Li Q, Li J, Ren J. UCF-101 mitigates streptozotocin-induced cardiomyocyte dysfunction: role of AMPK. Am J Physiol Endocrinol Metab 297: E965-E973, 2009. First published August 18, 2009 doi:10.1152/ajpendo.00323.2009.-Diabetic heart disease contributes to the high mortality in diabetics, although effective clinical management is lacking. The protease inhibitor 5-[5-(2-nitrophenyl) furfuryliodine]-1,3-diphenyl-2-thiobarbituric acid (UCF-101) was reported to protect the hearts against ischemic injury. This study examined the role of UCF-101 on streptozotocin (STZ)-induced diabetic heart defect. Vehicle or UCF-101 was administrated to STZ diabetic mice, and cardiomyocyte mechanical properties were analyzed. UCF-101 reduced STZ-induced hyperglycemia and alleviated STZ-induced aberration in cardiomyocyte contractile mechanics. Diabetes dramatically decreased AMPK phosphorylation at Thr 172 of catalytic ␣-subunit, which was restored by UCF-101. Neither diabetes nor UCF-101 affected the expression of HtrA2/Omi and XIAP or caspase-3 activity. The AMPK activator resveratrol mimicked the UCF-101-induced beneficial effect against diabetic cardiac dysfunction. Mechanical properties in cardiomyocytes from the AMPKkinase-dead (KD) mice displayed markedly impaired contractile function reminiscent of diabetes. STZ injection in AMPK-KD mice failed to elicit any additional cardiomyocyte contractile defect. UCF-101 significantly downregulated the AMPK-degrading enzymes PP2A and PP2C, the effect of which was mimicked by resveratrol. Taken together, these results indicate that UCF-101 protects against STZinduced cardiac dysfunction, possibly through AMPK signaling. contractile function; diabetes; adenosine 5Ј-monophosphate-activated protein kinase MOUNTING EVIDENCE HAS INDICATED that cardiovascular complications are the leading cause of morbidity and mortality in diabetic population. With the rapidly increasing burden of diabetes mellitus worldwide coupled with cardiovascular complications, diabetic heart diseases have been the subject of intensive research over the last three decades. Although a cadre of hypoglycemic or antihyperglycemic drugs is used clinically for the management of diabetes, new classes of drugs with specific benefit on diabetic cardiomyopathy are still lacking (12,25). Recent evidence has revealed a rather unique cardioprotective role of the protease inhibitor 5-[5-(2-nitrophenyl) furfuryliodine]-1,3-diphenyl-2-thiobarbituric acid (UCF-101) (2, 17). UCF-101 is a specific inhibitor of high-temperature requirement A2 (HtrA2)/Omi, a mitochondrial serine protease released into cytosol from mitochondria to promote caspase activation by proteolyzing the antiapoptotic X chromosomelinked inhibitor of apoptosis protein (XIAP) (3). It is believed that UCF-101 elicits its protective role through antiapoptotic mechanism in myocardial ischemia-reperfusion injury and cerebral ischemia (1, 2, 17). Although recent observations from our laboratory have demonstrated that UCF-101 may be cardioprotective against experimental diabet...