Skip to main content
Top
Published in: Diabetologia 8/2011

01-08-2011 | Article

Altered gap junctional communication and renal haemodynamics in Zucker fatty rat model of type 2 diabetes

Authors: T. Takenaka, T. Inoue, H. Okada, Y. Ohno, T. Miyazaki, D. J. Chaston, C. E. Hill, H. Suzuki

Published in: Diabetologia | Issue 8/2011

Login to get access

Abstract

Aims/hypothesis

We examined the link between altered gap junctional communication and renal haemodynamic abnormalities in diabetes in studies performed on Zucker lean (ZL) and the Zucker diabetic fatty (ZDF) rat model of type 2 diabetes.

Methods

The abundance of connexin (Cx) 37, 40 and 43 was assessed by western blot and immunohistochemistry. Renal haemodynamics was characterised with GAP peptides, which are Cx mimetics, to inhibit gap junctions as a probe in both strains.

Results

ZDF rats exhibited higher plasma glucose, 8-epi-prostaglandin F2α excretion, renal plasma flow and GFR than ZL rats. In ZDF rat kidney phosphorylation of Cx43 was enhanced compared with that in ZL rats. Immunohistochemical study revealed that the density of abundance of Cx37 in renin-secreting cells was significantly reduced in ZDF rats. Although renal autoregulation was markedly impaired in ZDF rats, it was preserved in ZL rats. GAP27 for Cx37,43 and for Cx40 impaired renal autoregulation in ZL rats, but failed to induce further alterations in renal autoregulation in ZDF rats.

