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慢性药物抑制易化葡萄糖转运对扩张型心肌病和心肌缺血的代谢和心脏适应。

Metabolic and Cardiac Adaptation to Chronic Pharmacologic Blockade of Facilitative Glucose Transport in Murine Dilated Cardiomyopathy and Myocardial Ischemia.

机构信息

Department of Pediatrics, Washington University School of Medicine, St. Louis, USA.

Department of Internal Medicine, Washington University School of Medicine, St. Louis, USA.

出版信息

Sci Rep. 2018 Apr 24;8(1):6475. doi: 10.1038/s41598-018-24867-1.

Abstract

GLUT transgenic and knockout mice have provided valuable insight into the role of facilitative glucose transporters (GLUTs) in cardiovascular and metabolic disease, but compensatory physiological changes can hinder interpretation of these models. To determine whether adaptations occur in response to GLUT inhibition in the failing adult heart, we chronically treated TG9 mice, a transgenic model of dilated cardiomyopathy and heart failure, with the GLUT inhibitor ritonavir. Glucose tolerance was significantly improved with chronic treatment and correlated with decreased adipose tissue retinol binding protein 4 (RBP4) and resistin. A modest improvement in lifespan was associated with decreased cardiomyocyte brain natriuretic peptide (BNP) expression, a marker of heart failure severity. GLUT1 and -12 protein expression was significantly increased in left ventricular (LV) myocardium in ritonavir-treated animals. Supporting a switch from fatty acid to glucose utilization in these tissues, fatty acid transporter CD36 and fatty acid transcriptional regulator peroxisome proliferator-activated receptor α (PPARα) mRNA were also decreased in LV and soleus muscle. Chronic ritonavir also increased cardiac output and dV/dt-d in C57Bl/6 mice following ischemia-reperfusion injury. Taken together, these data demonstrate compensatory metabolic adaptation in response to chronic GLUT blockade as a means to evade deleterious changes in the failing heart.

摘要

GLUT 转基因和敲除小鼠为研究易化葡萄糖转运体(GLUTs)在心血管和代谢疾病中的作用提供了有价值的见解,但代偿性的生理变化可能会影响这些模型的解释。为了确定在衰竭的成年心脏中 GLUT 抑制是否会引起适应性变化,我们用 GLUT 抑制剂利托那韦对 TG9 小鼠(扩张型心肌病和心力衰竭的转基因模型)进行了慢性治疗。慢性治疗显著改善了葡萄糖耐量,并与脂肪组织视黄醇结合蛋白 4(RBP4)和抵抗素的减少相关。寿命的适度改善与心肌细胞脑钠肽(BNP)表达的减少有关,BNP 是心力衰竭严重程度的标志物。在利托那韦处理的动物的左心室(LV)心肌中,GLUT1 和 -12 蛋白表达显著增加。支持这些组织中从脂肪酸向葡萄糖利用的转变,脂肪酸转运蛋白 CD36 和脂肪酸转录调节剂过氧化物酶体增殖物激活受体α(PPARα)mRNA 在 LV 和比目鱼肌中也减少。慢性利托那韦还增加了 C57Bl/6 小鼠缺血再灌注损伤后的心输出量和 dV/dt-d。总之,这些数据表明,慢性 GLUT 阻断后会发生代偿性代谢适应,以此来避免衰竭心脏的有害变化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee90/5915485/b14505656822/41598_2018_24867_Fig1_HTML.jpg

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