HMGB1: the missing link between diabetes mellitus and heart failure

Archiv für Kreislaufforschung - Tập 105 - Trang 805-820 - 2010
H. Christian Volz1, Cathrin Seidel1, Danai Laohachewin1, Ziya Kaya1, Oliver J. Müller1, Sven T. Pleger1, Felix Lasitschka2, Marco E. Bianchi3, Andrew Remppis1, Angelika Bierhaus4, Hugo A. Katus1, Martin Andrassy1
1Department of Medicine III, University of Heidelberg, Heidelberg, Germany
2Institute of Pathology, University of Heidelberg, Heidelberg, Germany
3Chromatin Dynamics Unit, San Raffaele University, Milan, Italy
4Department of Medicine I and Clinical Chemistry, University of Heidelberg, Heidelberg, Germany

Tóm tắt

Diabetes mellitus (DM) is a major independent risk factor for cardiovascular disease, but also leads to cardiomyopathy. However, the etiology of the cardiac disease is unknown. Therefore, the aim of this study was to identify molecular mechanisms underlying diabetic heart disease. High glucose treatment of isolated cardiac fibroblasts, macrophages and cardiomyocytes led to a sustained induction of HMGB1 on the RNA and protein level followed by increased NF-κB binding activity with consecutively sustained TNF-α and IL-6 expression. Short interference (si) RNA knock-down for HMGB1 and RAGE in vitro confirmed the importance of this axis in diabetes-driven chronic inflammation. In a murine model of post-myocardial infarction remodeling in type 1 diabetes, cardiac HMGB1 expression was significantly elevated both on RNA and protein level paralleled by increased expression of pro-inflammatory cytokines up to 10 weeks. HMGB1-specific blockage via box A treatment significantly reduced post-myocardial infarction remodeling and markers of tissue damage in vivo. The protective effects of box A indicated an involvement of the mitogen-activated protein-kinases jun N-terminal kinase and extracellular signal-regulated kinase 1/2, as well as the transcription factor nuclear factor-kappaB. Interestingly, remodeling and tissue damage were not affected by administration of box A in RAGE−/− mice. In conclusion, HMGB1 plays a major role in DM and post-I/R remodeling by binding to RAGE, resulting in activation of sustained pro-inflammatory pathways and enhanced myocardial injury. Therefore, blockage of HMGB1 might represent a therapeutic strategy to reduce post-ischemic remodeling in DM.

Tài liệu tham khảo

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