Conclusions/interpretation

Our findings indicate that ZDF rats have glomerular hyperfiltration with impaired autoregulation. They also demonstrate enhanced phosphorylation of Cxs and reduced production of Cxs in ZDF rat kidney, especially of Cx37 in renin-secreting cells. Finally, our data suggest that an impairment of gap junctional communication in juxtaglomerular apparatus plays a role in altered renal autoregulation in diabetes.
Appendix
Available only for authorised users
Literature
1.
go back to reference Severs NJ, Bruce AF, Dupont E, Rothery S (2008) Remodelling of gap junctions and connexin expression in diseased myocardium. Cardiovasc Res 1(80):9–19CrossRef Severs NJ, Bruce AF, Dupont E, Rothery S (2008) Remodelling of gap junctions and connexin expression in diseased myocardium. Cardiovasc Res 1(80):9–19CrossRef
2.
go back to reference Rummery NM, Hill CE (2004) Vascular gap junctions and implications for hypertension. Clin Exp Pharmacol Physiol 31:659–667PubMedCrossRef Rummery NM, Hill CE (2004) Vascular gap junctions and implications for hypertension. Clin Exp Pharmacol Physiol 31:659–667PubMedCrossRef
3.
go back to reference Haddock RE, Grayson TH, Brackenbury TD et al (2006) Endothelial coordination of cerebral vasomotion via myoendothelial gap junctions containing connexins 37 and 40. Am J Physiol 291:H2047–H2056 Haddock RE, Grayson TH, Brackenbury TD et al (2006) Endothelial coordination of cerebral vasomotion via myoendothelial gap junctions containing connexins 37 and 40. Am J Physiol 291:H2047–H2056
4.
go back to reference Taugner R, Kirchheim H, Forssmann WG (1984) Myoendothelial contacts in glomerular arterioles and in renal interlobular arteries of rat, mouse and Tupaia belangeri. Cell Tissue Res 235:319–325PubMedCrossRef Taugner R, Kirchheim H, Forssmann WG (1984) Myoendothelial contacts in glomerular arterioles and in renal interlobular arteries of rat, mouse and Tupaia belangeri. Cell Tissue Res 235:319–325PubMedCrossRef
5.
go back to reference Takenaka T, Okada H, Kanno Y et al (2006) Exogenous 5′-nucleotidase improves glomerular autoregulation in Thy-1 nephritic rats. Am J Physiol 290:F844–F853 Takenaka T, Okada H, Kanno Y et al (2006) Exogenous 5′-nucleotidase improves glomerular autoregulation in Thy-1 nephritic rats. Am J Physiol 290:F844–F853
6.
go back to reference Moore LC, Iijima K, Rich A, Casellas D, Goligorsky MS (1991) Communication of the tubuloglomerular feedback signal in the JGA. Kidney Int 32(Suppl):S45–S50 Moore LC, Iijima K, Rich A, Casellas D, Goligorsky MS (1991) Communication of the tubuloglomerular feedback signal in the JGA. Kidney Int 32(Suppl):S45–S50
7.
go back to reference Takenaka T, Hayashi K, Ikenaga H (2004) Blood pressure regulation and renal microcirculation. Contrib Nephrol 143:46–64PubMedCrossRef Takenaka T, Hayashi K, Ikenaga H (2004) Blood pressure regulation and renal microcirculation. Contrib Nephrol 143:46–64PubMedCrossRef
8.
go back to reference Kurtz L, Schweda F, de Wit C et al (2007) Lack of connexin 40 causes displacement of renin-producing cells from afferent arterioles to the extraglomerular mesangium. J Am Soc Nephrol 18:1103–1111PubMedCrossRef Kurtz L, Schweda F, de Wit C et al (2007) Lack of connexin 40 causes displacement of renin-producing cells from afferent arterioles to the extraglomerular mesangium. J Am Soc Nephrol 18:1103–1111PubMedCrossRef
9.
go back to reference Wagner C, Kurtz L, Schweda F, Simon AM, Kurtz A (2009) Connexin 37 is dispensable for the control of the renin system and for positioning of renin-producing cells in the kidney. Pflugers Arch 459:151–158PubMedCrossRef Wagner C, Kurtz L, Schweda F, Simon AM, Kurtz A (2009) Connexin 37 is dispensable for the control of the renin system and for positioning of renin-producing cells in the kidney. Pflugers Arch 459:151–158PubMedCrossRef
10.
