Skip to main content
Top
Published in: International Urology and Nephrology 8/2023

10-06-2023 | Sufentanil | Urology - Original Paper

Sufentanil inhibits Pin1 to attenuate renal tubular epithelial cell ischemia–reperfusion injury by activating the PI3K/AKT/FOXO1 pathway

Authors: Chunhui Liu, Qingdong Wang, Li Niu

Published in: International Urology and Nephrology | Issue 8/2023

Login to get access

Abstract

Background

Renal ischemia–reperfusion injury (RIRI) has become a great concern in clinical practice with high morbidity and mortality rates. Sufentanil has protective effects on IRI-induced organ injury. Herein, the effects of sufentanil on RIRI were investigated.

Methods

RIRI cell model was established by hypoxia/reperfusion (H/R) stimulation. The mRNA and protein expressions were assessed using qRT-PCR and western blot. TMCK-1 cell viability and apoptosis were assessed using MTT assay and flow cytometry, respectively. The mitochondrial membrane potential and ROS level were detected by JC-1 mitochondrial membrane potential fluorescent probe and DCFH-DA fluorescent probe, respectively. LDH, SOD, CAT, GSH and MDA levels were determined by the kits. The interaction between FOXO1 and Pin1 promoter was analyzed using dual luciferase reporter gene and ChIP assays.

Results

Our results revealed that sufentanil treatment attenuated H/R-induced cell apoptosis, mitochondrial membrane potential (MMP) dysfunction, oxidative stress, inflammation and activated PI3K/AKT/FOXO1 associated proteins, while these effects were reversed by PI3K inhibitor, suggesting that sufentanil attenuated RIRI via activating the PI3K/AKT/FOXO1 signaling pathway. We subsequently found that FOXO1 transcriptionally activated Pin1 in TCMK-1 cells. Pin1 inhibition ameliorated H/R-induced TCMK-1 cell apoptosis, oxidative stress and inflammation. In addition, as expected, the biological effects of sufentanil on H/R-treated TMCK-1 cells were abrogated by Pin1 overexpression.

