1. Academic Validation
  2. The small-molecule BGP-15 protects against heart failure and atrial fibrillation in mice

The small-molecule BGP-15 protects against heart failure and atrial fibrillation in mice

  • Nat Commun. 2014 Dec 9;5:5705. doi: 10.1038/ncomms6705.
Geeta Sapra 1 Yow Keat Tham 1 Nelly Cemerlang 1 Aya Matsumoto 1 Helen Kiriazis 1 Bianca C Bernardo 1 Darren C Henstridge 1 Jenny Y Y Ooi 1 Lynette Pretorius 2 Esther J H Boey 1 Lydia Lim 1 Junichi Sadoshima 3 Peter J Meikle 1 Natalie A Mellet 1 Elizabeth A Woodcock 1 Silvana Marasco 4 Tomomi Ueyama 5 Xiao-Jun Du 1 Mark A Febbraio 2 Julie R McMullen 2
Affiliations

Affiliations

  • 1 Baker IDI Heart and Diabetes Institute, PO Box 6492, Melbourne, Victoria 3004, Australia.
  • 2 1] Baker IDI Heart and Diabetes Institute, PO Box 6492, Melbourne, Victoria 3004, Australia [2] Monash University, Melbourne, Victoria 3800, Australia.
  • 3 Department of Cell Biology and Molecular Medicine, Rutgers New Jersey Medical School, The State University of New Jersey, Newark, New Jersey 07103, USA.
  • 4 Heart Centre, Alfred Hospital, Melbourne, Victoria 3004, Australia.
  • 5 Department of Cardiovascular Medicine, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto 602-8566, Japan.
Abstract

Heart failure (HF) and atrial fibrillation (AF) share common risk factors, frequently coexist and are associated with high mortality. Treatment of HF with AF represents a major unmet need. Here we show that a small molecule, BGP-15, improves cardiac function and reduces arrhythmic episodes in two independent mouse models, which progressively develop HF and AF. In these models, BGP-15 treatment is associated with increased phosphorylation of the insulin-like growth factor 1 receptor (IGF1R), which is depressed in atrial tissue samples from patients with AF. Cardiac-specific IGF1R transgenic overexpression in mice with HF and AF recapitulates the protection observed with BGP-15. We further demonstrate that BGP-15 and IGF1R can provide protection independent of phosphoinositide 3-kinase-Akt and heat-shock protein 70; signalling mediators often defective in the aged and diseased heart. As BGP-15 is safe and well tolerated in humans, this study uncovers a potential therapeutic approach for HF and AF.

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