go back to reference Wagner C, de Wit C, Kurtz L, Grunberger C, Kurtz A, Schweda F (2007) Connexin40 is essential for the pressure control of renin synthesis and secretion. Circ Res 100:556–563PubMedCrossRef Wagner C, de Wit C, Kurtz L, Grunberger C, Kurtz A, Schweda F (2007) Connexin40 is essential for the pressure control of renin synthesis and secretion. Circ Res 100:556–563PubMedCrossRef
11.
go back to reference Takenaka T, Inoue T, Kanno Y et al (2008) Expression and role of connexins in the rat renal vasculature. Kidney Int 73:415–422PubMedCrossRef Takenaka T, Inoue T, Kanno Y et al (2008) Expression and role of connexins in the rat renal vasculature. Kidney Int 73:415–422PubMedCrossRef
12.
go back to reference Takenaka T, Inoue T, Kanno Y, Okada H, Hill CE, Suzuki H (2008) Connexins 37 and 40 transduce purinergic signals mediating renal autoregulation. Am J Physiol 294:R1–R11CrossRef Takenaka T, Inoue T, Kanno Y, Okada H, Hill CE, Suzuki H (2008) Connexins 37 and 40 transduce purinergic signals mediating renal autoregulation. Am J Physiol 294:R1–R11CrossRef
13.
go back to reference Saez JC, Berthoud VM, Branes MC, Martinez AD, Beyer EC (2003) Plasma membrane channels formed by connexins: their regulation and functions. Physiol Rev 83:1359–1400PubMed Saez JC, Berthoud VM, Branes MC, Martinez AD, Beyer EC (2003) Plasma membrane channels formed by connexins: their regulation and functions. Physiol Rev 83:1359–1400PubMed
14.
go back to reference Hanner F, Sorensen CM, Holstein-Rathlou NH, Peti-Peterdi J (2010) Connexins and the kidney. Am J Physiol Regul Integr Comp Physiol 298:R1143–R1155PubMedCrossRef Hanner F, Sorensen CM, Holstein-Rathlou NH, Peti-Peterdi J (2010) Connexins and the kidney. Am J Physiol Regul Integr Comp Physiol 298:R1143–R1155PubMedCrossRef
15.
go back to reference Solan JL, Lampe PD (2009) Connexin43 phosphorylation: structural changes and biological effects. Biochem J 419:261–272PubMedCrossRef Solan JL, Lampe PD (2009) Connexin43 phosphorylation: structural changes and biological effects. Biochem J 419:261–272PubMedCrossRef
16.
go back to reference Sato T, Haimovici R, Kao R, Li AF, Roy S (2002) Downregulation of connexin 43 expression by high glucose reduces gap junction activity in microvascular endothelial cells. Diabetes 51:1565–1571PubMedCrossRef Sato T, Haimovici R, Kao R, Li AF, Roy S (2002) Downregulation of connexin 43 expression by high glucose reduces gap junction activity in microvascular endothelial cells. Diabetes 51:1565–1571PubMedCrossRef
17.
go back to reference Kuroki T, Inoguchi T, Umeda F, Ueda F, Nawata H (1998) High glucose induces alteration of gap junction permeability and phosphorylation of connexin-43 in cultured aortic smooth muscle cells. Diabetes 47:931–936PubMedCrossRef Kuroki T, Inoguchi T, Umeda F, Ueda F, Nawata H (1998) High glucose induces alteration of gap junction permeability and phosphorylation of connexin-43 in cultured aortic smooth muscle cells. Diabetes 47:931–936PubMedCrossRef
18.
go back to reference Forster HG, ter Wee PM, Takenaka T, Hohman TC, Epstein M (1994) Impairment of afferent arteriolar myogenic responsiveness in the galactose-fed rat. Proc Soc Exp Biol Med 206:365–374PubMed Forster HG, ter Wee PM, Takenaka T, Hohman TC, Epstein M (1994) Impairment of afferent arteriolar myogenic responsiveness in the galactose-fed rat. Proc Soc Exp Biol Med 206:365–374PubMed
19.
go back to reference Thomson SC, Deng A, Bao D, Satriano J, Blantz RC, Vallon V (2001) Ornithine decarboxylase, kidney size, and the tubular hypothesis of glomerular hyperfiltration in experimental diabetes. J Clin Invest 107:217–224PubMedCrossRef Thomson SC, Deng A, Bao D, Satriano J, Blantz RC, Vallon V (2001) Ornithine decarboxylase, kidney size, and the tubular hypothesis of glomerular hyperfiltration in experimental diabetes. J Clin Invest 107:217–224PubMedCrossRef
20.
21.
go back to reference Griffith TM, Chaytor AT, Edwards DH (2004) The obligatory link: role of gap junctional communication in endothelium-dependent smooth muscle hyperpolarization. Pharmacol Res 49:551–564PubMedCrossRef Griffith TM, Chaytor AT, Edwards DH (2004) The obligatory link: role of gap junctional communication in endothelium-dependent smooth muscle hyperpolarization. Pharmacol Res 49:551–564PubMedCrossRef
