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-Melanocyte-Stimulating Hormone in Experimental Heart Transplantation1




* Division of Internal Medicine,
Division of Liver Transplantation, and
Scientific Direction, Fondazione Instituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Ospedale Maggiore Policlinico, Mangiagalli e Regina Elena, Milano, Italy; and
Zengen, Woodland Hills, CA 91367
Novel therapies are sought to increase efficiency and survival of transplanted organs. Previous research on experimental heart transplantation showed that treatment with the anti-inflammatory peptide
-melanocyte-stimulating hormone (
-MSH) prolongs allograft survival. The aim of the present research was to determine the molecular mechanism of this protective activity. Gene expression profile was examined in heart grafts removed on postoperative days 1 and 4 from rats treated with saline or the synthetic
-MSH analog Nle4DPhe7 (NDP)-
-MSH. On postoperative day 1, the peptide induced expression of cytoskeleton proteins, intracellular kinases, transcription regulators, metallopeptidases, and protease inhibitors. Conversely, NDP-
-MSH repressed immune, inflammatory, cell cycle, and protein turnover mediators. Later effects of
-MSH treatment included down-regulation of oxidative stress response and up-regulation of ion channels, calcium regulation proteins, phosphatidylinositol signaling system, and glycolipidic metabolism. NDP-
-MSH exerted its effects on both Ag-dependent and -independent injury. The results indicate that NDP-
-MSH preserves heart function through a broad effect on multiple pathways and suggest that the peptide could improve the outcome of organ transplantation in combination with immunosuppressive treatments.
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