Cardiovascular Research Advance Access [Accepted Manuscript] published online on March 10, 2009
Cardiovascular Research, doi:10.1093/cvr/cvp085
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High glucose Sensitizes Adult Cardiomyocytes to Ischemia/Reperfusion Injury Through Nitrative Thioredoxin Inactivation
1 Department of Cardiology, Xijing Hospital, The Fourth Military Medical University Xian, China, 710032
2 Department of Emergency Medicine, Thomas Jefferson University, Philadelphia, PA 19107
* Address proofs to: Ling Tao, M.D., Ph.D., Department of Cardiology, Xijing Hospital, The Fourth Military Medical University, 15 West Changle Road, Xian, China, 710032, Tel: (8629)847-75183, Fax: (8629) 847-71170, E-mail: Lingtao2006{at}gmail.com Or Haichang Wang, MD, PhD, Department of Cardiology, Xijing Hospital, The Fourth Military Medical University, 15 West Changle Road, Xian, China, 710032, Tel: (8629)847-73469, Fax: (8629) 847-71170 E-mail: wanghc{at}fmmu.edu.cn
Aims: Ischemic cardiac injury is significantly increased in diabetic patients, but its underlying mechanisms remain incompletely understood. The current study attempted to identify new molecular mechanisms potentially contributive to hyperglycemic-exaggeration of myocardial ischemic injury.
Methods: Adult mouse cardiomyocytes were cultured in normal-glucose (NG, 5.5 mM) or high-glucose (HG, 25 mM) medium. 12 hours after NG or HG pre-culture, cardiomyocytes were subjected to 3 hours of simulated ischemia (SI), followed by 3 hours of reperfusion (R) in NG medium. Prior to and after SI/R, the following were determined: cardiomyocyte death and apoptosis, sustained oxidative/nitrative stress, and thioredoxin (Trx) activity, expression, and nitration.
Results: Compared to NG-cultured cardiomyocytes, 12-hour HG culture significantly increased superoxide and peroxynitrite production, increased Trx-1 nitration, and reduced Trx activity (P<0.01). Despite being subject to identical SI/R procedures and conditions, cells pre-cultured in HG sustained greater injury, evidenced by elevated lactate dehydrogenase (LDH) release and caspase-3 activation (P<0.01). Moreover, SI/R induced greater superoxide/peroxynitrite overproduction and greater Trx-1 nitration and inactivation in HG pre-cultured cardiomyocytes than in NG pre-cultured cardiomyocytes. Finally, the supplementation of human Trx-1, superoxide scavenger, or peroxynitrite decomposition catalyst in HG pre-cultured cells reduced Trx-1 nitration, preserved Trx-1 activity, and normalized SI/R injury to levels observed in NG pre-cultured cardiomyocytes.
Conclusions: High glucose sensitized cardiomyocytes to ischemia/reperfusion injury through nitrative Trx-1 inactivation. Interventions restoring Trx-1 activity in the diabetic heart may represent novel therapies attenuating cardiac injury in diabetic patients.
KEYWORDS Diabetes; Thioredoxin; Protein Nitration; Ischemia/Reperfusion
Time for primary review: 19 Days