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Received for publication July 18, 2005.
Revised November 23, 2005.
Accepted for publication November 30, 2005.
Adrenomedullin (AM) and intermedin (IMD, adrenomedulln-2) are vasodilator peptides related to calcitonin-gene related peptide (CGRP). The actions of these peptides are mediated by the calcitonin receptor-like receptor (CLR) in association with one of three receptor activity modifying proteins. CGRP is selective for CLR/RAMP1, AM for CLR/RAMP2 and 3, and IMD acts at both CGRP and AM receptors. In a model of pressure overload induced by inhibition of nitric oxide synthase (NOS), up-regulation of AM was observed previously in cardiomyocytes demonstrating a hypertrophic phenotype. The current objective was to examine the effects of blood pressure reduction on cardiomyocyte expression of AM and IMD and their receptor components. L-NAME (35mg/kg/day) was administered to rats for 8 weeks, with or without concurrent administration of hydralazine (50mg/kg/day) and hydrochlorothiazide (7.5mg/kg/day). In left ventricular cardiomyocytes from L-NAME treated rats, increases (-fold) in mRNA expression were 1.6 (preproAM), 8.4 (preproIMD), 3.4 (CLR), 4.1 (RAMP1), 2.8 (RAMP2) and 4.4 (RAMP3). Hydralazine / hydrochlorothiazide normalised systolic BP and abolished mRNA up-regulation of hypertrophic markers, sk-
-actin and BNP and of preproAM, CLR, RAMP2 and RAMP3 but did not normalise cardiomyocyte width nor preproIMD or RAMP1 mRNA expression. The robust increase in IMD expression indicates an important role for this peptide in the cardiac pathology of this model but, unlike AM, IMD is not associated with pressure overload upon the myocardium. The concordance of IMD and RAMP1 up-regulation indicates a CGRP-type receptor action; considering also a lack of response to BP reduction, IMD may, like CGRP, have an anti-ischemic function.
Key words:
adrenomedullin, cardiomyocyte, hypertrophy, intermedin, nitric oxide, receptor
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