Advanced glycation end product cross-link breaker attenuates diabetes-induced cardiac dysfunction by improving sarcoplasmic reticulum calcium handling.

Advanced glycation end product cross-link breaker attenuates diabetes-induced cardiac dysfunction by improving sarcoplasmic reticulum calcium handling.
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DOI:
10.3389/fphys.2012.00292
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发表时间:
2012
影响因子:
4
通讯作者:
Lacombe VA
Lacombe VA
中科院分区:
医学2区
文献类型:
--
作者:
Kranstuber AL;Del Rio C;Biesiadecki BJ;Hamlin RL;Ottobre J;Gyorke S;Lacombe VA

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糖尿病性心脏病是一种独特的临床实体,可进展为心力衰竭和猝死。然而,糖尿病期间兴奋-收缩偶联改变导致心功能障碍的机制尚不清楚。高血糖是糖尿病的标志性疾病,导致包括肌浆网(SR)Ca 2+调节蛋白在内的长寿命蛋白上形成晚期糖基化终产物(AGEs)。然而,它们对心肌细胞SR Ca 2+处理的致病作用尚不清楚。因此,我们研究了AGE交联破坏剂是否可以防止SR Ca 2+循环的改变,从而导致糖尿病期间体内心功能障碍。链脲佐菌素诱导的糖尿病大鼠用氯化阿格列汀(ALT-711)治疗8周,并与年龄匹配的安慰剂治疗的糖尿病大鼠和健康大鼠进行比较。通过超声心动图检查评估心脏功能。分离心室肌细胞,通过共聚焦成像和定量Western印迹评估SR Ca 2+循环。糖尿病导致体内心功能不全,ALT-711治疗通过降低等容舒张时间和心肌性能指数(MPI)(与未治疗的糖尿病大鼠相比,分别降低27%和41%,P < 0.05)而部分减轻舒张功能不全。在心肌细胞中,糖尿病诱导的胞浆Ca 2+瞬时清除延长43%,SR Ca 2+负荷降低25%(P < 0.05); ALT-711治疗后,这些参数部分改善。在未治疗的糖尿病大鼠的心肌中,SERCA 2a和RyR 2蛋白表达显著降低(与对照相比分别降低64%和36%,P < 0.05),但与对照相比,在治疗的糖尿病组中保持不变。总的来说,我们的研究结果表明,在1型糖尿病模型中,AGE积累主要损害心肌细胞中SR Ca 2+的再摄取,并且长期使用AGE交联破坏剂治疗可使SR Ca 2+处理部分正常化并改善糖尿病心肌病。
Diabetic heart disease is a distinct clinical entity that can progress to heart failure and sudden death. However, the mechanisms responsible for the alterations in excitation-contraction coupling leading to cardiac dysfunction during diabetes are not well known. Hyperglycemia, the landmark of diabetes, leads to the formation of advanced glycation end products (AGEs) on long-lived proteins, including sarcoplasmic reticulum (SR) Ca2+ regulatory proteins. However, their pathogenic role on SR Ca2+ handling in cardiac myocytes is unknown. Therefore, we investigated whether an AGE cross-link breaker could prevent the alterations in SR Ca2+ cycling that lead to in vivo cardiac dysfunction during diabetes. Streptozotocin-induced diabetic rats were treated with alagebrium chloride (ALT-711) for 8 weeks and compared to age-matched placebo-treated diabetic rats and healthy rats. Cardiac function was assessed by echocardiographic examination. Ventricular myocytes were isolated to assess SR Ca2+ cycling by confocal imaging and quantitative Western blots. Diabetes resulted in in vivo cardiac dysfunction and ALT-711 therapy partially alleviated diastolic dysfunction by decreasing isovolumetric relaxation time and myocardial performance index (MPI) (by 27 and 41% vs. untreated diabetic rats, respectively, P < 0.05). In cardiac myocytes, diabetes-induced prolongation of cytosolic Ca2+ transient clearance by 43% and decreased SR Ca2+ load by 25% (P < 0.05); these parameters were partially improved after ALT-711 therapy. SERCA2a and RyR2 protein expression was significantly decreased in the myocardium of untreated diabetic rats (by 64 and 36% vs. controls, respectively, P < 0.05), but preserved in the treated diabetic group compared to controls. Collectively, our results suggest that, in a model of type 1 diabetes, AGE accumulation primarily impairs SR Ca2+ reuptake in cardiac myocytes and that long-term treatment with an AGE cross-link breaker partially normalized SR Ca2+ handling and improved diabetic cardiomyopathy.
DOI: 10.1007/s001250051355
发表时间: 2000-05-01
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发表时间: 2006-08-01
期刊: HUMAN GENETICS
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