Cardiac Electrophysiology Research and Training Center, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand.
Center of Excellence in Cardiac Electrophysiology Research, Chiang Mai University, Chiang Mai 50200, Thailand.
Biosci Rep. 2017 Oct 17;37(5). doi: 10.1042/BSR20170886. Print 2017 Oct 31.
Both Type 2 diabetes mellitus (T2DM) and estrogen deprivation have been shown to be associated with the development of cardiovascular disease and adverse cardiac remodeling. However, the role of estrogen deprivation on adverse cardiac remodeling in nonobese T2DM rats has not been clearly elucidated. We hypothesized that estrogen-deprivation aggravates adverse cardiac remodeling in Goto-Kakizaki (GK) rats. Wild-type (WT) and GK rats at the age of 9 months old were divided into two subgroups to have either a sham operation (WTS, GKS) or a bilateral ovariectomy (WTO, GKO) ( = 6/subgroup). Four months after the operation, the rats were killed, and the heart was excised rapidly. Metabolic parameters, cardiomyocytes hypertrophy, cardiac fibrosis, and biochemical parameters were determined. GK rats had hyperglycemia with hypoinsulinemia, and estrogen deprivation did not increase the severity of T2DM. Cardiac hypertrophy, cardiac oxidative stress, and phosphor-antinuclear factor κB were higher in WTO and GKS rats than WTS rats, and they markedly increased in GKO rats compared with GKS rats. Furthermore, cardiac fibrosis, transforming growth factor-β, Bax, phosphor-p38, and peroxisome proliferator- activated receptor γ coactivator-1α expression were increased in GKS and GKO rats compared with the lean rats. However, mitochondrial dynamics proteins including dynamin-related protein 1 and mitofusin-2 were not altered by T2DM and estrogen deprivation. Although estrogen deprivation did not aggravate T2DM in GK rats, it increased the severity of cardiac hypertrophy by provoking cardiac inflammation and oxidative stress in nonobese GK rats.
2 型糖尿病(T2DM)和雌激素缺乏均与心血管疾病和心脏不良重构的发生有关。然而,雌激素缺乏对非肥胖 T2DM 大鼠心脏不良重构的作用尚未阐明。我们假设雌激素剥夺会加重 Goto-Kakizaki(GK)大鼠的心脏不良重构。9 月龄的野生型(WT)和 GK 大鼠分为两组,分别进行假手术(WTS、GKS)或双侧卵巢切除术(WTO、GKO)(每组 n = 6)。手术后 4 个月,处死大鼠,迅速取出心脏。测定代谢参数、心肌细胞肥大、心脏纤维化和生化参数。GK 大鼠有高血糖伴胰岛素缺乏,雌激素剥夺并未加重 T2DM 的严重程度。与 WTS 大鼠相比,WTO 和 GKS 大鼠的心肌肥大、心脏氧化应激和磷酸化核因子 κB 更高,与 GKS 大鼠相比,GKO 大鼠的这些指标显著增加。此外,与瘦大鼠相比,GKS 和 GKO 大鼠的心脏纤维化、转化生长因子-β、Bax、磷酸化 p38 和过氧化物酶体增殖物激活受体 γ 共激活因子-1α 表达增加。然而,T2DM 和雌激素剥夺并未改变动力相关蛋白 1 和线粒体融合蛋白-2 等线粒体动力学蛋白。尽管雌激素剥夺并未加重 GK 大鼠的 T2DM,但它通过引发非肥胖 GK 大鼠的心脏炎症和氧化应激,加重了心肌肥大的严重程度。