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Cardiovascular Research Advance Access [Accepted Manuscript] published online on March 10, 2009

Cardiovascular Research, doi:10.1093/cvr/cvp085
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2009. For permissions please email: journals.permissions@oxfordjournals.org.

High glucose Sensitizes Adult Cardiomyocytes to Ischemia/Reperfusion Injury Through Nitrative Thioredoxin Inactivation

Ronghua Luan, MD1, Shaowei Liu, MD1, Tao Yin, MD1, Wayne Bond Lau, MD2, Qun Wang, MD, PhD1, Wenyi Guo, MD, PhD1, Haichang Wang, MD, PhD1,* and Ling Tao, MD, PhD1,*

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


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