ongestive heart failure is a major and growing public health problem with a high mortality rate. 1 Myocardial hypertrophy is an adaptive response to mechanical and humoral stimuli to normalize wall stress and maintain cardiac performance. 2 However, if the stimulus for cardiac hypertrophy is sufficiently intense and prolonged, decompensated hypertrophy ensues and ultimately leads to congestive heart failure. Although previous studies have demonstrated that a variety of factors, including hemodynamic overload (mechanical stress), genetic factors and neurohumoral factors, account for the transition from compensated hypertrophy to decompensated failure, the precise mechanisms of this pathological process are not fully understood. 3 Mechanical stress on cardiomyocytes induces hypertrophic responses, including the activation of protein kinases, re-capitulation of fetal gene expression and protein synthesis. 4 There is also a growing body of evidence that humoral factors induce cardiomyocyte hypertrophy 3 and these include (1) cytokines such as interleukin-6, 5 cardiotrophin 1, 6 and leukemia inhibitory factor, 7 (2) growth factors such as insulin-like growth factor-1 (IGF-1) 8 and fibroblast growth factor, 9 and (3) vasoactive agents such as Japanese Circulation Journal Vol.65, September 2001 1-adrenergic agonist, 10 endothelin-1, 11 and angiotensin II. 12 Of these, IGF-1 has a potent hypertrophic effect on cultured neonatal rat cardiomyocytes by activating a Ras/Raf-1/ extracellular signal-regulated kinase (ERK) pathway. 13 However, there is little information regarding the role of IGF-1 in adult cardiomyocyte hypertrophy.Recently, the Ca 2+ -dependent phosphatase, calcineurin, has attracted attention as a new signaling molecule for cardiomyocyte hypertrophy through its activation of the nuclear factor of activated T cells (NFAT)-3. [14][15][16][17][18][19] Molkentin et al 14 have demonstrated that cardiac-specific overexpression of calcineurin and NFAT-3 in transgenic mice resulted in marked cardiac hypertrophy in vivo, but the implication of calcineurin is still controversial in conventional animal models of cardiac hypertrophy produced by pressure-overload and is as yet unknown in human hearts. 15,16 It has recently been reported that IGF-1 increases the intracellular Ca 2+ level, possibly via a protein kinase C (PKC) related mechanism, 20 so IGF-1 may activate calcineurin in cardiomyocytes. Thus the present study was designed to test the hypothesis that IGF-1 promotes hypertrophy of the adult cardiomyocyte by a calcineurin-mediated pathway.
Methods
Isolation and Culture of Adult Rat Ventricular Myocytes (ARVM)We anesthetized 14-16-week-old adult male SpragueDawley rats with sodium pentobarbital (60 mg/kg ip), and the hearts were excised and placed in Ca The present study examined the role of calcineurin in insulin-like growth factor (IGF)-1-induced hypertrophy in primary cultures of adult rat ventricular myocytes (ARVM), prepared from the ventricles of 14-16-week-old male Sprague-Dawley rats. The effects of seve...