Conclusion

Sufentanil reduced Pin1 expression through activation of the PI3K/AKT/FOXO1 signaling to suppress cell apoptosis, oxidative stress and inflammation in renal tubular epithelial cells during RIRI development.
Appendix
Available only for authorised users
Literature
1.
2.
go back to reference Bonventre JV, Weinberg JM (2003) Recent advances in the pathophysiology of ischemic acute renal failure. J Am Soc Nephrol 14(8):2199–2210PubMedCrossRef Bonventre JV, Weinberg JM (2003) Recent advances in the pathophysiology of ischemic acute renal failure. J Am Soc Nephrol 14(8):2199–2210PubMedCrossRef
3.
go back to reference Devarajan P (2006) Update on mechanisms of ischemic acute kidney injury. J Am Soc Nephrol 17(6):1503–1520PubMedCrossRef Devarajan P (2006) Update on mechanisms of ischemic acute kidney injury. J Am Soc Nephrol 17(6):1503–1520PubMedCrossRef
4.
go back to reference Smith SF, Hosgood SA, Nicholson ML (2019) Ischemia-reperfusion injury in renal transplantation: 3 key signaling pathways in tubular epithelial cells. Kidney Int 95(1):50–56PubMedCrossRef Smith SF, Hosgood SA, Nicholson ML (2019) Ischemia-reperfusion injury in renal transplantation: 3 key signaling pathways in tubular epithelial cells. Kidney Int 95(1):50–56PubMedCrossRef
5.
go back to reference Dong Y, Yin J, Chen T, Wen J, Zhang Q, Li X et al (2021) Dl-3-n-butylphthalide pretreatment attenuates renal ischemia/reperfusion injury. Biochem Biophys Res Commun 557:166–173PubMedCrossRef Dong Y, Yin J, Chen T, Wen J, Zhang Q, Li X et al (2021) Dl-3-n-butylphthalide pretreatment attenuates renal ischemia/reperfusion injury. Biochem Biophys Res Commun 557:166–173PubMedCrossRef
6.
go back to reference Case J, Khan S, Khalid R, Khan A (2013) Epidemiology of acute kidney injury in the intensive care unit. Crit Care Res Prac 2013:479730 Case J, Khan S, Khalid R, Khan A (2013) Epidemiology of acute kidney injury in the intensive care unit. Crit Care Res Prac 2013:479730
7.
go back to reference Hosszu A, Fekete A, Szabo AJ (2020) Sex differences in renal ischemia-reperfusion injury. Am J Physiol Renal Physiol 319(2):F149–F154PubMedCrossRef Hosszu A, Fekete A, Szabo AJ (2020) Sex differences in renal ischemia-reperfusion injury. Am J Physiol Renal Physiol 319(2):F149–F154PubMedCrossRef
8.
go back to reference Zhang J, Han C, Dai H, Hou J, Dong Y, Cui X et al (2016) Hypoxia-Inducible factor-2α limits natural killer T cell cytotoxicity in renal ischemia/reperfusion injury. J Am Soc Nephrol 27(1):92–106PubMedCrossRef Zhang J, Han C, Dai H, Hou J, Dong Y, Cui X et al (2016) Hypoxia-Inducible factor-2α limits natural killer T cell cytotoxicity in renal ischemia/reperfusion injury. J Am Soc Nephrol 27(1):92–106PubMedCrossRef
9.
go back to reference Rabb H, Griffin MD, McKay DB, Swaminathan S, Pickkers P, Rosner MH et al (2016) Inflammation in AKI: current understanding, key questions, and knowledge gaps. J Am Soc Nephrol 27(2):371–379PubMedCrossRef Rabb H, Griffin MD, McKay DB, Swaminathan S, Pickkers P, Rosner MH et al (2016) Inflammation in AKI: current understanding, key questions, and knowledge gaps. J Am Soc Nephrol 27(2):371–379PubMedCrossRef
11.
go back to reference Lango R, Mroziński P (2010) Clinical importance of anaesthetic preconditioning. Anestezjol Intens Ter 42(4):206–212PubMed Lango R, Mroziński P (2010) Clinical importance of anaesthetic preconditioning. Anestezjol Intens Ter 42(4):206–212PubMed
12.
go back to reference Swyers T, Redford D, Larson DF (2014) Volatile anesthetic-induced preconditioning. Perfusion 29(1):10–15PubMedCrossRef Swyers T, Redford D, Larson DF (2014) Volatile anesthetic-induced preconditioning. Perfusion 29(1):10–15PubMedCrossRef
13.
