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外源性硫化氢通过逆转大鼠肌浆网中紊乱的钙处理系统来改善糖尿病性心肌病。

Exogenous hydrogen sulphide ameliorates diabetic cardiomyopathy in rats by reversing disordered calcium-handling system in sarcoplasmic reticulum.

作者信息

Cheng Yu-Si, Dai De-Zai, Dai Yin, Zhu Dong-Dong, Liu Bi-Cheng

机构信息

Institute of Nephrology, Zhong Da Hospital, Medical School of Southeast University, Nanjing, China.

Research Division of Pharmacology, China Pharmaceutical University, Nanjing, China.

出版信息

J Pharm Pharmacol. 2016 Mar;68(3):379-88. doi: 10.1111/jphp.12517. Epub 2016 Mar 10.

Abstract

OBJECTIVES

Hydrogen sulphide (H2 S) has been found to be involved in cardiovascular diseases, but the exact mechanism has not been clarified. The purpose of this study was to investigate whether sodium hydrogen sulphide (NaHS), the donor of H2 S, can improve diabetic cardiomyopathy by reversing disordered calcium-handling system in sarcoplasmic reticulum (SR).

METHODS

Sprague Dawley rats were injected with streptozotocin (STZ, 60 mg/kg, i.p.) to build diabetic model. Treatment groups included: aminoguanidine group (AG, 100 mg/kg, p.o.) and NaHS group (5 mg/kg per day, s.c.).

KEY FINDINGS

Cardiac dysfunction and myocardial hypertrophy were found in diabetic model (DM) group, along with increased ROS levels and upregulated mRNA and protein expressions of NADPH p22(phox) , endothelin A receptor (ETA ) and protein kinase Cε (PKCε). Expressions of calcium-handling proteins in SR including FK506-binding proteins (FKBP12.6), sarcoplasmic reticulum Ca(2+) ATPase (SERCA2a) and calsequestrin 2 (CASQ2) were downregulated in DM group, accompanied by elevated concentration of diastolic free calcium in high glucose-incubated cardiomyocytes, indicating of calcium leak. After treated by NaHS, these abnormalities were attenuated significantly.

CONCLUSIONS

Exogenous H2 S played a protective role in diabetic cardiomyopathy by inhibiting abnormal calcium-handling system in SR and ET-NADPH oxidase-PKCε pathway.

摘要

目的

已发现硫化氢(H₂S)与心血管疾病有关,但确切机制尚未阐明。本研究的目的是探讨H₂S供体硫氢化钠(NaHS)是否能通过逆转肌浆网(SR)中紊乱的钙处理系统来改善糖尿病心肌病。

方法

将链脲佐菌素(STZ,60mg/kg,腹腔注射)注射到Sprague Dawley大鼠体内以建立糖尿病模型。治疗组包括:氨基胍组(AG,100mg/kg,口服)和NaHS组(每天5mg/kg,皮下注射)。

主要发现

糖尿病模型(DM)组出现心脏功能障碍和心肌肥大,同时活性氧水平升高,NADPH p22(phox)、内皮素A受体(ETA)和蛋白激酶Cε(PKCε)的mRNA和蛋白表达上调。DM组SR中钙处理蛋白的表达,包括FK506结合蛋白(FKBP12.6)、肌浆网Ca²⁺ATP酶(SERCA2a)和肌集钙蛋白2(CASQ2)下调,同时高糖培养的心肌细胞中舒张期游离钙浓度升高,提示钙泄漏。经NaHS治疗后,这些异常情况明显减轻。

结论

外源性H₂S通过抑制SR中异常的钙处理系统和ET-NADPH氧化酶-PKCε途径,对糖尿病心肌病发挥保护作用。

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