Christoffersen C, Bartels E D, Nielsen L B
Department of Biochemistry, Rigshospitalet, University of Copenhagen, Denmark.
Eur J Clin Invest. 2006 Feb;36(2):69-75. doi: 10.1111/j.1365-2362.2006.01596.x.
Diabetes may cause cardiomyopathy characterized by cardiac fibrosis. Recent studies of genetically modified mice have elucidated a role of the natriuretic peptides (NP), type-A and type-B (ANP and BNP), and their common receptor [natriuretic peptide receptor (NPR), type-A] in development of cardiac fibrosis. The role of NP type-C (CNP) and NPR type-B (NPR-B) in the heart is less well established. In this study we examined if diabetes alters heart expression of the genes encoding the NP and its receptors.
Cardiac mRNA was quantified by real-time PCR in diabetic streptozotocin (STZ)-treated and ob/ob-mice and nondiabetic control mice.
The ob/ob-mice with type-II diabetes displayed highly significant increases of the cardiac mRNA expression of NPR-B and NPR-C while the expression levels of NPR-A, ANP, BNP, and CNP mRNA were similar in ob/ob-mice and controls. Mice with STZ-induced type-I diabetes also showed an increase of heart NPR-B mRNA expression at 12 weeks, but not at 3, 6 or 9 weeks after STZ-treatment. The ANP and NPR-C mRNA expressions were only altered after 3 weeks, whereas BNP, CNP and NPR-A mRNA expressions were not altered in STZ-treated-mouse hearts at any of the time points.
The results show that diabetes in mice confers increased NPR-B gene expression in the heart, suggesting that increased NPR-B signalling may affect development of diabetic cardiomyopathy.
糖尿病可能导致以心脏纤维化为特征的心肌病。最近对基因改造小鼠的研究阐明了利钠肽(NP),即A型和B型(ANP和BNP)及其共同受体[利钠肽受体(NPR),A型]在心脏纤维化发展中的作用。NP-C型(CNP)和NPR-B型(NPR-B)在心脏中的作用尚不明确。在本研究中,我们检测了糖尿病是否会改变编码NP及其受体的基因在心脏中的表达。
通过实时PCR对经链脲佐菌素(STZ)处理的糖尿病小鼠、ob/ob小鼠和非糖尿病对照小鼠的心脏mRNA进行定量分析。
患有II型糖尿病的ob/ob小鼠心脏中NPR-B和NPR-C的mRNA表达显著增加, 而ob/ob小鼠和对照小鼠中NPR-A、ANP、BNP和CNP mRNA的表达水平相似。STZ诱导的I型糖尿病小鼠在STZ治疗后12周时心脏NPR-B mRNA表达也增加,但在3、6或9周时未增加。ANP和NPR-C mRNA表达仅在3周后发生改变,而在STZ处理的小鼠心脏中,BNP、CNP和NPR-A mRNA表达在任何时间点均未改变。
结果表明,小鼠糖尿病会使心脏中NPR-B基因表达增加,提示NPR-B信号增加可能影响糖尿病性心肌病的发展。