The Jackson Laboratory, Bar Harbor, Maine.
Center for Molecular Medicine, Maine Medical Center Research Institute, Scarborough, Maine.
Ann N Y Acad Sci. 2018 Apr;1418(1):106-117. doi: 10.1111/nyas.13557. Epub 2018 Jan 29.
Rapamycin (RAPA), an inhibitor of mTORC signaling, has been shown to extend life span in mice and other organisms. Recently, animal and human studies have suggested that inhibition of mTORC signaling can alleviate or prevent the development of cardiomyopathy. In view of this, we used a murine model of type 2 diabetes (T2D), BKS-Lepr , to determine whether RAPA treatment can mitigate the development of T2D-induced cardiomyopathy in adult mice. Female BKS-Lepr mice fed diet supplemented with RAPA from 11 to 27 weeks of age showed reduced weight gain and significant reductions of fat and lean mass compared with untreated mice. No differences in plasma glucose or insulin levels were observed between groups; however, RAPA-treated mice were more insulin sensitive (P < 0.01) than untreated mice. Urine albumin/creatinine ratio was lower in RAPA-treated mice, suggesting reduced diabetic nephropathy and improved kidney function. Echocardiography showed significantly reduced left ventricular wall thickness in mice treated with RAPA compared with untreated mice (P = 0.02) that was consistent with reduced heart weight/tibia length ratios, reduced myocyte size and cardiac fibrosis measured by histomorphology, and reduced mRNA expression of Col1a1, a marker for cardiomyopathy. Our results suggest that inhibition of mTORC signaling is a plausible strategy for ameliorating complications of obesity and T2D, including cardiomyopathy.
雷帕霉素(RAPA)是 mTORC 信号的抑制剂,已被证明可延长小鼠和其他生物的寿命。最近,动物和人类研究表明,抑制 mTORC 信号可以减轻或预防心肌病的发展。鉴于此,我们使用 2 型糖尿病(T2D)的小鼠模型 BKS-Lepr,以确定 RAPA 治疗是否可以减轻成年小鼠 T2D 诱导的心肌病的发展。从 11 周到 27 周龄,用 RAPA 补充饮食喂养的雌性 BKS-Lepr 小鼠体重增加减少,与未治疗的小鼠相比,脂肪和瘦肉质量明显减少。两组之间的血浆葡萄糖或胰岛素水平没有差异;然而,与未治疗的小鼠相比,RAPA 治疗的小鼠胰岛素敏感性更高(P < 0.01)。RAPA 治疗的小鼠尿白蛋白/肌酐比值较低,提示糖尿病肾病减轻,肾功能改善。与未治疗的小鼠相比,RAPA 治疗的小鼠的左心室壁厚度明显降低(P = 0.02),这与心脏重量/胫骨长度比降低、心肌细胞大小减小和组织形态学测量的心脏纤维化减少以及 Col1a1(一种心肌病标志物)的 mRNA 表达减少一致。我们的结果表明,抑制 mTORC 信号是改善肥胖和 T2D 并发症(包括心肌病)的一种可行策略。