Key result
Caloric restriction improves postinfarct LV systolic function through an AMPK-dependent mechanism.
Why the study?
Caloric restriction provides cardioprotection in senescent and acutely ischemic myocardium, but the role of AMPK in mediating its effects in failing postinfarct myocardium was unknown.
Does caloric restriction improve left ventricular function in postinfarct myocardium, and is AMPK activation indispensable for this effect?
Does caloric restriction improve left ventricular function in postinfarct myocardium, and is AMPK activation indispensable for this effect?
p-value: p=<0.05
Caloric restriction preserves left ventricular systolic function in the failing post-ischemic heart, driven by an indispensable activation of AMPK.
Caloric restriction may enhance postinfarct LV function via AMPK in rodents; leaves open translation to human HF therapy.
BACKGROUND: Caloric restriction (CR) extends lifespan in many species, including mammals. CR is cardioprotective in senescent myocardium by correcting pre-existing mitochondrial dysfunction and apoptotic activation. Furthermore, it confers cardioprotection against acute ischemia-reperfusion injury. Here, we investigated the role of AMP-activated protein kinase (AMPK) in mediating the cardioprotective CR effects in failing, postinfarct myocardium. METHODS: Ligation of the left coronary artery or sham operation was performed in rats and mice. Four weeks after surgery, left ventricular (LV) function was analyzed by echocardiography, and animals were assigned to different feeding groups (control diet or 40% CR, 8 weeks) as matched pairs. The role of AMPK was investigated with an AMPK inhibitor in rats or the use of alpha 2 AMPK knock-out mice. RESULTS: CR resulted in a significant improvement in LV function, compared to postinfarct animals receiving control diet in both species. The improvement in LV function was accompanied by a reduction in serum BNP, decrease in LV proapoptotic activation, and increase in mitochondrial biogenesis in the LV. Inhibition or loss of AMPK prevented most of these changes. CONCLUSIONS: The failing, postischemic heart is protected from progressive loss of LV systolic function by CR. AMPK activation is indispensable for these protective effects.
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Niemann et al. (2022) studied Postinfarct heart failure. Caloric restriction vs. Control diet was evaluated on Left ventricular function (fractional shortening) (p=<0.05). Caloric restriction significantly improved left ventricular systolic function and reduced serum BNP in postinfarct models, an effect that was completely prevented by AMPK inhibition or loss.
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