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N-乙酰半胱氨酸、硒和抗坏血酸通过线粒体相关氧化还原调节剂拯救糖尿病性心肌肥厚。

N-Acetyl Cysteine, Selenium, and Ascorbic Acid Rescue Diabetic Cardiac Hypertrophy via Mitochondrial-Associated Redox Regulators.

机构信息

Signal Transduction Laboratory, Department of Biochemistry, Faculty of Biological Sciences, Quaid-i-Azam University, Islamabad 45320, Pakistan.

Department of Biotechnology, COMSATS University Islamabad, Abbottabad Campus, Abbotabad 22060, Pakistan.

出版信息

Molecules. 2021 Nov 30;26(23):7285. doi: 10.3390/molecules26237285.


DOI:10.3390/molecules26237285
PMID:34885867
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8659237/
Abstract

Metabolic disorders often lead to cardiac complications. Metabolic deregulations during diabetic conditions are linked to mitochondrial dysfunctions, which are the key contributing factors in cardiac hypertrophy. However, the underlying mechanisms involved in diabetes-induced cardiac hypertrophy are poorly understood. In the current study, we initially established a diabetic rat model by alloxan-administration, which was validated by peripheral glucose measurement. Diabetic rats displayed myocardial stiffness and fibrosis, changes in heart weight/body weight, heart weight/tibia length ratios, and enhanced size of myocytes, which altogether demonstrated the establishment of diabetic cardiac hypertrophy (DCH). Furthermore, we examined the expression of genes associated with mitochondrial signaling impairment. Our data show that the expression of PGC-1α, cytochrome c, MFN-2, and Drp-1 was deregulated. Mitochondrial-signaling impairment was further validated by redox-system dysregulation, which showed a significant increase in ROS and thiobarbituric acid reactive substances, both in serum and heart tissue, whereas the superoxide dismutase, catalase, and glutathione levels were decreased. Additionally, the expression levels of pro-apoptotic gene PUMA and stress marker GATA-4 genes were elevated, whereas ARC, PPARα, and Bcl-2 expression levels were decreased in the heart tissues of diabetic rats. Importantly, these alloxan-induced impairments were rescued by N-acetyl cysteine, ascorbic acid, and selenium treatment. This was demonstrated by the amelioration of myocardial stiffness, fibrosis, mitochondrial gene expression, lipid profile, restoration of myocyte size, reduced oxidative stress, and the activation of enzymes associated with antioxidant activities. Altogether, these data indicate that the improvement of mitochondrial dysfunction by protective agents such as N-acetyl cysteine, selenium, and ascorbic acid could rescue diabetes-associated cardiac complications, including DCH.

摘要

代谢紊乱常导致心脏并发症。糖尿病状态下的代谢失调与线粒体功能障碍有关,后者是心脏肥大的关键致病因素。然而,糖尿病引起的心脏肥大的潜在机制仍不清楚。在本研究中,我们首先通过给予链脲佐菌素建立糖尿病大鼠模型,并通过外周血糖测量进行验证。糖尿病大鼠表现出心肌僵硬度和纤维化、心脏重量/体重、心脏重量/胫骨长度比值的变化以及心肌细胞大小的增加,这些都共同证明了糖尿病性心脏肥大(DCH)的建立。此外,我们还检查了与线粒体信号转导受损相关的基因表达。我们的数据显示,PGC-1α、细胞色素 c、MFN-2 和 Drp-1 的表达受到了调节。线粒体信号转导受损进一步通过氧化还原系统失调得到验证,结果显示血清和心脏组织中的 ROS 和硫代巴比妥酸反应物质显著增加,而超氧化物歧化酶、过氧化氢酶和谷胱甘肽水平降低。此外,促凋亡基因 PUMA 和应激标志物 GATA-4 的表达水平升高,而 ARC、PPARα 和 Bcl-2 的表达水平在糖尿病大鼠的心脏组织中降低。重要的是,这些由链脲佐菌素引起的损伤可以通过 N-乙酰半胱氨酸、抗坏血酸和硒的治疗得到挽救。这表现在心肌僵硬度、纤维化、线粒体基因表达、脂质谱、肌细胞大小的恢复、氧化应激的减少以及与抗氧化活性相关的酶的激活得到改善。总之,这些数据表明,保护剂如 N-乙酰半胱氨酸、硒和抗坏血酸改善线粒体功能障碍可以挽救与糖尿病相关的心脏并发症,包括 DCH。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6c1/8659237/45608632a4a5/molecules-26-07285-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6c1/8659237/3dfc64de4229/molecules-26-07285-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6c1/8659237/114b4aba734b/molecules-26-07285-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6c1/8659237/c01acc943828/molecules-26-07285-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6c1/8659237/9d3d41f40889/molecules-26-07285-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6c1/8659237/9ad9b7bd41ba/molecules-26-07285-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6c1/8659237/c10f6a367183/molecules-26-07285-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6c1/8659237/45608632a4a5/molecules-26-07285-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6c1/8659237/3dfc64de4229/molecules-26-07285-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6c1/8659237/114b4aba734b/molecules-26-07285-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6c1/8659237/c01acc943828/molecules-26-07285-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6c1/8659237/9d3d41f40889/molecules-26-07285-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6c1/8659237/9ad9b7bd41ba/molecules-26-07285-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6c1/8659237/c10f6a367183/molecules-26-07285-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6c1/8659237/45608632a4a5/molecules-26-07285-g007.jpg

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引用本文的文献

[1]
From bench to bedside: targeting ferroptosis and mitochondrial damage in the treatment of diabetic cardiomyopathy.

Front Endocrinol (Lausanne). 2025-4-25

[2]
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Signaling Pathways Related to Oxidative Stress in Diabetic Cardiomyopathy.

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[5]
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本文引用的文献

[1]
Indigofera linifolia ameliorated CCl induced endoplasmic reticulum stress in liver of rat.

J Ethnopharmacol. 2022-3-1

[2]
Mentha longifolia Alleviates Exogenous Serotonin-Induced Diabetic Hypoglycemia and Relieves Renal Toxicity via ROS Regulation.

Plant Foods Hum Nutr. 2021-12

[3]
Leaf Extract Reverses Alloxan/Nicotinamide-Induced Diabetes Mellitus in Rats through Hormonal (Insulin, GLP-1, and Glucagon) and Enzymatic (-Amylase/-Glucosidase) Modulation.

Biomed Res Int. 2021

[4]
Effect of a single, oral administration of selenitetriglycerides, at two dose rates, on blood selenium status and haematological and biochemical parameters in Holstein-Friesian calves.

Ir Vet J. 2021-4-23

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Front Cardiovasc Med. 2020-11-6

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Circ Res. 2020-5-22

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Engineering electroactive and biocompatible tetra(aniline)-based terpolymers with tunable intrinsic antioxidant properties in vivo.

Mater Sci Eng C Mater Biol Appl. 2019-11-20

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An In Vitro Study on the Combination Effect of Metformin and N-Acetyl Cysteine against Hyperglycaemia-Induced Cardiac Damage.

Nutrients. 2019-11-21

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NADPH oxidases and oxidase crosstalk in cardiovascular diseases: novel therapeutic targets.

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Interplay of N acetyl cysteine and melatonin in regulating oxidative stress-induced cardiac hypertrophic factors and microRNAs.

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