Chronic Co-Administration of Sepiapterin and L-Citrulline Ameliorates Diabetic Cardiomyopathy and Myocardial Ischemia/Reperfusion Injury in Obese Type 2 Diabetic Mice

Autor: Juan Fang, David X. Zhang, Judy R. Kersten, Zeljko J. Bosnjak, Zhi-Dong Ge, Thorsten M. Leucker, Mark Paterson, David C. Warltier, Shelley L. Baumgardt
Rok vydání: 2016
Předmět:
0301 basic medicine
Time Factors
Diabetic Cardiomyopathies
Myocardial Infarction
Mice
Obese

030204 cardiovascular system & hematology
Ventricular Function
Left

chemistry.chemical_compound
0302 clinical medicine
Diabetic cardiomyopathy
Phosphorylation
Cells
Cultured

Ejection fraction
biology
Age Factors
Tetrahydrobiopterin
Coronary Vessels
Nitric oxide synthase
Vasodilation
Drug Therapy
Combination

Cardiology and Cardiovascular Medicine
medicine.drug
medicine.medical_specialty
Sepiapterin
Cardiotonic Agents
Nitric Oxide Synthase Type III
Ischemia
Biopterin
Myocardial Reperfusion Injury
Nitric Oxide
Drug Administration Schedule
Article
03 medical and health sciences
Internal medicine
Coronary Circulation
medicine
Animals
Obesity
business.industry
Myocardium
Endothelial Cells
Isolated Heart Preparation
medicine.disease
Pterins
Mice
Inbred C57BL

Disease Models
Animal

030104 developmental biology
Endocrinology
chemistry
Diabetes Mellitus
Type 2

biology.protein
Citrulline
Protein Multimerization
business
Reperfusion injury
Zdroj: Circulation. Heart failure. 9(1)
ISSN: 1941-3297
Popis: Background— Diabetic heart disease is associated with tetrahydrobiopterin oxidation and high arginase activity, leading to endothelial nitric oxide synthase dysfunction. Sepiapterin (SEP) is a tetrahydrobiopterin precursor, and l -citrulline ( l -Cit) is converted to endothelial nitric oxide synthase substrate, l -arginine. Whether SEP and l -Cit are effective at reducing diabetic heart disease is not known. The present study examined the effects of SEP and l -Cit on diabetic cardiomyopathy and ischemia/reperfusion injury in obese type 2 diabetic mice. Methods and Results— Db/db and C57BLKS/J mice at 6 to 8 weeks of age received vehicle, SEP, or l -Cit orally alone or in combination for 8 weeks. Cardiac function was evaluated with echocardiography. Db/db mice displayed hyperglycemia, obesity, and normal blood pressure and cardiac function compared with C57BLKS/J mice at 6 to 8 weeks of age. After vehicle treatment for 8 weeks, db/db mice had reduced ejection fraction, mitral E / A ratio, endothelium-dependent relaxation of coronary arteries, tetrahydrobiopterin concentrations, ratio of endothelial nitric oxide synthase dimers/monomers, and nitric oxide levels compared with vehicle-treated C57BLKS/J mice. These detrimental effects of diabetes mellitus were abrogated by co-administration of SEP and l -Cit. Myocardial infarct size was increased, and coronary flow rate and ±d P /d t were decreased during reperfusion in vehicle-treated db/db mice subjected to ischemia/reperfusion injury compared with control mice. Co-administration of SEP and l -Cit decreased infarct size and improved coronary flow rate and cardiac function in both C57BLKS/J and db/db mice. Conclusions— Co-administration of SEP and l -Cit limits diabetic cardiomyopathy and ischemia/reperfusion injury in db/db mice through a tetrahydrobiopterin/endothelial nitric oxide synthase/nitric oxide pathway.
Databáze: OpenAIRE