HuR/Cx40 downregulation causes coronary microvascular dysfunction in type 2 diabetes

Patients with diabetes with coronary microvascular disease (CMD) exhibit higher cardiac mortality than patients without CMD. However, the molecular mechanism by which diabetes promotes CMD is poorly understood. RNA-binding protein human antigen R (HuR) is a key regulator of mRNA stability and transl...

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Main Authors: Rui Si, Jody Tori O. Cabrera, Atsumi Tsuji-Hosokawa, Rui Guo, Makiko Watanabe, Lei Gao, Yun Sok Lee, Jae-Su Moon, Brian T. Scott, Jian Wang, Anthony W. Ashton, Jaladanki N. Rao, Jian-Ying Wang, Jason X.-J. Yuan, Ayako Makino
Format: Article
Language:English
Published: American Society for Clinical investigation 2021-11-01
Series:JCI Insight
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Online Access:https://doi.org/10.1172/jci.insight.147982
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author Rui Si
Jody Tori O. Cabrera
Atsumi Tsuji-Hosokawa
Rui Guo
Makiko Watanabe
Lei Gao
Yun Sok Lee
Jae-Su Moon
Brian T. Scott
Jian Wang
Anthony W. Ashton
Jaladanki N. Rao
Jian-Ying Wang
Jason X.-J. Yuan
Ayako Makino
author_facet Rui Si
Jody Tori O. Cabrera
Atsumi Tsuji-Hosokawa
Rui Guo
Makiko Watanabe
Lei Gao
Yun Sok Lee
Jae-Su Moon
Brian T. Scott
Jian Wang
Anthony W. Ashton
Jaladanki N. Rao
Jian-Ying Wang
Jason X.-J. Yuan
Ayako Makino
author_sort Rui Si
collection DOAJ
description Patients with diabetes with coronary microvascular disease (CMD) exhibit higher cardiac mortality than patients without CMD. However, the molecular mechanism by which diabetes promotes CMD is poorly understood. RNA-binding protein human antigen R (HuR) is a key regulator of mRNA stability and translation; therefore, we investigated the role of HuR in the development of CMD in mice with type 2 diabetes. Diabetic mice exhibited decreases in coronary flow velocity reserve (CFVR; a determinant of coronary microvascular function) and capillary density in the left ventricle. HuR levels in cardiac endothelial cells (CECs) were significantly lower in diabetic mice and patients with diabetes than the controls. Endothelial-specific HuR-KO mice also displayed significant reductions in CFVR and capillary density. By examining mRNA levels of 92 genes associated with endothelial function, we found that HuR, Cx40, and Nox4 levels were decreased in CECs from diabetic and HuR-KO mice compared with control mice. Cx40 expression and HuR binding to Cx40 mRNA were downregulated in CECs from diabetic mice. Cx40-KO mice exhibited decreased CFVR and capillary density, whereas endothelium-specific Cx40 overexpression increased capillary density and improved CFVR in diabetic mice. These data suggest that decreased HuR contributes to the development of CMD in diabetes through downregulation of gap junction protein Cx40 in CECs.
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spelling doaj.art-6276e505da664ccaa86691d1f879b0402022-12-22T02:38:10ZengAmerican Society for Clinical investigationJCI Insight2379-37082021-11-01621HuR/Cx40 downregulation causes coronary microvascular dysfunction in type 2 diabetesRui SiJody Tori O. CabreraAtsumi Tsuji-HosokawaRui GuoMakiko WatanabeLei GaoYun Sok LeeJae-Su MoonBrian T. ScottJian WangAnthony W. AshtonJaladanki N. RaoJian-Ying WangJason X.-J. YuanAyako MakinoPatients with diabetes with coronary microvascular disease (CMD) exhibit higher cardiac mortality than patients without CMD. However, the molecular mechanism by which diabetes promotes CMD is poorly understood. RNA-binding protein human antigen R (HuR) is a key regulator of mRNA stability and translation; therefore, we investigated the role of HuR in the development of CMD in mice with type 2 diabetes. Diabetic mice exhibited decreases in coronary flow velocity reserve (CFVR; a determinant of coronary microvascular function) and capillary density in the left ventricle. HuR levels in cardiac endothelial cells (CECs) were significantly lower in diabetic mice and patients with diabetes than the controls. Endothelial-specific HuR-KO mice also displayed significant reductions in CFVR and capillary density. By examining mRNA levels of 92 genes associated with endothelial function, we found that HuR, Cx40, and Nox4 levels were decreased in CECs from diabetic and HuR-KO mice compared with control mice. Cx40 expression and HuR binding to Cx40 mRNA were downregulated in CECs from diabetic mice. Cx40-KO mice exhibited decreased CFVR and capillary density, whereas endothelium-specific Cx40 overexpression increased capillary density and improved CFVR in diabetic mice. These data suggest that decreased HuR contributes to the development of CMD in diabetes through downregulation of gap junction protein Cx40 in CECs.https://doi.org/10.1172/jci.insight.147982Vascular biology
spellingShingle Rui Si
Jody Tori O. Cabrera
Atsumi Tsuji-Hosokawa
Rui Guo
Makiko Watanabe
Lei Gao
Yun Sok Lee
Jae-Su Moon
Brian T. Scott
Jian Wang
Anthony W. Ashton
Jaladanki N. Rao
Jian-Ying Wang
Jason X.-J. Yuan
Ayako Makino
HuR/Cx40 downregulation causes coronary microvascular dysfunction in type 2 diabetes
JCI Insight
Vascular biology
title HuR/Cx40 downregulation causes coronary microvascular dysfunction in type 2 diabetes
title_full HuR/Cx40 downregulation causes coronary microvascular dysfunction in type 2 diabetes
title_fullStr HuR/Cx40 downregulation causes coronary microvascular dysfunction in type 2 diabetes
title_full_unstemmed HuR/Cx40 downregulation causes coronary microvascular dysfunction in type 2 diabetes
title_short HuR/Cx40 downregulation causes coronary microvascular dysfunction in type 2 diabetes
title_sort hur cx40 downregulation causes coronary microvascular dysfunction in type 2 diabetes
topic Vascular biology
url https://doi.org/10.1172/jci.insight.147982
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