PDE5 inhibition ameliorates visceral adiposity targeting the miR-22/SIRT1 pathway: evidence from the CECSID trial
| Autor: | Emilia Sbardella, Iacopo Carbone, Fabio Naro, Carla Di Dato, Daniele Gianfrilli, Elisa Giannetta, Giuseppe Panio, Andrea M. Isidori, Daniela Fiore, Mary Anna Venneri, Carlotta Pozza, Nicola Galea, Riccardo Pofi, Andrea Lenzi |
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| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Adult
Male 0301 basic medicine Cardiac function curve medicine.medical_specialty Microarray PDE5 diabetes epicardial fat miR22 SIRT1 Sildenafil Endocrinology Diabetes and Metabolism Clinical Biochemistry Mice Obese Adipose tissue Type 2 diabetes Real-Time Polymerase Chain Reaction Placebo Biochemistry Sildenafil Citrate Mice 03 medical and health sciences chemistry.chemical_compound Endocrinology Double-Blind Method Sirtuin 1 Cardiac magnetic resonance imaging Diabetes mellitus Internal medicine medicine Animals Humans Adiposity Aged Cyclic Nucleotide Phosphodiesterases Type 5 medicine.diagnostic_test business.industry Biochemistry (medical) Middle Aged Phosphodiesterase 5 Inhibitors Flow Cytometry medicine.disease MicroRNAs 030104 developmental biology Diabetes Mellitus Type 2 chemistry Obesity Abdominal business |
| Popis: | Visceral adiposity plays a significant role in cardiovascular risk. PDE5 inhibitors (PDE5i) can improve cardiac function and insulin sensitivity in type 2 diabetes patients.To investigate whether PDE5i affect visceral adipose tissue (VAT), specifically epicardial fat (epicardial adipose tissue [EAT]), and what mechanism is involved, using microarray-based profiling of pharmacologically modulated microRNA (miRNAs).Randomized, double-blind, placebo-controlled study in type 2 diabetes.A total of 59 diabetic patients were randomized to receive 100-mg/d sildenafil or placebo for 12 weeks. Fat biopsies were collected in a subgroup of patients. In a parallel protocol, db/db mice were randomized to 12 weeks of sildenafil or vehicle, and VAT was collected.Anthropometric and metabolic parameters, EAT quantification through cardiac magnetic resonance imaging, array of 2005 circulating miRNAs, quantitative PCR, and flow cytometry of VAT.Compared with placebo, sildenafil reduced waist circumference (P = .024) and EAT (P = .045). Microarray analysis identified some miRNAs differentially regulated by sildenafil, including down-regulation of miR-22-3p, confirmed by real-time quantitative PCR (P.001). Sildenafil's modulation of miR-22-3p expression was confirmed in vitro in HL1 cardiomyocytes. Up-regulation of SIRT1, a known target of miR-22-3p, was found in both serum and sc fat in sildenafil-treated subjects. Compared with vehicle, 12-week sildenafil treatment down-regulated miR-22-3p and up-regulated Sirtuin1 (SIRT1) gene expression in VAT from db/db mice, shifting adipose tissue cell composition toward a less inflamed profile.Treatment with PDE5i in humans and murine models of diabetes improves VAT, targeting SIRT1 through a modulation of miR-22-3p expression. |
| Databáze: | OpenAIRE |
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