22.
go back to reference Matchkov VV, Rahman A, Bakker LM, Griffith TM, Nilsson H, Aalkjaer C (2006) Analysis of effects of connexin-mimetic peptides in rat mesenteric small arteries. Am J Physiol 291:H357–H367CrossRef Matchkov VV, Rahman A, Bakker LM, Griffith TM, Nilsson H, Aalkjaer C (2006) Analysis of effects of connexin-mimetic peptides in rat mesenteric small arteries. Am J Physiol 291:H357–H367CrossRef
23.
go back to reference Sandow SL, Looft-Wilson R, Doran B, Grayson TH, Segal SS, Hill CE (2003) Expression of homocellular and heterocellular gap junctions in hamster arterioles and feed arteries. Cardiovasc Res 60:643–653PubMedCrossRef Sandow SL, Looft-Wilson R, Doran B, Grayson TH, Segal SS, Hill CE (2003) Expression of homocellular and heterocellular gap junctions in hamster arterioles and feed arteries. Cardiovasc Res 60:643–653PubMedCrossRef
24.
go back to reference Verma V, Due Larsen B, Coombs W et al (2010) Design and characterization of the first peptidomimetic molecule that prevents acidification-induced closure of cardiac gap junctions. Heart Rhythm 7:1491–1498PubMedCrossRef Verma V, Due Larsen B, Coombs W et al (2010) Design and characterization of the first peptidomimetic molecule that prevents acidification-induced closure of cardiac gap junctions. Heart Rhythm 7:1491–1498PubMedCrossRef
25.
go back to reference Rummery NM, Grayson TH, Hill CE (2005) Angiotensin-converting enzyme inhibition restores endothelial but not medial connexin expression in hypertensive rats. J Hypertens 23:317–328PubMedCrossRef Rummery NM, Grayson TH, Hill CE (2005) Angiotensin-converting enzyme inhibition restores endothelial but not medial connexin expression in hypertensive rats. J Hypertens 23:317–328PubMedCrossRef
26.
go back to reference Rummery NM, Hickey H, McGurk G, Hill CE (2002) Connexin37 is the major connexin expressed in the media of caudal artery. Arterioscler Thromb Vasc Biol 22:1427–1432PubMedCrossRef Rummery NM, Hickey H, McGurk G, Hill CE (2002) Connexin37 is the major connexin expressed in the media of caudal artery. Arterioscler Thromb Vasc Biol 22:1427–1432PubMedCrossRef
27.
go back to reference Inoue T, Okada H, Kobayashi T et al (2003) Hepatocyte growth factor counteracts transforming growth factor-beta1, through attenuation of connective tissue growth factor induction, and prevents renal fibrogenesis in 5/6 nephrectomized mice. FASEB J 17:268–270PubMed Inoue T, Okada H, Kobayashi T et al (2003) Hepatocyte growth factor counteracts transforming growth factor-beta1, through attenuation of connective tissue growth factor induction, and prevents renal fibrogenesis in 5/6 nephrectomized mice. FASEB J 17:268–270PubMed
28.
go back to reference Ichiki A, Miyazaki T, Nodera M, Suzuki H, Yanagisawa H (2008) Ascorbate inhibits apoptosis of Kupffer cells during warm ischemia/reperfusion injury. Hepatogastroenterology 55:338–344PubMed Ichiki A, Miyazaki T, Nodera M, Suzuki H, Yanagisawa H (2008) Ascorbate inhibits apoptosis of Kupffer cells during warm ischemia/reperfusion injury. Hepatogastroenterology 55:338–344PubMed
29.
go back to reference Takenaka T, Mitchell KD, Navar LG (1993) Contribution of angiotensin II to renal hemodynamic and excretory responses to nitric oxide synthesis inhibition in the rat. J Am Soc Nephrol 4:1046–1053PubMed Takenaka T, Mitchell KD, Navar LG (1993) Contribution of angiotensin II to renal hemodynamic and excretory responses to nitric oxide synthesis inhibition in the rat. J Am Soc Nephrol 4:1046–1053PubMed
30.
go back to reference Takenaka T, Suzuki H, Ikenaga H et al (1994) Effects of a calcium channel blocker, nicardipine, on pressure-natriuresis in Dahl salt-sensitive rats. Clin Exp Hypertens 16:77–88PubMedCrossRef Takenaka T, Suzuki H, Ikenaga H et al (1994) Effects of a calcium channel blocker, nicardipine, on pressure-natriuresis in Dahl salt-sensitive rats. Clin Exp Hypertens 16:77–88PubMedCrossRef
