Laboratory of Cardiovascular Internal Medicine Department, The First Affiliated Hospital of Harbin Medical University, 23 Youzheng Street, Nangang District, Harbin, 150001, Heilongjiang, China.
The First Affiliated Hospital of Jinzhou Medical University, 157 Renmin Street, Guta District, Jinzhou, 121000, China.
Sci Rep. 2024 Jun 5;14(1):12978. doi: 10.1038/s41598-024-64006-7.
Diabetic cardiomyopathy is a specific type of cardiomyopathy. In DCM, glucose uptake and utilization are impaired due to insulin deficiency or resistance, and the heart relies more heavily on fatty acid oxidation for energy, resulting in myocardial lipid toxicity-related injury. MARK4 is a member of the AMPK-related kinase family, and improves ischaemic heart failure through microtubule detyrosination. However, the role of MARK4 in cardiac regulation of metabolism is unclear. In this study, after successful establishment of a diabetic cardiomyopathy model induced by streptozotocin and a high-fat diet, MARK4 expression was found to be significantly increased in STZ-induced DCM mice. After AAV9-shMARK4 was administered through the tail vein, decreased expression of MARK4 alleviated diabetic myocardial damage, reduced oxidative stress and apoptosis, and facilitated cardiomyocyte mitochondrial fusion, and promoted myocardial lipid oxidation metabolism. In addition, through the RNA-seq analysis of differentially expressed genes, we found that MARK4 deficiency promoted lipid decomposition and oxidative metabolism by downregulating the expression of ACSL4, thus reducing myocardial lipid accumulation in the STZ-induced DCM model.
糖尿病性心肌病是一种特定类型的心肌病。在 DCM 中,由于胰岛素缺乏或抵抗,葡萄糖摄取和利用受损,心脏更依赖于脂肪酸氧化供能,导致心肌脂质毒性相关损伤。MARK4 是 AMPK 相关激酶家族的成员,通过微管脱酪氨酸化改善缺血性心力衰竭。然而,MARK4 在心脏代谢调节中的作用尚不清楚。在这项研究中,成功建立了链脲佐菌素和高脂肪饮食诱导的糖尿病心肌病模型后,发现 MARK4 在 STZ 诱导的 DCM 小鼠中的表达显著增加。通过尾静脉给予 AAV9-shMARK4 后,MARK4 表达下调减轻了糖尿病性心肌损伤,减少了氧化应激和细胞凋亡,并促进了心肌细胞线粒体融合,促进了心肌脂质氧化代谢。此外,通过差异表达基因的 RNA-seq 分析,我们发现 MARK4 缺乏通过下调 ACSL4 的表达促进脂质分解和氧化代谢,从而减少 STZ 诱导的 DCM 模型中心肌脂质积累。