go back to reference Zhao L, Li Y (2020) Application of dexmedetomidine combined with sufentanil in colon cancer resection and its effect on immune and coagulation function of patients. Oncol Lett 20(2):1288–1294PubMedPubMedCentralCrossRef Zhao L, Li Y (2020) Application of dexmedetomidine combined with sufentanil in colon cancer resection and its effect on immune and coagulation function of patients. Oncol Lett 20(2):1288–1294PubMedPubMedCentralCrossRef
14.
go back to reference Zhou H, Zhu ZH, Liu Y, Liu YY (2020) Effects of midazolam combined with sufentanil on injury and expression of HMGB1 and NF-κB in rats with pancreatitis. Eur Rev Med Pharmacol Sci 24(4):2102–2109PubMed Zhou H, Zhu ZH, Liu Y, Liu YY (2020) Effects of midazolam combined with sufentanil on injury and expression of HMGB1 and NF-κB in rats with pancreatitis. Eur Rev Med Pharmacol Sci 24(4):2102–2109PubMed
15.
go back to reference Wang XH, Zeng JF, Lin C, Chen SB (2015) Effects of morphine and sufentanil preconditioning against myocardial ischemic-reperfusion injury in rabbits. Int J Clin Exp Med 8(9):15692–15699PubMedPubMedCentral Wang XH, Zeng JF, Lin C, Chen SB (2015) Effects of morphine and sufentanil preconditioning against myocardial ischemic-reperfusion injury in rabbits. Int J Clin Exp Med 8(9):15692–15699PubMedPubMedCentral
16.
go back to reference Zuo Y, Cheng X, Gu E, Liu X, Zhang L, Cao Y (2014) Effect of aortic root infusion of Sufentanil on ischemia-reperfusion injury in patients undergoing mitral valve replacement. J Cardiothorac Vasc Anesth 28(6):1474–1478PubMedCrossRef Zuo Y, Cheng X, Gu E, Liu X, Zhang L, Cao Y (2014) Effect of aortic root infusion of Sufentanil on ischemia-reperfusion injury in patients undergoing mitral valve replacement. J Cardiothorac Vasc Anesth 28(6):1474–1478PubMedCrossRef
17.
go back to reference Lian YH, Fang J, Zhou HD, Jiang HF, Xie KJ (2019) Sufentanil preconditioning protects against hepatic ischemia-reperfusion injury by suppressing inflammation. Med Sci Monit 25:2265–2273PubMedPubMedCentralCrossRef Lian YH, Fang J, Zhou HD, Jiang HF, Xie KJ (2019) Sufentanil preconditioning protects against hepatic ischemia-reperfusion injury by suppressing inflammation. Med Sci Monit 25:2265–2273PubMedPubMedCentralCrossRef
18.
go back to reference Wu Q, Shang Y, Bai Y, Wu Y, Wang H, Shen T (2021) Sufentanil preconditioning protects against myocardial ischemia/reperfusion injury via miR-125a/DRAM2 axis. Cell cycle (Georgetown, Tex) 20(4):383–391PubMedCrossRef Wu Q, Shang Y, Bai Y, Wu Y, Wang H, Shen T (2021) Sufentanil preconditioning protects against myocardial ischemia/reperfusion injury via miR-125a/DRAM2 axis. Cell cycle (Georgetown, Tex) 20(4):383–391PubMedCrossRef
19.
go back to reference Chen Y, Li Z, Li H, Su W, Xie Y, Pan Y et al (2020) Apremilast regulates the Teff/Treg balance to ameliorate uveitis via PI3K/AKT/FoxO1 signaling pathway. Front Immunol 11:581673PubMedPubMedCentralCrossRef Chen Y, Li Z, Li H, Su W, Xie Y, Pan Y et al (2020) Apremilast regulates the Teff/Treg balance to ameliorate uveitis via PI3K/AKT/FoxO1 signaling pathway. Front Immunol 11:581673PubMedPubMedCentralCrossRef
21.
go back to reference Villegas SN, Gombos R, García-López L, Gutiérrez-Pérez I, García-Castillo J, Vallejo DM et al (2018) PI3K/Akt cooperates with oncogenic notch by inducing nitric oxide-dependent inflammation. Cell Rep 22(10):2541–2549PubMedCrossRef Villegas SN, Gombos R, García-López L, Gutiérrez-Pérez I, García-Castillo J, Vallejo DM et al (2018) PI3K/Akt cooperates with oncogenic notch by inducing nitric oxide-dependent inflammation. Cell Rep 22(10):2541–2549PubMedCrossRef
22.
go back to reference Xu S, Wang J, Zhong J, Shao M, Jiang J, Song J et al (2021) CD73 alleviates GSDMD-mediated microglia pyroptosis in spinal cord injury through PI3K/AKT/Foxo1 signaling. Clin Transl Med 11(1):e269PubMedCrossRef Xu S, Wang J, Zhong J, Shao M, Jiang J, Song J et al (2021) CD73 alleviates GSDMD-mediated microglia pyroptosis in spinal cord injury through PI3K/AKT/Foxo1 signaling. Clin Transl Med 11(1):e269PubMedCrossRef
