Division of General Internal Medicine, Department of Internal Medicine, Maastricht University Medical Center, Maastricht, The Netherlands.
Int J Mol Sci. 2013 Jul 29;14(8):15724-39. doi: 10.3390/ijms140815724.
Diabetes significantly increases the risk of heart failure. The increase in advanced glycation endproducts (AGEs) and oxidative stress have been associated with diabetic cardiomyopathy. We recently demonstrated that there is a direct link between AGEs and oxidative stress. Therefore, the aim of the current study was to investigate if a reduction of AGEs by overexpression of the glycation precursor detoxifying enzyme glyoxalase-I (GLO-I) can prevent diabetes-induced oxidative damage, inflammation and fibrosis in the heart. Diabetes was induced in wild-type and GLO-I transgenic rats by streptozotocin. After 24-weeks of diabetes, cardiac function was monitored with ultrasound under isoflurane anesthesia. Blood was drawn and heart tissue was collected for further analysis. Analysis with UPLC-MSMS showed that the AGE Nε-(1-carboxymethyl)lysine and its precursor 3-deoxyglucosone were significantly elevated in the diabetic hearts. Markers of oxidative damage, inflammation, and fibrosis were mildly up-regulated in the heart of the diabetic rats and were attenuated by GLO-I overexpression. In this model of diabetes, these processes were not accompanied by significant changes in systolic heart function, i.e., stroke volume, fractional shortening and ejection fraction. This study shows that 24-weeks of diabetes in rats induce early signs of mild cardiac alterations as indicated by an increase of oxidative stress, inflammation and fibrosis which are mediated, at least partially, by glycation.
糖尿病显著增加心力衰竭的风险。晚期糖基化终产物(AGEs)和氧化应激与糖尿病心肌病有关。我们最近证明了 AGEs 和氧化应激之间存在直接联系。因此,本研究的目的是研究通过过表达糖化前体解毒酶甘油醛-3-磷酸脱氢酶(GLO-I)减少 AGEs 是否可以预防糖尿病引起的心脏氧化损伤、炎症和纤维化。野生型和 GLO-I 转基因大鼠通过链脲佐菌素诱导糖尿病。糖尿病 24 周后,在异氟醚麻醉下用超声监测心脏功能。抽取血液并收集心脏组织进行进一步分析。UPLC-MSMS 分析显示,糖尿病心脏中 AGE Nε-(1-羧甲基)赖氨酸及其前体 3-脱氧葡萄糖酮显著升高。糖尿病大鼠心脏的氧化损伤、炎症和纤维化标志物轻度上调,而过表达 GLO-I 则减弱了这些标志物的上调。在这种糖尿病模型中,这些过程并没有伴随着收缩期心脏功能(即每搏量、缩短分数和射血分数)的显著变化。本研究表明,大鼠糖尿病 24 周会导致早期轻度心脏改变的迹象,表现为氧化应激、炎症和纤维化增加,这些改变至少部分是由糖化介导的。