Cardiomyocyte dysfunction in insulin-resistant rats: a female advantage.
Cardiomyocyte dysfunction in insulin-resistant rats: a female advantage.
复制标题
胰岛素抵抗大鼠的心肌细胞功能障碍:女性优势。
DOI:
10.1007/s00125-006-0184-9
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发表时间:
2006
期刊:
影响因子:
8.2
通讯作者:
Davidoff,AJ
中科院分区:
文献类型:
--
作者:
Schwanke,ML;Dutta,K;Podolin,DA;Davidoff,AJ
Aims/hypothesisThe goal of this investigation was to determine whether there are sex-related differences in the development of cardiomyocyte dysfunction in prediabetic, insulin-resistant animals.Materials and methodsMale and female rats were maintained on a high-sucrose diet for 5–11 weeks, and mechanical properties of isolated ventricular myocytes were measured by high-speed video edge detection. Several in vitro interventions were used to manipulate intracellular Ca2+in order to determine whether altered Ca2+availability contributes to the cardiomyocyte dysfunction.ResultsMyocyte shortening and relengthening were significantly slower in sucrose-fed (insulin-resistant) males than in starch-fed (normal) male rats, whereas only relengthening was slower in sucrose-fed females when compared with normal females. Areas under the contraction and relaxation phases for sucrose-fed males were also significantly larger than in diet-matched females, and the slowed cardiomyocyte mechanics appeared earlier in males (7 vs 10 weeks). Prolonged relaxation was ameliorated in myocytes from sucrose-fed female rats by all interventions (i.e. 10−8mol/l isoprenaline, elevated extracellular Ca2+, and higher rates of stimulation). Twice as much extracellular Ca2+(4 mmol/l) was required to restore normal time courses of contraction and relaxation in sucrose-fed males than in females, and mechanical responses to higher frequency stimulation remained impaired (slower) in some myocytes from sucrose-fed male rats.Conclusions/interpretationThese data suggest that in myocytes from insulin-resistant rats altered Ca2+handling occurs, contributing to abnormal excitation–contraction coupling; female rats seem to have some cardioprotection during early stages in the progression towards type 2 diabetes. Females show delayed onset and milder abnormalities in metabolic status and cardiomyocyte function, but with a much tighter temporal coupling of these dysfunctions.