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二甲双胍可减轻慢性高甘油三酯血症诱导的心肌二羰基应激。

Metformin attenuates myocardium dicarbonyl stress induced by chronic hypertriglyceridemia.

作者信息

Malinska H, Škop V, Trnovska J, Markova I, Svoboda P, Kazdova L, Haluzik M

机构信息

Department of Cardio-Metabolic Research, Center for Experimental Medicine, Institute for Clinical and Experimental Medicine, Prague, Czech Republic.

出版信息

Physiol Res. 2018 May 4;67(2):181-189. doi: 10.33549/physiolres.933606. Epub 2017 Nov 10.

DOI:10.33549/physiolres.933606
PMID:29137475
Abstract

Reactive dicarbonyls stimulate production of advanced glycation endproducts, increase oxidative stress and inflammation and contribute to the development of vascular complications. We measured concentrations of dicarbonyls - methylglyoxal (MG), glyoxal (GL) and 3-deoxyglucosone (3-DG) - in the heart and kidney of a model of metabolic syndrome - hereditary hypertriglyceridemic rats (HHTg) and explored its modulation by metformin. Adult HHTg rats were fed a standard diet with or without metformin (300 mg/kg b.w.) and dicarbonyl levels and metabolic parameters were measured. HHTg rats had markedly elevated serum levels of triacylglycerols (p<0.001), FFA (p<0.01) and hepatic triacylglycerols (p<0.001) along with increased concentrations of reactive dicarbonyls in myocardium (MG: p<0.001; GL: p<0.01; 3-DG: p<0.01) and kidney cortex (MG: p<0.01). Metformin treatment significantly reduced reactive dicarbonyls in the myocardium (MG: p<0.05, GL: p<0.05, 3-DG: p<0.01) along with increase of myocardial concentrations of reduced glutathione (p<0.01) and glyoxalase 1 mRNA expression (p<0.05). Metformin did not have any significant effect on dicarbonyls, glutathione or on glyoxalase 1 expression in kidney cortex. Chronically elevated hypertriglyceridemia was associated with increased levels of dicarbonyls in heart and kidney. Beneficial effects of metformin on reactive dicarbonyls and glyoxalase in the heart could contribute to its cardioprotective effects.

摘要

反应性二羰基化合物可刺激晚期糖基化终产物的产生,增加氧化应激和炎症反应,并促进血管并发症的发展。我们测定了代谢综合征模型——遗传性高甘油三酯血症大鼠(HHTg)心脏和肾脏中二羰基化合物——甲基乙二醛(MG)、乙二醛(GL)和3-脱氧葡萄糖酮(3-DG)的浓度,并探讨了二甲双胍对其的调节作用。成年HHTg大鼠喂食含或不含二甲双胍(300 mg/kg体重)的标准饮食,并测定二羰基化合物水平和代谢参数。HHTg大鼠血清甘油三酯(p<0.001)、游离脂肪酸(p<0.01)和肝脏甘油三酯(p<0.001)水平显著升高,同时心肌(MG:p<0.001;GL:p<0.01;3-DG:p<0.01)和肾皮质(MG:p<0.01)中反应性二羰基化合物浓度增加。二甲双胍治疗可显著降低心肌中的反应性二羰基化合物(MG:p<0.05,GL:p<0.05, 3-DG:p<0.01),同时增加心肌中还原型谷胱甘肽的浓度(p<0.01)和乙二醛酶1 mRNA表达(p<0.05)。二甲双胍对肾皮质中的二羰基化合物、谷胱甘肽或乙二醛酶1表达没有任何显著影响。长期升高的高甘油三酯血症与心脏和肾脏中二羰基化合物水平升高有关。二甲双胍对心脏中反应性二羰基化合物和乙二醛酶的有益作用可能有助于其心脏保护作用。

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