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Publication : Remuscularization with triiodothyronine and β<sub>1</sub>-blocker therapy reverses post-ischemic left ventricular dysfunction and adverse remodeling.

First Author  Bogush N Year  2022
Journal  Sci Rep Volume  12
Issue  1 Pages  8852
PubMed ID  35614155 Mgi Jnum  J:325142
Mgi Id  MGI:7283567 Doi  10.1038/s41598-022-12723-2
Citation  Bogush N, et al. (2022) Remuscularization with triiodothyronine and beta1-blocker therapy reverses post-ischemic left ventricular dysfunction and adverse remodeling. Sci Rep 12(1):8852
abstractText  Renewal of the myocardium by preexisting cardiomyocytes is a powerful strategy for restoring the architecture and function of hearts injured by myocardial infarction. To advance this strategy, we show that combining two clinically approved drugs, but neither alone, muscularizes the heart through cardiomyocyte proliferation. Specifically, in adult murine cardiomyocytes, metoprolol, a cardioselective beta1-adrenergic receptor blocker, when given with triiodothyronine (T3, a thyroid hormone) accentuates the ability of T3 to stimulate ERK1/2 phosphorylation and proliferative signaling by inhibiting expression of the nuclear phospho-ERK1/2-specific phosphatase, dual-specificity phosphatase-5. While short-duration metoprolol plus T3 therapy generates new heart muscle in healthy mice, in mice with myocardial infarction-induced left ventricular dysfunction and pathological remodeling, it remuscularizes the heart, restores contractile function and reverses chamber dilatation; outcomes that are enduring. If the beneficial effects of metoprolol plus T3 are replicated in humans, this therapeutic strategy has the potential to definitively address ischemic heart failure.
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