Diabetes Upregulates Oxidative Stress and Downregulates Cardiac Protection to Exacerbate Myocardial Ischemia/Reperfusion Injury in Rats

Diabetes exacerbates myocardial ischemia/reperfusion (IR) injury by incompletely understood mechanisms. We explored whether diabetes diminished BAG3/Bcl-2/Nrf-2/HO-1-mediated cardioprotection and overproduced oxidative stress contributing to exaggerated IR injury. Streptozotocin-induced diabetes enh...

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Main Authors: Chen-Yen Chien, Ting-Jui Wen, Yu-Hsiuan Cheng, Yi-Ting Tsai, Chih-Yao Chiang, Chiang-Ting Chien
Format: Article
Language:English
Published: MDPI AG 2020-07-01
Series:Antioxidants
Subjects:
Online Access:https://www.mdpi.com/2076-3921/9/8/679
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author Chen-Yen Chien
Ting-Jui Wen
Yu-Hsiuan Cheng
Yi-Ting Tsai
Chih-Yao Chiang
Chiang-Ting Chien
author_facet Chen-Yen Chien
Ting-Jui Wen
Yu-Hsiuan Cheng
Yi-Ting Tsai
Chih-Yao Chiang
Chiang-Ting Chien
author_sort Chen-Yen Chien
collection DOAJ
description Diabetes exacerbates myocardial ischemia/reperfusion (IR) injury by incompletely understood mechanisms. We explored whether diabetes diminished BAG3/Bcl-2/Nrf-2/HO-1-mediated cardioprotection and overproduced oxidative stress contributing to exaggerated IR injury. Streptozotocin-induced diabetes enhanced hyperglycemia, cardiac NADPH oxidase p22/p67 expression, malondialdehyde amount and leukocyte infiltration, altered the mesenteric expression of 4-HNE, CaSR, p-eNOS and BAG3 and impaired microvascular reactivity to the vasoconstrictor/vasodilator by a wire myography. In response to myocardial IR, diabetes further depressed BAG3/Bcl-2/Nrf-2/HO-1 expression, increased cleaved-caspase 3/poly(ADP-ribose) polymerase (PARP)/TUNEL-mediated apoptosis and exacerbated IR-induced left ventricular dysfunction characterized by further depressed microcirculation, heart rate, left ventricular systolic pressure and peak rate of pressure increase/decrease (±dp/dt) and elevated left ventricular end-diastolic pressure (LVEDP) and Evans blue-2,3,5-triphenyltetrazolium chloride-stained infarct size in diabetic hearts. Our results implicated diabetes exacerbated IR-induced myocardial dysfunction through downregulated BAG3/Bcl-2/Nrf-2/HO-1 expression, increased p22/p67/caspase 3/PARP/apoptosis-mediated oxidative injury and impaired microvascular reactivity.
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spelling doaj.art-d690e064f02842ba8fb941bf6402ac4c2023-11-20T08:23:48ZengMDPI AGAntioxidants2076-39212020-07-019867910.3390/antiox9080679Diabetes Upregulates Oxidative Stress and Downregulates Cardiac Protection to Exacerbate Myocardial Ischemia/Reperfusion Injury in RatsChen-Yen Chien0Ting-Jui Wen1Yu-Hsiuan Cheng2Yi-Ting Tsai3Chih-Yao Chiang4Chiang-Ting Chien5Department of Surgery, Mackay Memorial Hospital, Taipei 10449, TaiwanDepartment of Life Science, School of Life Science, National Taiwan Normal University, Taipei 11677, TaiwanDepartment of Life Science, School of Life Science, National Taiwan Normal University, Taipei 11677, TaiwanDivision of Cardiovascular Surgery, National Defense Medical Center, Taipei 11490, TaiwanDivision of Cardiovascular Surgery, National Defense Medical Center, Taipei 11490, TaiwanDepartment of Life Science, School of Life Science, National Taiwan Normal University, Taipei 11677, TaiwanDiabetes exacerbates myocardial ischemia/reperfusion (IR) injury by incompletely understood mechanisms. We explored whether diabetes diminished BAG3/Bcl-2/Nrf-2/HO-1-mediated cardioprotection and overproduced oxidative stress contributing to exaggerated IR injury. Streptozotocin-induced diabetes enhanced hyperglycemia, cardiac NADPH oxidase p22/p67 expression, malondialdehyde amount and leukocyte infiltration, altered the mesenteric expression of 4-HNE, CaSR, p-eNOS and BAG3 and impaired microvascular reactivity to the vasoconstrictor/vasodilator by a wire myography. In response to myocardial IR, diabetes further depressed BAG3/Bcl-2/Nrf-2/HO-1 expression, increased cleaved-caspase 3/poly(ADP-ribose) polymerase (PARP)/TUNEL-mediated apoptosis and exacerbated IR-induced left ventricular dysfunction characterized by further depressed microcirculation, heart rate, left ventricular systolic pressure and peak rate of pressure increase/decrease (±dp/dt) and elevated left ventricular end-diastolic pressure (LVEDP) and Evans blue-2,3,5-triphenyltetrazolium chloride-stained infarct size in diabetic hearts. Our results implicated diabetes exacerbated IR-induced myocardial dysfunction through downregulated BAG3/Bcl-2/Nrf-2/HO-1 expression, increased p22/p67/caspase 3/PARP/apoptosis-mediated oxidative injury and impaired microvascular reactivity.https://www.mdpi.com/2076-3921/9/8/679diabetesmyocardial ischemia/reperfusionoxidative stressapoptosis
spellingShingle Chen-Yen Chien
Ting-Jui Wen
Yu-Hsiuan Cheng
Yi-Ting Tsai
Chih-Yao Chiang
Chiang-Ting Chien
Diabetes Upregulates Oxidative Stress and Downregulates Cardiac Protection to Exacerbate Myocardial Ischemia/Reperfusion Injury in Rats
Antioxidants
diabetes
myocardial ischemia/reperfusion
oxidative stress
apoptosis
title Diabetes Upregulates Oxidative Stress and Downregulates Cardiac Protection to Exacerbate Myocardial Ischemia/Reperfusion Injury in Rats
title_full Diabetes Upregulates Oxidative Stress and Downregulates Cardiac Protection to Exacerbate Myocardial Ischemia/Reperfusion Injury in Rats
title_fullStr Diabetes Upregulates Oxidative Stress and Downregulates Cardiac Protection to Exacerbate Myocardial Ischemia/Reperfusion Injury in Rats
title_full_unstemmed Diabetes Upregulates Oxidative Stress and Downregulates Cardiac Protection to Exacerbate Myocardial Ischemia/Reperfusion Injury in Rats
title_short Diabetes Upregulates Oxidative Stress and Downregulates Cardiac Protection to Exacerbate Myocardial Ischemia/Reperfusion Injury in Rats
title_sort diabetes upregulates oxidative stress and downregulates cardiac protection to exacerbate myocardial ischemia reperfusion injury in rats
topic diabetes
myocardial ischemia/reperfusion
oxidative stress
apoptosis
url https://www.mdpi.com/2076-3921/9/8/679
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