BAG3 Attenuates Ischemia-Induced Skeletal Muscle Necroptosis in Diabetic Experimental Peripheral Artery Disease

Peripheral artery disease (PAD) is characterized by impaired blood flow to the lower extremities, resulting in ischemic limb injuries. Individuals with diabetes and PAD typically have more severe ischemic limb injuries and limb amputations, but the mechanisms involved are poorly understood. Previous...

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Main Authors: Arul M. Mani, Karthik Dhanabalan, Victor Lamin, Thomas Wong, Madhu V. Singh, Ayotunde O. Dokun
Format: Article
Language:English
Published: MDPI AG 2022-09-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/23/18/10715
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author Arul M. Mani
Karthik Dhanabalan
Victor Lamin
Thomas Wong
Madhu V. Singh
Ayotunde O. Dokun
author_facet Arul M. Mani
Karthik Dhanabalan
Victor Lamin
Thomas Wong
Madhu V. Singh
Ayotunde O. Dokun
author_sort Arul M. Mani
collection DOAJ
description Peripheral artery disease (PAD) is characterized by impaired blood flow to the lower extremities, resulting in ischemic limb injuries. Individuals with diabetes and PAD typically have more severe ischemic limb injuries and limb amputations, but the mechanisms involved are poorly understood. Previously, we identified BAG3 as a gene within a mouse genetic locus termed limb salvage QTL1 on mouse chromosome 7 that determined the extent of limb necrosis following ischemic injury in C57Bl/6 mice. Whether BAG3 deficiency plays a role in the severe ischemic injury observed in diabetic PAD is not known. In vitro, we found simulated ischemia enhanced BAG3 expression in primary human skeletal muscle cells, whereas BAG3 knockdown increased necroptosis markers and decreased cell viability. In vivo, ischemic skeletal muscles from hind limbs of high-fat diet (HFD)-fed mice showed poor BAG3 expression compared to normal chow diet (NCD)-fed mice, and this was associated with increased limb amputations. BAG3 overexpression in ischemic skeletal muscles from hind limbs of HFD mice rescued limb amputation and improved autophagy, necroptosis, skeletal muscle function and regeneration. Therefore, BAG3 deficiency in ischemic skeletal muscles contributes to the severity of ischemic limb injury in diabetic PAD, likely through autophagy and necroptosis pathways.
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spelling doaj.art-f01d476a5a6f4c4284772af59215641e2023-11-23T16:46:37ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672022-09-0123181071510.3390/ijms231810715BAG3 Attenuates Ischemia-Induced Skeletal Muscle Necroptosis in Diabetic Experimental Peripheral Artery DiseaseArul M. Mani0Karthik Dhanabalan1Victor Lamin2Thomas Wong3Madhu V. Singh4Ayotunde O. Dokun5Division of Endocrinology and Metabolism, Carver College of Medicine, University of Iowa, Iowa City, IA 52242, USADivision of Endocrinology and Metabolism, Carver College of Medicine, University of Iowa, Iowa City, IA 52242, USADivision of Endocrinology and Metabolism, Carver College of Medicine, University of Iowa, Iowa City, IA 52242, USADivision of Endocrinology and Metabolism, Carver College of Medicine, University of Iowa, Iowa City, IA 52242, USADivision of Endocrinology and Metabolism, Carver College of Medicine, University of Iowa, Iowa City, IA 52242, USADivision of Endocrinology and Metabolism, Carver College of Medicine, University of Iowa, Iowa City, IA 52242, USAPeripheral artery disease (PAD) is characterized by impaired blood flow to the lower extremities, resulting in ischemic limb injuries. Individuals with diabetes and PAD typically have more severe ischemic limb injuries and limb amputations, but the mechanisms involved are poorly understood. Previously, we identified BAG3 as a gene within a mouse genetic locus termed limb salvage QTL1 on mouse chromosome 7 that determined the extent of limb necrosis following ischemic injury in C57Bl/6 mice. Whether BAG3 deficiency plays a role in the severe ischemic injury observed in diabetic PAD is not known. In vitro, we found simulated ischemia enhanced BAG3 expression in primary human skeletal muscle cells, whereas BAG3 knockdown increased necroptosis markers and decreased cell viability. In vivo, ischemic skeletal muscles from hind limbs of high-fat diet (HFD)-fed mice showed poor BAG3 expression compared to normal chow diet (NCD)-fed mice, and this was associated with increased limb amputations. BAG3 overexpression in ischemic skeletal muscles from hind limbs of HFD mice rescued limb amputation and improved autophagy, necroptosis, skeletal muscle function and regeneration. Therefore, BAG3 deficiency in ischemic skeletal muscles contributes to the severity of ischemic limb injury in diabetic PAD, likely through autophagy and necroptosis pathways.https://www.mdpi.com/1422-0067/23/18/10715BAG3peripheral artery diseasediabetesautophagynecroptosis
spellingShingle Arul M. Mani
Karthik Dhanabalan
Victor Lamin
Thomas Wong
Madhu V. Singh
Ayotunde O. Dokun
BAG3 Attenuates Ischemia-Induced Skeletal Muscle Necroptosis in Diabetic Experimental Peripheral Artery Disease
International Journal of Molecular Sciences
BAG3
peripheral artery disease
diabetes
autophagy
necroptosis
title BAG3 Attenuates Ischemia-Induced Skeletal Muscle Necroptosis in Diabetic Experimental Peripheral Artery Disease
title_full BAG3 Attenuates Ischemia-Induced Skeletal Muscle Necroptosis in Diabetic Experimental Peripheral Artery Disease
title_fullStr BAG3 Attenuates Ischemia-Induced Skeletal Muscle Necroptosis in Diabetic Experimental Peripheral Artery Disease
title_full_unstemmed BAG3 Attenuates Ischemia-Induced Skeletal Muscle Necroptosis in Diabetic Experimental Peripheral Artery Disease
title_short BAG3 Attenuates Ischemia-Induced Skeletal Muscle Necroptosis in Diabetic Experimental Peripheral Artery Disease
title_sort bag3 attenuates ischemia induced skeletal muscle necroptosis in diabetic experimental peripheral artery disease
topic BAG3
peripheral artery disease
diabetes
autophagy
necroptosis
url https://www.mdpi.com/1422-0067/23/18/10715
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