impact of chronic gliclazide therapy in the nuclear oxidative stress and insulin-resistance levels...
TRANSCRIPT
![Page 1: Impact of chronic gliclazide therapy in the nuclear oxidative stress and insulin-resistance levels in an animal model of diabetes](https://reader035.vdocuments.us/reader035/viewer/2022081207/575085011a28abf34fb3c0fb/html5/thumbnails/1.jpg)
fold, respectively) and unchanged in FF-treated hearts.
Perfused working hearts from FF-treated mice showed
decrease FA oxidation by 40%, a finding that could be
explained by reduced plasma FA supply. In hearts from TTA-
treated mice, however, FA oxidation was maintained despite a
reduced FA supply. We propose therefore that TTA may have
a direct effect on the heart that compensates for the indirect
effect of a reduced FA supply.
doi:10.1016/j.yjmcc.2006.03.046
032. Changing myocardial energy utilization from fat to
glucose improves post-ischemic recovery in hearts from
type 2 diabetic (db/db) mice
Anne D. Hafstad, Ahmed M. Khalid, Ole-Jakob How, Terje S.
Larsen, Ellen Aasum. Institute of Medical Biology, Faculty of
Medicine, University of Tromsø, Norway
Hearts from type 2 diabetic db/db mice demonstrate over-
reliance on fatty acid oxidation (FAox) for energy production, as
well as reduced functional recovery following ischemia–
reperfusion. Although db/db mice show an overall insulin
resistance in vivo, we recently reported that insulin induces a
marked shift towards glucose oxidation (GLUox) in perfused db/
db hearts. We therefore hypothesized that such a shift in
metabolism should improve post-ischemic recovery in this
model. Hearts from non-diabetic (db/+) and diabetic mice were
perfused with 0.7 mM palmitate and either 5 mM glucose and no
insulin (LG), 5 mM glucose + 0.3 mU/ml insulin (LGI) or 33
mM glucose + 0.9 mU/ml insulin (HGHI). In addition to pre-
ischemic myocardial FAox and GLUox, ventricular function
was measured before and after 40 min low-flow ischemia. While
insulin and high glucose had only modest effects on metabolism
and recovery in db/+ hearts, it produced a marked metabolic
shift towards GLUox in db/db hearts, which was associated with
a significant improvement in functional recovery (Table). These
results suggest that a metabolic shift in favor of glucose could
explain the beneficial effect of glucose-insulin-potassium
therapy in diabetes.
doi:10.1016/j.yjmcc.2006.03.047
033. The impact of increasing calcium on myocardial
function in experimental uraemia
Dunja Aksentijevic a, Sunil Bhandari b, Anne-Marie L.
Seymour a. a Department of Biological Sciences, University of
Hull, Hull, UK. b Department of Renal Medicine, Hull Royal
Infirmary, Hull, UK
Cardiovascular complications are the leading cause of
mortality in chronic kidney disease (CKD), accounting for
50% of all deaths among patients with end-stage renal failure.
However, the mechanisms underlying this cardiac dysfunction
have yet to be elucidated. The aim of this study was to evaluate
the effect of increasing extracellular calcium on cardiac
physiology and function in experimental uraemia. Uraemia
was surgically induced in male Sprague–Dawley rats via a two
stage sub-total nephrectomy. Six weeks post-surgery, following
equilibration with 1.25 mM [Ca2+]i, isolated hearts were
perfused with high calcium (2.5 mM) K-H buffer in the
isovolumic mode, with simultaneous monitoring of cardiac
function and myocardial oxygen consumption. At 6 weeks, sub-
totally nephrectomized animals were significantly uraemic (urea
14 T 3 mmol/L vs. 6 T 1 mmol/L P < 0.05 n = 5; creatinine 64 T8 vs. 40 T 11 Amol/l P < 0.05 n = 5), hypertensive (systolic
pressure 159 T 22 vs. 151 T 21 mm Hg P < 0.01 n = 25) and
hyperinsulinaemic (38% increase in circulating insulin levels).
