Department of Molecular Physiology and Biophysics, University of Vermont, 122 HSRF Beaumont Ave, Burlington, VT 05405, USA.
Cardiovasc Diabetol. 2012 Nov 2;11:135. doi: 10.1186/1475-2840-11-135.
It has been reported previously that diabetic cardiomyopathy can be inhibited or reverted with chronic zinc supplementation. In the current study, we hypothesized that total cardiac calcium and zinc content is altered in early onset diabetes mellitus characterized in part as hyperglycemia (HG) and that exposure of zinc ion (Zn2+) to isolated cardiomyocytes would enhance contraction-relaxation function in HG more so than in nonHG controls. To better control for differential cardiac myosin isoform expression as occurs in rodents after β-islet cell necrosis, hypothyroidism was induced in 16 rats resulting in 100% β-myosin heavy chain expression in the heart. β-Islet cell necrosis was induced in half of the rats by streptozocin administration. After 6 wks of HG, both HG and nonHG controls rats demonstrated similar myofilament performance measured as thin filament calcium sensitivity, native thin filament velocity in the myosin motility assay and contractile velocity and power. Extracellular Zn2+ reduced cardiomyocyte contractile function in both groups, but enhanced relaxation function significantly in the HG group compared to controls. Most notably, a reduction in diastolic sarcomere length with increasing pacing frequencies, i.e., incomplete relaxation, was more pronounced in the HG compared to controls, but was normalized with extracellular Zn2+ application. This is a novel finding implicating that the detrimental effect of HG on cardiomyocyte Ca2+ regulation can be amelioration by Zn2+. Among the many post-translational modifications examined, only phosphorylation of ryanodine receptor (RyR) at S-2808 was significantly higher in HG compared to nonHG. We did not find in our hypothyroid rats any differentiating effects of HG on myofibrillar protein phosphorylation, lysine acetylation, O-linked N-acetylglucosamine and advanced glycated end-products, which are often implicated as complicating factors in cardiac performance due to HG. Our results suggest that the relaxing effects of Zn2+ on cardiomyocyte function are more pronounced in the HG state due an insulin-dependent effect of enhancing removal of cytosolic Ca2+ via SERCA2a or NCX or by reducing Ca2+ influx via L-type channel or Ca2+ leak through the RyR. Investigations into the effects of Zn2+ on these mechanisms are now underway.
先前有报道称,糖尿病心肌病可以通过慢性补锌得到抑制或逆转。在本研究中,我们假设在以高血糖(HG)为特征的早期糖尿病中,总心脏钙和锌含量会发生改变,并且锌离子(Zn2+)暴露于分离的心肌细胞中会增强 HG 中的收缩-松弛功能,而不是在非 HG 对照组中。为了更好地控制由于β-胰岛细胞坏死而在啮齿动物中发生的心脏肌球蛋白同工型表达的差异,我们在 16 只大鼠中诱导甲状腺功能减退症,导致心脏中 100%的β-肌球蛋白重链表达。用链脲佐菌素给药诱导一半大鼠的β-胰岛细胞坏死。在 HG 6 周后,HG 和非 HG 对照组大鼠的肌丝性能测量结果相似,如细丝钙敏感性、肌球蛋白运动测定中的天然细丝速度以及收缩速度和功率。细胞外 Zn2+降低了两组心肌细胞的收缩功能,但在 HG 组与对照组相比,明显增强了舒张功能。值得注意的是,与对照组相比,随着起搏频率的增加(即不完全松弛),舒张期肌节长度减少更为明显,但通过细胞外 Zn2+应用可使其正常化。这是一项新发现,表明 HG 对心肌细胞 Ca2+调节的有害影响可以通过 Zn2+得到改善。在检查的许多翻译后修饰中,只有 HG 组的肌浆网 Ca2+释放通道(RyR)的 S-2808 磷酸化显著高于非 HG 组。在我们的甲状腺功能减退大鼠中,我们没有发现 HG 对肌球蛋白磷酸化、赖氨酸乙酰化、O-连接 N-乙酰葡萄糖胺和晚期糖基化终产物的任何差异作用,由于 HG,这些通常被认为是心脏功能的复杂因素。我们的结果表明,由于胰岛素依赖性作用增强 SERCA2a 或 NCX 去除细胞质 Ca2+或通过 L 型通道减少 Ca2+内流或通过 RyR 减少 Ca2+泄漏,Zn2+对心肌细胞功能的松弛作用在 HG 状态下更为明显。目前正在进行关于 Zn2+对这些机制影响的研究。