contributed equally to this work.Abbreviations: AMPK, adenosine monophosphate-activated protein kinase; ATP, adenosine triphosphate; A, atrial contraction; BSA, bovine serum albumin; CAD, coronary artery disease; DCM, diabetic cardiomyopathy; DMEM, Dulbecco's modified Eagle's medium; E, peak filling rates of the early filling phase; e', early diastolic lengthening mitral valve flow velocity; EF, ejection fraction; eNOs, endothelial NO synthase; FBS, fetal bovine serum; FS, left ventricular fractional shortening; Gated-MPI, Gated-myocardial perfusion imaging; HG, high glucose; LVDD, left ventricle diastolic dysfunction; LVIDd, left ventricular internal dimension-diastole; LVIDs, left ventricular internal dimension-systole; LV mass, left ventricular mass; miRNA, microRNA; mtDNA, mitochondrial DNA; NC, negative control; Nox, nicotinamide adenine dinucleotide phosphate oxidase; NRF1, nuclear respiratory factor 1; OXPHOS, oxidative phosphorylation; PAK, p21-activated protein kinase; PBD, p21-binding domain; PFA, paraformaldehyde; PGC-1α, peroxisome proliferator-activated receptor γ coactivator 1α; qRT-PCR, Quantitative real-time polymerase chain reactions; ROC, receiver-operator characteristic; ROS, reactive oxygen species; SIRT1, silent information regulator 1; SPF, specific pathogen-free; STZ, streptozotocin; TCA, , tricarboxylic acid; T2DM, type 2 diabetes; TFAM, mitochondrial transcription factor A; TEM, transmission electron microscope; TUNEL, terminal deoxynucleotidyl transferase-mediated dUTP in situ nick end labeling; VADT, veterans affairs diabetes trial; WGA, wheat germ agglutinin.
AbstractSeveral lines of evidence have revealed the potential of microRNAs (miRNAs, miRs) as biomarkers for detecting diabetic cardiomyopathy, although their functions in hyperglycemic cardiac dysfunction are still lacking. In this study, mitochondrial biogenesis was markedly impaired induced by high glucose (HG), as evidenced by dysregulated mitochondrial structure, reduced mitochondrial DNA contents, and biogenesis-related mRNA levels, accompanied by increased cell apoptosis. MiR-144 was identified to be decreased in HG-induced cardiomyocytes and in streptozotocin (STZ)-challenged heart samples. Forced miR-144 expression enhanced mitochondrial biogenesis and suppressed cell apoptosis, while miR-144 inhibition exhibited the opposite results. Rac-1 was identified as a target gene of miR-144. Decreased Rac-1 levels activated AMPK phosphorylation and PGC-1α deacetylation, leading to increased mitochondrial biogenesis and reduced cell apoptosis. Importantly, the systemic neutralization of miR-144 attenuated mitochondrial disorder and ventricular dysfunction following STZ treatment. Additionally, plasma miR-144 decreased markedly in diabetic patients with cardiac dysfunction. The receiver-operator characteristic curve showed that plasma miR-144 could specifically predict diabetic patients developing cardiac dysfunction. In conclusion, this study provides strong 2174 |