Hearts from uraemic animals display a blunted functional
response to increased [Ca2+] compared to controls, with an
11% decrease in contractile function (RPP 37 T 11� 103 vs. 41 T17 � 103 mm Hg min�1), and 3% increase in oxygen
consumption (2.8 T 0.5 vs. 2.7 T 0.3 Amol O2/min/g tissue)
and a markedly reduced cardiac efficiency (n = 5). However, at
this stage, there was no evidence of LV hypertrophy. Therefore,
at 6 weeks, uraemia is characterized by significant hemody-
namic abnormalities, hyperinsulinemia and indication of altered
cardiac calcium handling and contractile function.
doi:10.1016/j.yjmcc.2006.03.048
034. Impact of chronic gliclazide therapy in the nuclear
oxidative stress and insulin-resistance levels in an animal
model of diabetes
Pedro Monteiro a, Elsa Nunes b, Raquel Seica b,
Lino Goncalves a, Luıs A. Providencia a. a Basic Research Unit
In Cardiology-Cardiology Department, Portugal. b Physiology
Department, Coimbra Medical School, Coimbra, Portugal
Introduction: Type 2 diabetes (DM) is associated with a
higher incidence and worse prognosis of ischemic heart
disease. High levels of insulin-resistance and nuclear oxidative
stress, common in DM, may be involved. However, the
mechanisms of these changes in DM and their modulation by
chronic administration of gliclazide (a sulphonylurea) are not
yet fully known.
Aim: To evaluate, in an animal model of DM, if chronic
administration of gliclazide changes insulin-resistance and
nuclear oxidative stress levels.
Cardiac
metabolism
(Amol/min/g
dry wt)
Cardiac output
GLUox FAox Pre-ischemic
(ml/min)
Post-ischemic
rec. (%)
db/+ LG 2.0 T 0.1 0.8 T 0.2 11.8 T 0.7 65.2 T 5.4
LGI 2.3 T 0.1 0.7 T 0.2 12.1 T 05 69.7 T 5.8
HGHI 2.5 T 0.2* 0.4 T 0.1* 12.4 T 0.9 81.1 T 5.7
db/db LG 0.5 T 0.1# 2.3 T 0.2# 8.2 T 0.6# 32.6 T 5.8#
LGI 1.1 T 0.1*# 1.3 T 0.1*# 9.8 T 0.4# 51.1 T 5.4*#
HGHI 1.9 T 0.2*# 0.4 T 0.1* 8.8 T 0.6# 73.4 T 6.6*
* P < 0.05 vs. LG.# P < 0.05 vs. db/+.
ABSTRACTS / Journal of Molecular and Cellular Cardiology 40 (2006) 920–1015932
![Page 2: Impact of chronic gliclazide therapy in the nuclear oxidative stress and insulin-resistance levels in an animal model of diabetes](https://reader035.vdocuments.us/reader035/viewer/2022081207/575085011a28abf34fb3c0fb/html5/thumbnails/2.jpg)
Material and methods: Two experimental groups (n = 12/
group)-GK, with Goto-Kakizaki rats (animal model of DM)
and GK S, (GK rats treated with gliclazide 10 mg/kg/day
between 12 and 16 weeks of age). At 12 and 16 weeks,
insulin plasma levels were determined, using competitive
enzyme-linked imunosorbent assay (ELISA) and used to
calculate logarithm of the homeostasis model assessment
[log(HOMA)], a measure of insulin-resistance, according to
the formula log[(Glicemia (mmol/l) � Insulinemia (AU/ml))/
22.5].
At 16 weeks, 24 h urine was collected to determine levels of
8-hidroxy-2V-desoxyguanosine (8-OHdG), a measure of DNA
oxidative stress, using competitive ELISA.
Results: Log(HOMA) was significantly decreased in the GK
S group between 12 and 16 weeks (0.07 T 0.01 versus 0.08 T0.01; P < 0.05), so that at 16 weeks it was significantly lower
than that of the GK group (0.08 T 0.01 versus 0.09 T 0.02; P <
0.05). Regarding 8-OHdG urine levels, there was a trend
towards a lower value in the GK S group (155 T 42 versus
183 T 69 ng/24 h; P < 0.05)—Fig. 1.
Conclusion: In diabetic animals, chronic therapy with
gliclazide decreases of insulin-resistance and tends to lower
nuclear oxidative stress level.
doi:10.1016/j.yjmcc.2006.03.049
035. Oxidative capacity recovers in the unloaded heart with
clenbuterol
Kameljit K. Kalsi, Gopal K.R. Soppa, Cesare M.N. Terracciano,
Ryszard T. Smolenski, Magdi H. Yacoub. Imperial College
London, Heart Science Centre, Harefield, Middlesex, UK
Long-term mechanical unloading of the heart by LV assist
device (LVAD) causes left ventricular (LV) atrophy in patients
with heart failure. It has been proposed that LV atrophy may be
prevented by administration of the h2-agonist clenbuterol.