23.
go back to reference Link W (2019) Introduction to FOXO biology. Methods Mol Biol (Clifton, NJ) 1890:1–9CrossRef Link W (2019) Introduction to FOXO biology. Methods Mol Biol (Clifton, NJ) 1890:1–9CrossRef
24.
go back to reference Chen E, Chen C, Niu Z, Gan L, Wang Q, Li M et al (2020) Poly(I:C) preconditioning protects the heart against myocardial ischemia/reperfusion injury through TLR3/PI3K/Akt-dependent pathway. Signal Transduct Target Ther 5(1):216PubMedPubMedCentralCrossRef Chen E, Chen C, Niu Z, Gan L, Wang Q, Li M et al (2020) Poly(I:C) preconditioning protects the heart against myocardial ischemia/reperfusion injury through TLR3/PI3K/Akt-dependent pathway. Signal Transduct Target Ther 5(1):216PubMedPubMedCentralCrossRef
25.
go back to reference Wang D, Wang Y, Zou X, Shi Y, Liu Q, Huyan T et al (2020) FOXO1 inhibition prevents renal ischemia-reperfusion injury via cAMP-response element binding protein/PPAR-γ coactivator-1α-mediated mitochondrial biogenesis. Br J Pharmacol 177(2):432–448PubMedCrossRef Wang D, Wang Y, Zou X, Shi Y, Liu Q, Huyan T et al (2020) FOXO1 inhibition prevents renal ischemia-reperfusion injury via cAMP-response element binding protein/PPAR-γ coactivator-1α-mediated mitochondrial biogenesis. Br J Pharmacol 177(2):432–448PubMedCrossRef
26.
go back to reference Wang L, Ge C, Zhang X (2022) Sufentanil ameliorates oxygen-glucose deprivation/reoxygenation-induced endothelial barrier dysfunction in HCMECs via the PI3K/Akt signaling pathway. Exp Ther Med 24(1):437PubMedPubMedCentralCrossRef Wang L, Ge C, Zhang X (2022) Sufentanil ameliorates oxygen-glucose deprivation/reoxygenation-induced endothelial barrier dysfunction in HCMECs via the PI3K/Akt signaling pathway. Exp Ther Med 24(1):437PubMedPubMedCentralCrossRef
27.
go back to reference Lu KP, Zhou XZ (2007) The prolyl isomerase PIN1: a pivotal new twist in phosphorylation signalling and disease. Nat Rev Mol Cell Biol 8(11):904–916PubMedCrossRef Lu KP, Zhou XZ (2007) The prolyl isomerase PIN1: a pivotal new twist in phosphorylation signalling and disease. Nat Rev Mol Cell Biol 8(11):904–916PubMedCrossRef
28.
go back to reference Balaganapathy P, Baik SH, Mallilankaraman K, Sobey CG, Jo DG, Arumugam TV (2018) Interplay between Notch and p53 promotes neuronal cell death in ischemic stroke. J Cereb Blood Flow Metab 38(10):1781–1795PubMedCrossRef Balaganapathy P, Baik SH, Mallilankaraman K, Sobey CG, Jo DG, Arumugam TV (2018) Interplay between Notch and p53 promotes neuronal cell death in ischemic stroke. J Cereb Blood Flow Metab 38(10):1781–1795PubMedCrossRef
29.
go back to reference Zhao X, Wang D, Wan S, Liu X, Wang W, Wang L (2021) The suppression of Pin1-alleviated oxidative stress through the p38 MAPK pathway in ischemia- and reperfusion-induced acute kidney injury. Oxid Med Cell Longev 2021:1313847PubMedPubMedCentralCrossRef Zhao X, Wang D, Wan S, Liu X, Wang W, Wang L (2021) The suppression of Pin1-alleviated oxidative stress through the p38 MAPK pathway in ischemia- and reperfusion-induced acute kidney injury. Oxid Med Cell Longev 2021:1313847PubMedPubMedCentralCrossRef
30.
go back to reference Chang HM, Berde CB, Holz GG, Steward GF, Kream RM (1989) Sufentanil, morphine, met-enkephalin, and kappa-agonist (U-50488H) inhibit substance P release from primary sensory neurons: a model for presynaptic spinal opioid actions. Anesthesiology 70(4):672–677PubMedCrossRef Chang HM, Berde CB, Holz GG, Steward GF, Kream RM (1989) Sufentanil, morphine, met-enkephalin, and kappa-agonist (U-50488H) inhibit substance P release from primary sensory neurons: a model for presynaptic spinal opioid actions. Anesthesiology 70(4):672–677PubMedCrossRef
