2007
DOI: 10.1152/ajpregu.00059.2007
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Mechanisms of impaired calcium handling underlying subclinical diastolic dysfunction in diabetes

Abstract: Isolated diastolic dysfunction is found in almost half of asymptomatic patients with well-controlled diabetes and may precede diastolic heart failure. However, mechanisms that underlie diastolic dysfunction during diabetes are not well understood. We tested the hypothesis that isolated diastolic dysfunction is associated with impaired myocardial Ca(2+) handling during type 1 diabetes. Streptozotocin-induced diabetic rats were compared with age-matched placebo-treated rats. Global left ventricular myocardial pe… Show more

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Cited by 117 publications
(144 citation statements)
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“…Reduced left ventricular (LV) systolic pressure and diminished ±dP/dt (rate of pressure rise or fall during systole and diastole, respectively) have been demonstrated using LV catheterization (Kajstura et al, 2001;Van Linthout et al, 2008). Diastolic dysfunction has been suggested by increased LV diastolic pressure, measured by catheterization, and by abnormal patterns of mitral inflow and pulmonary venous flow using Doppler echocardiography (Kajstura et al, 2001;Lacombe et al, 2007). In vitro, peak LV pressure and ±dP/dt are reduced in Langendorffperfused hearts (Trost et al, 2002;Suarez et al, 2004;Suarez et al, 2008).…”
Section: Models Of Type 1 Diabetes the Streptozotocin (Stz) Modelmentioning
confidence: 99%
“…Reduced left ventricular (LV) systolic pressure and diminished ±dP/dt (rate of pressure rise or fall during systole and diastole, respectively) have been demonstrated using LV catheterization (Kajstura et al, 2001;Van Linthout et al, 2008). Diastolic dysfunction has been suggested by increased LV diastolic pressure, measured by catheterization, and by abnormal patterns of mitral inflow and pulmonary venous flow using Doppler echocardiography (Kajstura et al, 2001;Lacombe et al, 2007). In vitro, peak LV pressure and ±dP/dt are reduced in Langendorffperfused hearts (Trost et al, 2002;Suarez et al, 2004;Suarez et al, 2008).…”
Section: Models Of Type 1 Diabetes the Streptozotocin (Stz) Modelmentioning
confidence: 99%
“…These alterations are the result of changes in the expression and function of SR Ca 2+ handling proteins; SERCA2a, NCX and RyR expressions are reduced, whereas phospholamban expression is increased and its phosphorylation decreased. As a consequence, SR Ca 2+ load is reduced, and SR Ca 2+ release and re-uptake are impaired [181,182]. Interestingly, an increased [184,185].…”
Section: Diabetic Cardiomyopathymentioning
confidence: 99%
“…As a consequence, SR Ca 2+ load is reduced, and SR Ca 2+ release and re-uptake are impaired [181,182]. Interestingly, an increased propensity toward arrhythmogenic afterdepolarizations has been observed in diabetic cardiomyocytes [182]. Insulin increases IP 3 concentration and triggers arrhythmic Ca 2+ release events in myocytes from diabetic ob/ob mice -but not from wild-type mice -and this effect is mediated via IP 3 signaling [183].IP 3 R expression (type 1 and type 2 IP 3 Rs) is unaltered in ventricles from ob/ob mice [183], but decreased in a diabetes model in the rat and in atrium from diabetic patients [184,185].…”
Section: Diabetic Cardiomyopathymentioning
confidence: 99%
“…In addition, accumulating evidence suggests that increased protein O-GlcNAcylation may also mediate the adverse effects of diabetes on the heart. Diabetes leads to abnormal cardiomyocyte excitation-contraction (E-C) coupling, including prolonged action potential duration, slowed cytosolic Ca 2ϩ removal, and prolonged myocyte relaxation (37,123). In isolated ventricular myocytes, these mechanical dysfunctions can be observed as early as a few days after STZ-induced diabetes (175) and after long-term diet-induced insulin resistance (56,213).…”
Section: O-glcnacylation and Cardiomyocyte Dysfunctionmentioning
confidence: 99%