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Heart and Stroke Richard Lewar Center of Excellence (R.G., X.Y., M.G.K., A.M.S., I.N.M., T.G.P., M.H.), University of Toronto; Division of Cellular and Molecular Biology (R.G., X.Y., M.G.K., A.M.S., I.N.M., T.G.P., M.H.), Toronto General Hospital Research Institute; and Department of Medicine, Banting and Best Diabetes Centre (L.L.B., Q.H., D.J.D.), Toronto General Hospital, University of Toronto, Toronto, Canada M5G 2C4
Address all correspondence and requests for reprints to: Mansoor Husain, M.D., Toronto General Hospital, 200 Elizabeth Street, EN12-221, Toronto, Ontario, Canada M5G 2C4. E-mail: mansoor.husain{at}utoronto.ca.
Glucagon-like peptide-1 (GLP-1) acts via its G protein-coupled receptor (GLP-1R) to regulate blood glucose. Although the GLP-1R is widely expressed in peripheral tissues, including the heart, and exogenous GLP-1 administration increases heart rate and blood pressure in rodents, the physiological importance of GLP-1R action in the cardiovascular system remains unclear. We now show that 2-month-old mice with genetic deletion of the GLP-1R (GLP-1R-/-) exhibit reduced resting heart rate and elevated left ventricular (LV) end diastolic pressure compared with CD-1 wild-type controls. At the age of 5 months, echocardiography and histology demonstrate increased LV thickness in GLP-1R-/- mice. Although baseline hemodynamic parameters of GLP-1R-/- did not differ significantly from those of wild type, GLP-1R-/- mice displayed impaired LV contractility and diastolic function after insulin administration. The defective cardiovascular response to insulin was not attributable to a generalized defect in the stress response, because GLP-1R-/- mice responded appropriately to insulin with increased c-fos expression in the hypothalamus and increased circulating levels of glucagon and epinephrine. Furthermore, LV contractility after exogenous epinephrine infusion was also reduced in GLP-1R-/- mice. These findings provide new evidence implicating an essential role for GLP-1R in the control of murine cardiac structure and function in vivo.
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