resistant states.
Type 2 diabetes and obesity are associated with increased risk of cardiovascular disease, including heart failure. A hallmark of these dysmetabolic states is hyperinsulinemia and decreased cardiac reserve. However, the direct effects of hyperinsulinemia 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 β-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 β-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 β-adrenergic stimulation remained intact in animals subject to euglycemic hyperinsulinemic clamps. β-adrenergic activation of phospholamban phosphorylation was not impaired by hyperinsulinemia. These results suggest that short-term hyperinsulinemia does not impair cardiac inotropic response to β-adrenergic stimulation in vivo.
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Tadinada et al. (2022) studied Healthy. Insulin vs. Saline was evaluated on Left ventricular developed pressure at the end of euglycemic hyperinsulinemia (mmHg) (p=<0.05). Euglycemic hyperinsulinemia in male mice decreased baseline left ventricular developed pressure (79.4 vs 88.7 mmHg, p<0.05) but did not impair the inotropic response to beta-adrenergic stimulation.
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