31.
go back to reference Feng B, Dong Z, Wang Y, Yan G, Yang E, Cheng H et al (2021) Li-ESWT treatment reduces inflammation, oxidative stress, and pain via the PI3K/AKT/FOXO1 pathway in autoimmune prostatitis rat models. Andrology 9(5):1593–1602PubMedCrossRef Feng B, Dong Z, Wang Y, Yan G, Yang E, Cheng H et al (2021) Li-ESWT treatment reduces inflammation, oxidative stress, and pain via the PI3K/AKT/FOXO1 pathway in autoimmune prostatitis rat models. Andrology 9(5):1593–1602PubMedCrossRef
32.
go back to reference Ahonen J, Olkkola KT, Hynynen M, Seppälä T, Ikävalko H, Remmerie B et al (2000) Comparison of alfentanil, fentanyl and sufentanil for total intravenous anaesthesia with propofol in patients undergoing coronary artery bypass surgery. Br J Anaesth 85(4):533–540PubMedCrossRef Ahonen J, Olkkola KT, Hynynen M, Seppälä T, Ikävalko H, Remmerie B et al (2000) Comparison of alfentanil, fentanyl and sufentanil for total intravenous anaesthesia with propofol in patients undergoing coronary artery bypass surgery. Br J Anaesth 85(4):533–540PubMedCrossRef
34.
go back to reference Guerra-Mora JR, Perales-Caldera E, Aguilar-León D, Nava-Sanchez C, Díaz-Cruz A, Díaz-Martínez NE et al (2017) Effects of sildenafil and tadalafil on edema and reactive oxygen species production in an experimental model of lung ischemia-reperfusion injury. Transpl Proc 49(6):1461–1466CrossRef Guerra-Mora JR, Perales-Caldera E, Aguilar-León D, Nava-Sanchez C, Díaz-Cruz A, Díaz-Martínez NE et al (2017) Effects of sildenafil and tadalafil on edema and reactive oxygen species production in an experimental model of lung ischemia-reperfusion injury. Transpl Proc 49(6):1461–1466CrossRef
35.
go back to reference Ishimoto Y, Tanaka T, Yoshida Y, Inagi R (2018) Physiological and pathophysiological role of reactive oxygen species and reactive nitrogen species in the kidney. Clin Exp Pharmacol Physiol 45(11):1097–1105PubMedPubMedCentralCrossRef Ishimoto Y, Tanaka T, Yoshida Y, Inagi R (2018) Physiological and pathophysiological role of reactive oxygen species and reactive nitrogen species in the kidney. Clin Exp Pharmacol Physiol 45(11):1097–1105PubMedPubMedCentralCrossRef
36.
go back to reference Shan Y, Chen D, Hu B, Xu G, Li W, Jin Y et al (2021) Allicin ameliorates renal ischemia/reperfusion injury via inhibition of oxidative stress and inflammation in rats. Biomed Pharmacother Biomed Pharmacother 142:112077PubMedCrossRef Shan Y, Chen D, Hu B, Xu G, Li W, Jin Y et al (2021) Allicin ameliorates renal ischemia/reperfusion injury via inhibition of oxidative stress and inflammation in rats. Biomed Pharmacother Biomed Pharmacother 142:112077PubMedCrossRef
37.
go back to reference Theofilatos D, Fotakis P, Valanti E, Sanoudou D, Zannis V, Kardassis D (2018) HDL-apoA-I induces the expression of angiopoietin like 4 (ANGPTL4) in endothelial cells via a PI3K/AKT/FOXO1 signaling pathway. Metab Clin Exp 87:36–47PubMedCrossRef Theofilatos D, Fotakis P, Valanti E, Sanoudou D, Zannis V, Kardassis D (2018) HDL-apoA-I induces the expression of angiopoietin like 4 (ANGPTL4) in endothelial cells via a PI3K/AKT/FOXO1 signaling pathway. Metab Clin Exp 87:36–47PubMedCrossRef
38.
go back to reference He F, Zhang N, Lv Y, Sun W, Chen H (2019) Low-dose lipopolysaccharide inhibits neuronal apoptosis induced by cerebral ischemia/reperfusion injury via the PI3K/Akt/FoxO1 signaling pathway in rats. Mol Med Rep 19(3):1443–1452PubMedPubMedCentral He F, Zhang N, Lv Y, Sun W, Chen H (2019) Low-dose lipopolysaccharide inhibits neuronal apoptosis induced by cerebral ischemia/reperfusion injury via the PI3K/Akt/FoxO1 signaling pathway in rats. Mol Med Rep 19(3):1443–1452PubMedPubMedCentral
39.