31.
go back to reference de Vriese AS, van de Voorde J, Lameire NH (2002) Effects of connexin-mimetic peptides on nitric oxide synthase- and cyclooxygenase-independent renal vasodilation. Kidney Int 61:177–185PubMedCrossRef de Vriese AS, van de Voorde J, Lameire NH (2002) Effects of connexin-mimetic peptides on nitric oxide synthase- and cyclooxygenase-independent renal vasodilation. Kidney Int 61:177–185PubMedCrossRef
32.
go back to reference Marsh SA, Powell PC, Agarwal A, Dell’Italia LJ, Chatham JC (2007) Cardiovascular dysfunction in Zucker obese and Zucker diabetic fatty rats: role of hydronephrosis. Am J Physiol 293:H292–H298 Marsh SA, Powell PC, Agarwal A, Dell’Italia LJ, Chatham JC (2007) Cardiovascular dysfunction in Zucker obese and Zucker diabetic fatty rats: role of hydronephrosis. Am J Physiol 293:H292–H298
33.
go back to reference Forbes JM, Soulis T, Thallas V et al (2001) Renoprotective effects of a novel inhibitor of advanced glycation. Diabetologia 44:108–114PubMedCrossRef Forbes JM, Soulis T, Thallas V et al (2001) Renoprotective effects of a novel inhibitor of advanced glycation. Diabetologia 44:108–114PubMedCrossRef
34.
go back to reference Navar LG, Inscho EW, Majid SA, Imig JD, Harrison-Bernard LM, Mitchell KD (1996) Paracrine regulation of the renal microcirculation. Physiol Rev 76:425–536PubMed Navar LG, Inscho EW, Majid SA, Imig JD, Harrison-Bernard LM, Mitchell KD (1996) Paracrine regulation of the renal microcirculation. Physiol Rev 76:425–536PubMed
35.
go back to reference Griffin KA, Abu-Naser M, Abu-Amarah I, Picken M, Williamson GA, Bidani AK (2007) Dynamic blood pressure load and nephropathy in the ZSF1 (fa/fa cp) model of type 2 diabetes. Am J Physiol 293:F1605–F1613CrossRef Griffin KA, Abu-Naser M, Abu-Amarah I, Picken M, Williamson GA, Bidani AK (2007) Dynamic blood pressure load and nephropathy in the ZSF1 (fa/fa cp) model of type 2 diabetes. Am J Physiol 293:F1605–F1613CrossRef
36.
go back to reference Brännström K, Morsing P, Arendshorst WJ (1999) Candesartan normalizes exaggerated tubuloglomerular feedback activity in young spontaneously hypertensive rats. J Am Soc Nephrol 10(Suppl 11):S213–S219PubMed Brännström K, Morsing P, Arendshorst WJ (1999) Candesartan normalizes exaggerated tubuloglomerular feedback activity in young spontaneously hypertensive rats. J Am Soc Nephrol 10(Suppl 11):S213–S219PubMed
37.
38.
go back to reference Satriano J, Mansoury H, Deng A et al (2010) Transition of kidney tubule cells to a senescent phenotype in early experimental diabetes. Am J Physiol Cell Physiol 299:C374–C380PubMedCrossRef Satriano J, Mansoury H, Deng A et al (2010) Transition of kidney tubule cells to a senescent phenotype in early experimental diabetes. Am J Physiol Cell Physiol 299:C374–C380PubMedCrossRef
39.
go back to reference Sawai K, Mukoyama M, Mori K et al (2006) Redistribution of connexin43 expression in glomerular podocytes predicts poor renal prognosis in patients with type 2 diabetes and overt nephropathy. Nephrol Dial Transplant 21:2472–2477PubMedCrossRef Sawai K, Mukoyama M, Mori K et al (2006) Redistribution of connexin43 expression in glomerular podocytes predicts poor renal prognosis in patients with type 2 diabetes and overt nephropathy. Nephrol Dial Transplant 21:2472–2477PubMedCrossRef
40.
go back to reference Craven PA, DeRubertis FR (1989) Protein kinase C is activated in glomeruli from streptozotocin diabetic rats. Possible mediation by glucose. J Clin Invest 83:1667–1675PubMedCrossRef Craven PA, DeRubertis FR (1989) Protein kinase C is activated in glomeruli from streptozotocin diabetic rats. Possible mediation by glucose. J Clin Invest 83:1667–1675PubMedCrossRef
41.
go back to reference Cooper ME (2001) Interaction of metabolic and haemodynamic factors in mediating experimental diabetic nephropathy. Diabetologia 44:1957–1972PubMedCrossRef Cooper ME (2001) Interaction of metabolic and haemodynamic factors in mediating experimental diabetic nephropathy. Diabetologia 44:1957–1972PubMedCrossRef
