Laboratory of Metabolism and Lipids, Heart Institute (InCor) of the Medical School of the University of São Paulo, São Paulo, SP, Brazil.
Heart Failure Unit and Clinical Cardiology Division, Heart Institute (InCor) of the Medical School of the University of São Paulo, São Paulo, SP, Brazil.
Oxid Med Cell Longev. 2017;2017:5343972. doi: 10.1155/2017/5343972. Epub 2017 Jul 11.
Diabetic cardiomyopathy (DCM) is characterized by cardiac remodeling and impaired diastolic function that may lead to heart failure. The aim of this study was to evaluate oxidative stress, inflammatory cells, and fibrosis in both subendocardial (SEN) and interstitial (INT) areas of the myocardium. Male Wistar rats were allocated to 2 groups of 9 animals, a control (CT) group and streptozotocin-induced diabetes (DM). After 8 weeks, echocardiography morphometry, protein expression, and confocal microscopy in SEN and INT areas of the left ventricle (LV) were performed. The echocardiographic analysis showed that diabetes induction leads to cardiac dilation, hypertrophy, and LV diastolic dysfunction. As compared to CT, the induction of diabetes increased inflammatory cells and fibrosis in both SEN and INT areas of DM myocardium and increased ROS generation only in SEN. Comparing the SEN and INT areas in the DM group, inflammatory cells and fibrosis in SEN were greater than in INT. In conclusion, diabetic myocardium SEN area, wherein oxidative stress was more pronounced, is more susceptible to cardiac dysfunction than INT area. This finding can be important for the understanding of the heart remodeling process occurring in DCM and perhaps to engender targeted therapies to attenuate or revert DCM-related diastolic dysfunction.
糖尿病心肌病(DCM)的特征是心脏重构和舒张功能障碍,可能导致心力衰竭。本研究旨在评估心肌心内膜(SEN)和间质(INT)区域的氧化应激、炎性细胞和纤维化。雄性 Wistar 大鼠分为 2 组,每组 9 只动物,对照组(CT)和链脲佐菌素诱导的糖尿病(DM)组。8 周后,进行超声心动图形态测量、左心室(LV)心内膜和间质区域的蛋白表达和共聚焦显微镜检查。超声心动图分析显示,糖尿病诱导导致心脏扩张、肥大和 LV 舒张功能障碍。与 CT 相比,糖尿病诱导在 DM 心肌的心内膜和间质区域增加了炎性细胞和纤维化,并仅在 SEN 区域增加了 ROS 生成。与 DM 组的 INT 区域相比,DM 组 SEN 区域的炎性细胞和纤维化更大。总之,糖尿病心肌的 SEN 区域,其中氧化应激更为明显,比 INT 区域更容易发生心脏功能障碍。这一发现对于理解 DCM 中发生的心脏重构过程以及产生靶向治疗以减轻或逆转 DCM 相关舒张功能障碍可能很重要。