Diabetes increases mortality after myocardial infarction by oxidizing CaMKII

被引:216
作者
Luo, Min [1 ]
Guan, Xiaoqun [1 ]
Luczak, Elizabeth D. [1 ]
Lang, Di [2 ]
Kutschke, William [1 ]
Gao, Zhan [1 ]
Yang, Jinying [1 ]
Glynn, Patric [3 ]
Sossalla, Samuel [4 ]
Swaminathan, Paari D. [1 ]
Weiss, Robert M. [1 ]
Yang, Baoli [5 ,6 ]
Rokita, Adam G. [1 ,4 ]
Maier, Lars S. [4 ]
Efimov, Igor R. [2 ]
Hund, Thomas J. [3 ]
Anderson, Mark A. [1 ,7 ]
机构
[1] Univ Iowa, Dept Internal Med, Cardiovasc Res Ctr, Carver Coll Med,Div Cardiovasc Med, Iowa City, IA 52242 USA
[2] Washington Univ, Dept Biomed Engn, St Louis, MO USA
[3] Ohio State Univ, Dept Biomed Engn, Columbus, OH 43210 USA
[4] Univ Gottingen, Dept Cardiol, D-37073 Gottingen, Germany
[5] Univ Iowa, Gene Targeting Core Facil, Iowa City, IA USA
[6] Univ Iowa, Dept Obstet & Gynecol, Iowa City, IA 52242 USA
[7] Univ Iowa, Dept Mol Physiol & Biophys, Carver Coll Med, Iowa City, IA USA
关键词
CALMODULIN KINASE-II; HEART-RATE-VARIABILITY; OXIDATIVE STRESS; SUDDEN-DEATH; MITOCHONDRIAL SUPEROXIDE; CARDIAC-HYPERTROPHY; GLUCOSE; MELLITUS; CALCIUM; HYPERGLYCEMIA;
D O I
10.1172/JCI65268
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
Diabetes increases oxidant stress and doubles the risk of dying after myocardial infarction, but the mechanisms underlying increased mortality are unknown. Mice with streptozotocin-induced diabetes developed profound heart rate slowing and doubled mortality compared with controls after myocardial infarction. Oxidized Ca2+/calmodulin-dependent protein kinase II (ox-CaMKII) was significantly increased in pacemaker tissues from diabetic patients compared with that in nondiabetic patients after myocardial infarction. Streptozotocin-treated mice had increased pacemaker cell ox-CaMKII and apoptosis, which were further enhanced by myocardial infarction. We developed a knockin mouse model of oxidation-resistant CaMKII delta (MM-VV), the isoform associated with cardiovascular disease. Streptozotocin-treated MM-VV mice and WT mice infused with MitoTEMPO, a mitochondrial targeted antioxidant, expressed significantly less ox-CaMKII, exhibited increased pacemaker cell survival, maintained normal heart rates, and were resistant to diabetes-attributable mortality after myocardial infarction. Our findings suggest that activation of a mitochondrial/ox-CaMKII pathway contributes to increased sudden death in diabetic patients after myocardial infarction.
引用
收藏
页码:1262 / 1274
页数:13
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