Key Laboratory of Cardiovascular Remodeling and Function Research, Chinese Ministry of Education and Chinese Ministry of Health, Qilu Hospital of Shandong University, Jinan, Shandong, China.
J Cell Mol Med. 2018 Mar;22(3):1475-1488. doi: 10.1111/jcmm.13406. Epub 2017 Dec 21.
Diabetic cardiomyopathy, a major cardiac complication, contributes to heart remodelling and heart failure. Our previous study discovered that CCAAT/enhancer-binding protein β (C/EBPβ), a transcription factor that belongs to a family of basic leucine zipper transcription factors, interacts with the angiotensin-converting enzyme 2 (ACE2) promoter sequence in other disease models. Here, we aimed to determine the role of C/EBPβ in diabetes and whether ACE2 expression is regulated by C/EBPβ. A type 1 diabetic mouse model was generated by an intraperitoneal injection of streptozotocin. Diabetic mice were injected with a lentivirus expressing either C/EBPβ or sh-C/EBPβ or treated with valsartan after 12 weeks to observe the effects of C/EBPβ. In vitro, cardiac fibroblasts and cardiomyocytes were treated with high glucose (HG) to investigate the anti-fibrosis, anti-apoptosis and regulatory mechanisms of C/EBPβ. C/EBPβ expression was down-regulated in diabetic mice and HG-induced cardiac neonatal cells. C/EBPβ overexpression significantly attenuated collagen deposition and cardiomyocyte apoptosis by up-regulating ACE2 expression. The molecular mechanism involved the binding of C/EBPβ to the ACE2 promoter sequence. Although valsartan, a classic angiotensin receptor blocker, relieved diabetic complications, the up-regulation of ACE2 expression by C/EBPβ overexpression may exert greater beneficial effects on patients with diabetic cardiomyopathy.
糖尿病性心肌病是一种主要的心脏并发症,可导致心脏重构和心力衰竭。我们之前的研究发现,CCAAT/增强子结合蛋白β(C/EBPβ)是一种属于碱性亮氨酸拉链转录因子家族的转录因子,在其他疾病模型中与血管紧张素转换酶 2(ACE2)启动子序列相互作用。在这里,我们旨在确定 C/EBPβ 在糖尿病中的作用,以及 ACE2 的表达是否受 C/EBPβ 调节。通过腹腔注射链脲佐菌素生成 1 型糖尿病小鼠模型。在 12 周后,用表达 C/EBPβ 或 sh-C/EBPβ 的慢病毒或缬沙坦对糖尿病小鼠进行注射,以观察 C/EBPβ 的作用。在体外,用高糖(HG)处理心脏成纤维细胞和心肌细胞,以研究 C/EBPβ 的抗纤维化、抗凋亡和调节机制。糖尿病小鼠和 HG 诱导的心脏新生细胞中 C/EBPβ 的表达下调。C/EBPβ 的过表达通过上调 ACE2 的表达显著减轻胶原沉积和心肌细胞凋亡。涉及的分子机制是 C/EBPβ 与 ACE2 启动子序列的结合。虽然血管紧张素受体阻滞剂缬沙坦可缓解糖尿病并发症,但 C/EBPβ 过表达对糖尿病性心肌病患者可能产生更大的有益影响。