Mammalian target of rapamycin (mTOR) and a
ribosomal protein S6 kinase (
p70S6K) mediate tissue
fibrosis and negatively regulate autophagy. This study aims to investigate whether
glucagon-like peptide-1 (GLP-1) analog
liraglutide protects the heart against aortic banding-induced cardiac
fibrosis and dysfunction through inhibiting mTOR/
p70S6K signaling and promoting autophagy activity. Male SD rats were randomly divided into four groups (n = 6/each group):
sham operated control; abdominal aortic constriction (AAC);
liraglutide treatment during AAC (0.3 mg/kg, injected subcutaneously twice daily);
rapamycin treatment during AAC (0.2 mg/kg/day, administered by gastric gavage). Relative to the animals with AAC on week 16,
liraglutide treatment significantly reduced heart/
body weight ratio, inhibited cardiomyocyte
hypertrophy, and augmented plasma
GLP-1 level and tissue
GLP-1 receptor expression. Phosphorylation of mTOR/
p70S6K, populations of myofibroblasts and synthesis of
collagen I/III in the myocardium were simultaneously inhibited. Furthermore, autophagy regulating
proteins: LC3-II/LC3-I ratio and
Beclin-1 were upregulated, and p62 was downregulated by
liraglutide. Compared with
liraglutide group, treatment with
rapamycin, a specific inhibitor of mTOR, compatibly augmented
GLP-1 receptor level, inhibited phosphorylation of mTOR/
p70S6K and expression of p62 as well as increased level of LC3-II/LC3-I ratio and
Beclin-1, suggesting that there is an interaction between
GLP-1 and mTOR/
p70S6K signaling in the regulation of autophagy. In line with these modifications, treatment with
liraglutide and
rapamycin significantly reduced perivascular/interstitial
fibrosis, and preserved systolic/diastolic function. These results suggest that the inhibitory effects of
liraglutide on cardiac
fibrosis and dysfunction are potentially mediated by inhibiting mTOR/
p70S6K signaling and enhancing autophagy activity.