Functional Cardiac Orexin Receptors: Role of Orexin-B/Orexin 2 Receptor in Myocardial Protection


Orexins/hypocretins exert cardiovascular effects which are centrally mediated. In this study we tested whether orexins and their receptors may also act in an autocrine/paracrine manner in the heart exerting direct effects. Quantitative RT-PCR, immunohistochemical and Western blot analyses revealed that the rat heart expresses orexins and orexin receptors. In isolated rat cardiomyocytes, only orexin-B (OR-B) caused an increase in contractile shortening, independent of diastolic or systolic calcium levels. A specific orexin receptor-2 (OX2R) agonist ([Ala11, D-Leu15]-Orexin B) exerted similar effects as OR-B, whereas a specific OX1R antagonist (SB-408124) did not alter the responsiveness of OR-B. Treatment of the same model with OR-B resulted in a dose-dependent increase of myosin light chain and troponin-I phosphorylation. Following ischaemia/reperfusion in the isolated Langendorff perfused rat heart model, OR-B, but not OR-A, exerts a cardioprotective effect; mirrored in an in vivo model as well. Unlike OR-A, OR-B was also able to induce ERK1/2 and Akt phosphorylation in rat myocardial tissue and ERK1/2 phosphorylation in human heart samples. These findings were further corroborated in an in vivo rat model. In human subjects with heart failure, there is a significant negative correlation between the expression of OX2R and the severity of the disease clinical symptoms, as assessed by the New York Heart Association (NYHA) functional classification. Collectively, we provide evidence of a distinct orexin system in the heart that exerts a cardioprotective role via an OR-B/OX2R pathway.

Publication DOI:
Divisions: College of Health & Life Sciences > Aston Medical School
Additional Information: ©2018 The Author(s) This is an Accepted Manuscript; not the final Version of Record. You are encouraged to use the final Version of Record that, when published, will replace this manuscript and be freely available under a Creative Commons licence.
Publication ISSN: 1470-8736
Full Text Link:
Related URLs: http://clinsci. ... 1042/CS20180150 (Publisher URL)
PURE Output Type: Article
Published Date: 2018-12
Published Online Date: 2018-11-22
Accepted Date: 2018-11-22
Authors: Patel, Vanlata
Karteris, Emmanouil
Chen, Jing
Kyrou, Ioannis (ORCID Profile 0000-0002-6997-3439)
Mattu, Harman S
Dimitriadis, Georgios K
Rodrigo, Glenn
Antoniades, Charalambos
Antonopoulos, Alexios
Tan, Bee K
Hillhouse, Edward W
Ng, Andre
Randeva, Harpal



Version: Accepted Version

| Preview

Export / Share Citation


Additional statistics for this record