42.
go back to reference Suzaki Y, Yoshizumi M, Kagami S et al (2004) BMK1 is activated in glomeruli of diabetic rats and in mesangial cells by high glucose conditions. Kidney Int 65:1749–1760PubMedCrossRef Suzaki Y, Yoshizumi M, Kagami S et al (2004) BMK1 is activated in glomeruli of diabetic rats and in mesangial cells by high glucose conditions. Kidney Int 65:1749–1760PubMedCrossRef
43.
go back to reference Young EJ, Hill MA, Wiehler WB, Triggle CR, Reid JJ (2008) Reduced EDHF responses and connexin activity in mesenteric arteries from the insulin-resistant obese Zucker rat. Diabetologia 51:872–881PubMedCrossRef Young EJ, Hill MA, Wiehler WB, Triggle CR, Reid JJ (2008) Reduced EDHF responses and connexin activity in mesenteric arteries from the insulin-resistant obese Zucker rat. Diabetologia 51:872–881PubMedCrossRef
44.
go back to reference Earley S, Resta TC, Walker BR (2004) Disruption of smooth muscle gap junctions attenuates myogenic vasoconstriction of mesenteric resistance arteries. Am J Physiol 287:H2677–H2686 Earley S, Resta TC, Walker BR (2004) Disruption of smooth muscle gap junctions attenuates myogenic vasoconstriction of mesenteric resistance arteries. Am J Physiol 287:H2677–H2686
45.
go back to reference Takenaka T, Harrison-Bernard L, Inscho EW, Carmines PK, Navar LG (1996) Autoregulation of afferent arteriolar blood flow in juxtamedullary nephrons. Am J Physiol 267:F879–F887 Takenaka T, Harrison-Bernard L, Inscho EW, Carmines PK, Navar LG (1996) Autoregulation of afferent arteriolar blood flow in juxtamedullary nephrons. Am J Physiol 267:F879–F887
46.
go back to reference Takenaka T, Suzuki H, Fujiwara K et al (1997) Cellular mechanisms mediating rat renal microvascular constriction by angiotensin II. J Clin Invest 100:2107–2114PubMedCrossRef Takenaka T, Suzuki H, Fujiwara K et al (1997) Cellular mechanisms mediating rat renal microvascular constriction by angiotensin II. J Clin Invest 100:2107–2114PubMedCrossRef
47.
go back to reference Kim SM, Mizel D, Huang YG, Briggs JP, Schnermann J (2006) Adenosine as a mediator of macula densa-dependent inhibition of renin secretion. Am J Physiol Ren Physiol 290:F1016–F1023CrossRef Kim SM, Mizel D, Huang YG, Briggs JP, Schnermann J (2006) Adenosine as a mediator of macula densa-dependent inhibition of renin secretion. Am J Physiol Ren Physiol 290:F1016–F1023CrossRef
48.
go back to reference Marshall SM (2004) Recent advances in diabetic nephropathy. Clin Med 4:277–282PubMed Marshall SM (2004) Recent advances in diabetic nephropathy. Clin Med 4:277–282PubMed
49.
go back to reference Just A, Kurtz L, de Wit C, Wagner C, Kurtz A, Arendshorst WJ (2009) Connexin 40 mediates the tubuloglomerular feedback contribution to renal blood flow autoregulation. J Am Soc Nephrol 20:1577–1585PubMedCrossRef Just A, Kurtz L, de Wit C, Wagner C, Kurtz A, Arendshorst WJ (2009) Connexin 40 mediates the tubuloglomerular feedback contribution to renal blood flow autoregulation. J Am Soc Nephrol 20:1577–1585PubMedCrossRef
50.
go back to reference Zhang J, Hill CE (2005) Differential connexin expression in preglomerular and postglomerular vasculature: accentuation during diabetes. Kidney Int 68:1171–1185PubMedCrossRef Zhang J, Hill CE (2005) Differential connexin expression in preglomerular and postglomerular vasculature: accentuation during diabetes. Kidney Int 68:1171–1185PubMedCrossRef
Metadata
Title
Altered gap junctional communication and renal haemodynamics in Zucker fatty rat model of type 2 diabetes
Authors
T. Takenaka
T. Inoue
H. Okada
Y. Ohno
T. Miyazaki
D. J. Chaston
C. E. Hill
H. Suzuki
Publication date
01-08-2011
Publisher
Springer-Verlag
Published in
Diabetologia / Issue 8/2011
Print ISSN: 0012-186X
Electronic ISSN: 1432-0428
DOI
https://doi.org/10.1007/s00125-011-2175-8

Other articles of this Issue 8/2011

Diabetologia 8/2011 Go to the issue
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.