. Exercise improves impaired ventricular function and alterations of cardiac myofibrillar proteins in diabetic dyslipidemic pigs. J Appl Physiol 98: [461][462][463][464][465][466][467] 2005. First published October 1, 2004; doi:10.1152/japplphysiol.00551.2004.-Chronic diabetes is often associated with cardiomyopathy, which may result, in part, from defects in cardiac muscle proteins. We investigated whether a 20-wk porcine model of diabetic dyslipidemia (DD) would impair in vivo myocardial function and yield alterations in cardiac myofibrillar proteins and whether endurance exercise training would improve these changes. Myocardial function was depressed in anesthetized DD pigs (n ϭ 12) compared with sedentary controls (C; n ϭ 13) as evidenced by an ϳ30% decrease in left ventricular fractional shortening and an ϳ35% decrease in ϩdP/dt measured by noninvasive echocardiography and direct cardiac catheterization, respectively. This depression in myocardial function was improved with chronic exercise as treadmill-trained DD pigs (DDX) (n ϭ 13) had significantly greater fractional shortening and ϩdP/dt than DD animals. Interestingly, the isoform expression pattern of the myofibrillar regulatory protein, cardiac troponin T (cTnT), was significantly shifted from cTnT1 toward cTnT2 and cTnT3 in DD pigs. Furthermore, this change in cTnT isoform expression pattern was prevented in DDX pigs. Finally, there was a decrease in baseline levels of cAMPdependent protein kinase-induced phosphorylation of the myofibrillar proteins troponin I and myosin-binding protein-C in DD animals. Overall, these results indicate that 20 wk of DD lead to myocardial dysfunction coincident with significant alterations in myofibrillar proteins, both of which are prevented with endurance exercise training, implying that changes in myofibrillar proteins may contribute, at least in part, to cardiac dysfunction associated with diabetic cardiomyopathy.cardiomyopathy; diabetes mellitus; lipids; myocardium DIABETES MELLITUS IS A DISEASE with wide prevalence in humans and is often associated with cardiovascular complications that represent the major cause of morbidity and mortality. Patients with diabetes have a high incidence of congestive heart failure, which may occur independent of coronary artery atherosclerosis, valvular heart disease, and hypertension (23). This deterioration of heart function is known as diabetic cardiomyopathy and is frequently associated with both systolic and diastolic left ventricular dysfunction (36). Much of what is known about the features of myocardial dysfunction has been obtained using rat models of diabetes. Rats treated with streptozotocin (STZ) develop diabetes mellitus associated with hypoinsulinemia, hyperglycemia, polyuria, weight loss, and myocardial dysfunction. The contractile dysfunction is due in part to contractile abnormalities of the myocyte, which are present within 4 days of diabetes (37). Myocytes isolated from diabetic rat hearts exhibit much slower contraction and relaxation rates (37). These contracti...