FoxO1 inhibition alleviates type 2 diabetes-related diastolic dysfunction by increasing myocardial pyruvate dehydrogenase activity.
Animals
Diabetes Mellitus, Experimental
/ physiopathology
Diabetes Mellitus, Type 2
/ physiopathology
Diabetic Cardiomyopathies
/ physiopathology
Diastole
/ physiology
Fibrosis
Forkhead Box Protein O1
/ antagonists & inhibitors
Glucose
/ metabolism
Homeostasis
Lipids
/ toxicity
Male
Mice, Inbred C57BL
Myocardium
/ enzymology
Pyruvate Dehydrogenase Complex
/ metabolism
FoxO1
diabetic cardiomyopathy
diastolic dysfunction
glucose oxidation
pyruvate dehydrogenase
type 2 diabetes
Journal
Cell reports
ISSN: 2211-1247
Titre abrégé: Cell Rep
Pays: United States
ID NLM: 101573691
Informations de publication
Date de publication:
06 04 2021
06 04 2021
Historique:
received:
29
09
2020
revised:
11
02
2021
accepted:
11
03
2021
entrez:
7
4
2021
pubmed:
8
4
2021
medline:
27
1
2022
Statut:
ppublish
Résumé
Type 2 diabetes (T2D) increases the risk for diabetic cardiomyopathy and is characterized by diastolic dysfunction. Myocardial forkhead box O1 (FoxO1) activity is enhanced in T2D and upregulates pyruvate dehydrogenase (PDH) kinase 4 expression, which inhibits PDH activity, the rate-limiting enzyme of glucose oxidation. Because low glucose oxidation promotes cardiac inefficiency, we hypothesize that FoxO1 inhibition mitigates diabetic cardiomyopathy by stimulating PDH activity. Tissue Doppler echocardiography demonstrates improved diastolic function, whereas myocardial PDH activity is increased in cardiac-specific FoxO1-deficient mice subjected to experimental T2D. Pharmacological inhibition of FoxO1 with AS1842856 increases glucose oxidation rates in isolated hearts from diabetic C57BL/6J mice while improving diastolic function. However, AS1842856 treatment fails to improve diastolic function in diabetic mice with a cardiac-specific FoxO1 or PDH deficiency. Our work defines a fundamental mechanism by which FoxO1 inhibition improves diastolic dysfunction, suggesting that it may be an approach to alleviate diabetic cardiomyopathy.
Identifiants
pubmed: 33826891
pii: S2211-1247(21)00249-7
doi: 10.1016/j.celrep.2021.108935
pii:
doi:
Substances chimiques
Forkhead Box Protein O1
0
Foxo1 protein, mouse
0
Lipids
0
Pyruvate Dehydrogenase Complex
0
Glucose
IY9XDZ35W2
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
108935Subventions
Organisme : CIHR
Pays : Canada
Informations de copyright
Copyright © 2021 The Author(s). Published by Elsevier Inc. All rights reserved.
Déclaration de conflit d'intérêts
Declaration of interests The authors declare no competing interests.