Insulin-like growth factor-1 (IGF-1) is a natural protectant of cardiac myo
cytes that has been shown to improve cardiac function. The role of IGF-1 in
attenuating apoptosis induced by osmotic stress (sorbitol, SOR) or by othe
r known apoptotic stimuli (doxorubicin, angiotensin II, and serum withdrawa
l) was determined in cultured cardiac myocytes. After 6 h of exposure to SO
R, apoptosis was initiated, concomitant with a decrease in cell survival an
d increases in poly[ADP-ribose] polymerase (PARP) degradation and DNA fragm
entation. These effects were maximal after 24 h. IGF-1 partially attenuated
apoptosis induced by sorbitol but not that induced by angiotensin II, doxo
rubicin, or serum withdrawal. In cells preincubated with IGF-1 before the a
ddition of SOR, we detected an increase in the number of viable cells, a de
crease in the generation of DNA fragments on agarose gel electrophoresis an
d in the percentage of positive TUNEL cells, and a reduction on PARP levels
. These results suggest that IGF-1 prevents apoptosis induced by osmotic st
ress in cardiac myocytes but not apoptosis induced by doxorubicin and angio
tensin II. (C) 2000 Academic Press.