Chronic administration of clenbuterol induces myocardial
hypertrophy and improves calcium handling. However, its
actions on the metabolism of the unloaded myocardium are
unclear. We hypothesize that clenbuterol induces functional
improvement by increasing oxidative metabolism. Hearts from
Lewis rats were mechanically unloaded using heterotopic
abdominal transplantation. Osmotic mini-pumps, inserted at
the time of transplantation, administered either saline, control
group (n = 4) or clenbuterol (CLEN) (2 mg/kg) (n = 5). After 1
week, the transplanted hearts were excised and cardiomyocytes
isolated. Cells were incubated in Krebs buffer containing 11
mM 1–13C glucose for 2 h. Glucose oxidation was determined
by using liquid chromatography/mass spectrometry glutamate
to alanine isotopomer ratios. Non-oxidative metabolism of
glucose was measured by the release of 13C-enriched lactate in
the media. Glutamate/alanine in control cardiomyocytes was
51 T 2% but decreased in unloaded cells 41 T 4% (P < 0.05).
Glucose oxidation increased with CLEN in both recipient and
unloaded cells to (62 T 3% and 64 T 9% respectively). Lactate
enrichment increased in control unloaded cardiomyocytes to
62 T 6% compared to recipient cells 48 T 1%. However, with
CLEN lactate, levels were similar in recipient and unloaded
cardiomyocytes (59 T 1% and 57 T 1%, respectively). In
conclusion, clenbuterol improves glucose oxidation in the
unloaded myocardium and this may be useful during LVAD
treatment in patients with heart failure.
doi:10.1016/j.yjmcc.2006.03.050
036. Diazoxide increases cytosolic ATP: A new paradigm
for preconditioning?
Sophie Pelloux a, Brigitte Chhin a, Carlos Ojeda b,
Be Wieringa c, Michel Ovize a, Yves Tourneur a. a Inserm
E0226, France. b Inserm Erit-M 107, France. c NCMLS, The
Netherlands
We developed a cardiac cell line model derived from the
HL-1 to study the induction of pharmacological precondition-
ing by diazoxide (100 AM) against simulated ischemia–
reperfusion. We reported earlier that HL-1 cells possess
electrophysiological properties of cardiac myocytes, express
cardiac specific proteins, and that diazoxide was able to
attenuate HL-1 cell death following a prolonged hypoxia and
reoxygenation.
In the present study, cells were transfected to transiently
express the firefly luciferase with a modified pCDNA3
plasmid. In the presence of luciferin (200 AM), cytoplasmic
ATP could be monitored by photon counting. Diazoxide did
not change the global ATP concentration measured by
biochemical techniques (2.65 + �0.12 nmol/mg prot. vs.
control 2.71 + �0.07, N = 8), which indicates that ATP is not
homogeneous and that luciferase is sensitive to local concen-
tration modifications. Luminescence rapidly responded to
changes in oxidative phosphorylation or glycolysis. Applica-
tion of diazoxide (100 AM) produced a rapid and prolonged
increase in ATP. This increased ATP production was recorded
even in the presence of azide (2 mM), a blocker of the electron
transport chain, and was prevented by glybenclamide (10 AM).
These data suggest that diazoxide may protect HL-1
cardiomyocytes rather by activating glycolysis than via a
direct effect on mitochondria.
doi:10.1016/j.yjmcc.2006.03.051
037. Cardiac performance is reduced following high-fat diet
Ashwin Akki, Anne-Marie L. Seymour. Department Biological
Sciences, University of Hull, UK
Cardiac hypertrophy results in cellular remodelling of the
heart and, in particular, in alterations in metabolism, which
may underlie the development of cardiac dysfunction. One
key characteristic of this remodelling is a marked reduction
in fatty acid oxidation. We have investigated whether a
mismatch between fatty acid supply and utilization occurs in
cardiac hypertrophy that may predispose the heart to an
ABSTRACTS / Journal of Molecular and Cellular Cardiology 40 (2006) 920–1015 933