go back to reference Zhu J, Xue JC, Law PY, Claude PA, Luo LY, Yin J et al (1996) The region in the mu opioid receptor conferring selectivity for sufentanil over the delta receptor is different from that over the kappa receptor. FEBS Lett 384(2):198–202PubMedCrossRef Zhu J, Xue JC, Law PY, Claude PA, Luo LY, Yin J et al (1996) The region in the mu opioid receptor conferring selectivity for sufentanil over the delta receptor is different from that over the kappa receptor. FEBS Lett 384(2):198–202PubMedCrossRef
40.
go back to reference Zou S, Sun H, Peng Y, Liang C, Zheng C, Wang L et al (2023) Mu-opioid receptor alleviated ferroptosis in hepatic ischemia-reperfusion injury via the HIF-1α/KCNQ1OT1 axis. Am J Physiol Cell Physiol 324(4):C927–C940PubMedCrossRef Zou S, Sun H, Peng Y, Liang C, Zheng C, Wang L et al (2023) Mu-opioid receptor alleviated ferroptosis in hepatic ischemia-reperfusion injury via the HIF-1α/KCNQ1OT1 axis. Am J Physiol Cell Physiol 324(4):C927–C940PubMedCrossRef
41.
go back to reference Ji S, Wang L (2019) μ-Opioid receptor signalling via PI3K/Akt pathway ameliorates lipopolysaccharide-induced acute respiratory distress syndrome. Exp Physiol 104(10):1555–1561PubMedCrossRef Ji S, Wang L (2019) μ-Opioid receptor signalling via PI3K/Akt pathway ameliorates lipopolysaccharide-induced acute respiratory distress syndrome. Exp Physiol 104(10):1555–1561PubMedCrossRef
42.
go back to reference Kuboki S, Sakai N, Clarke C, Schuster R, Blanchard J, Edwards MJ et al (2009) The peptidyl-prolyl isomerase, Pin1, facilitates NF-kappaB binding in hepatocytes and protects against hepatic ischemia/reperfusion injury. J Hepatol 51(2):296–306PubMedPubMedCentralCrossRef Kuboki S, Sakai N, Clarke C, Schuster R, Blanchard J, Edwards MJ et al (2009) The peptidyl-prolyl isomerase, Pin1, facilitates NF-kappaB binding in hepatocytes and protects against hepatic ischemia/reperfusion injury. J Hepatol 51(2):296–306PubMedPubMedCentralCrossRef
43.
go back to reference Chuang HH, Zhen YY, Tsai YC, Chuang CH, Huang MS, Hsiao M et al (2021) Targeting Pin1 for modulation of cell motility and cancer therapy. Biomedicines 9(4):359PubMedPubMedCentralCrossRef Chuang HH, Zhen YY, Tsai YC, Chuang CH, Huang MS, Hsiao M et al (2021) Targeting Pin1 for modulation of cell motility and cancer therapy. Biomedicines 9(4):359PubMedPubMedCentralCrossRef
44.
go back to reference Penela P, Inserte J, Ramos P, Rodriguez-Sinovas A, Garcia-Dorado D, Mayor F Jr (2019) Degradation of GRK2 and AKT is an early and detrimental event in myocardial ischemia/reperfusion. EBioMedicine 48:605–618PubMedPubMedCentralCrossRef Penela P, Inserte J, Ramos P, Rodriguez-Sinovas A, Garcia-Dorado D, Mayor F Jr (2019) Degradation of GRK2 and AKT is an early and detrimental event in myocardial ischemia/reperfusion. EBioMedicine 48:605–618PubMedPubMedCentralCrossRef
45.
go back to reference Baik SH, Fane M, Park JH, Cheng YL, Yang-Wei Fann D, Yun UJ et al (2015) Pin1 promotes neuronal death in stroke by stabilizing Notch intracellular domain. Ann Neurol 77(3):504–516PubMedCrossRef Baik SH, Fane M, Park JH, Cheng YL, Yang-Wei Fann D, Yun UJ et al (2015) Pin1 promotes neuronal death in stroke by stabilizing Notch intracellular domain. Ann Neurol 77(3):504–516PubMedCrossRef
Metadata
Title
Sufentanil inhibits Pin1 to attenuate renal tubular epithelial cell ischemia–reperfusion injury by activating the PI3K/AKT/FOXO1 pathway
Authors
Chunhui Liu
Qingdong Wang
Li Niu
Publication date
10-06-2023
Publisher
Springer Netherlands
Keyword
Sufentanil
Published in
International Urology and Nephrology / Issue 8/2023
Print ISSN: 0301-1623
Electronic ISSN: 1573-2584
DOI
https://doi.org/10.1007/s11255-023-03651-9

Other articles of this Issue 8/2023

International Urology and Nephrology 8/2023 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.