Document Detail


Diabetes mellitus abrogates erythropoietin-induced cardioprotection against ischemic-reperfusion injury by alteration of the RISK/GSK-3β signaling.
MedLine Citation:
PMID:  20981553     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Recent studies reported cardioprotective effects of erythropoietin (EPO) against ischemia-reperfusion (I/R) injury through activation of the reperfusion injury salvage kinase (RISK) pathway. As RISK has been reported to be impaired in diabetes and insulin resistance syndrome, we examined whether EPO-induced cardioprotection was maintained in rat models of type 1 diabetes and insulin resistance syndrome. Isolated hearts were obtained from three rat cohorts: healthy controls, streptozotocin (STZ)-induced diabetes, and high-fat diet (HFD)-induced insulin resistance syndrome. All hearts underwent 25 min ischemia and 30 min or 120 min reperfusion. They were assigned to receive either no intervention or a single dose of EPO at the onset of reperfusion. In hearts from healthy controls, EPO decreased infarct size (14.36 ± 0.60 and 36.22 ± 4.20% of left ventricle in EPO-treated and untreated hearts, respectively, p < 0.05) and increased phosphorylated forms of Akt, ERK1/2, and their downstream target GSK-3β. In hearts from STZ-induced diabetic rats, EPO did not decrease infarct size (32.05 ± 2.38 and 31.88 ± 1.87% in EPO-treated and untreated diabetic rat hearts, respectively, NS) nor did it increase phosphorylation of Akt, ERK1/2, and GSK-3β. In contrast, in hearts from HFD-induced insulin resistance rats, EPO decreased infarct size (18.66 ± 1.99 and 34.62 ± 3.41% in EPO-treated and untreated HFD rat hearts, respectively, p < 0.05) and increased phosphorylation of Akt, ERK1/2, and GSK-3β. Administration of GSK-3β inhibitor SB216763 was cardioprotective in healthy and diabetic hearts. STZ-induced diabetes abolished EPO-induced cardioprotection against I/R injury through a disruption of upstream signaling of GSK-3β. In conclusion, direct inhibition of GSK-3β may provide an alternative strategy to protect diabetic hearts against I/R injury.
Authors:
Nehmat Ghaboura; Sophie Tamareille; Pierre-Henri Ducluzeau; Linda Grimaud; Laurent Loufrani; Anne Croué; Yves Tourmen; Daniel Henrion; Alain Furber; Fabrice Prunier
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Publication Detail:
Type:  In Vitro; Journal Article     Date:  2010-10-28
Journal Detail:
Title:  Basic research in cardiology     Volume:  106     ISSN:  1435-1803     ISO Abbreviation:  Basic Res. Cardiol.     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2010-12-30     Completed Date:  2011-04-18     Revised Date:  2011-11-02    
Medline Journal Info:
Nlm Unique ID:  0360342     Medline TA:  Basic Res Cardiol     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  147-62     Citation Subset:  IM    
Affiliation:
Protection et Remodelage du Myocarde, UPRES EA 3860, Faculté de Médecine, Université d'Angers, Rue Haute de Reculée, 49045 Angers Cedex 1, France.
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MeSH Terms
Descriptor/Qualifier:
Animals
Apoptosis / drug effects
Cardiotonic Agents / administration & dosage
Diabetes Mellitus, Experimental / complications*,  metabolism
Dietary Fats
Erythropoietin / pharmacology,  therapeutic use*
Glucose / toxicity
Glycogen Synthase Kinase 3 / metabolism*
Hemodynamics
Insulin Resistance*
MAP Kinase Signaling System
Myocardial Infarction / etiology,  pathology,  prevention & control
Myocardial Reperfusion Injury / complications,  metabolism,  pathology,  prevention & control*
Myocardium / pathology
Phosphatidylinositol 3-Kinases / metabolism
Phosphorylation
Proto-Oncogene Proteins c-akt / metabolism
Rats
Rats, Wistar
Receptors, Erythropoietin / metabolism
Chemical
Reg. No./Substance:
0/Cardiotonic Agents; 0/Dietary Fats; 0/Receptors, Erythropoietin; 11096-26-7/Erythropoietin; 50-99-7/Glucose; EC 2.7.1.-/Phosphatidylinositol 3-Kinases; EC 2.7.11.1/Proto-Oncogene Proteins c-akt; EC 2.7.11.1/glycogen synthase kinase 3 beta; EC 2.7.11.26/Glycogen Synthase Kinase 3

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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