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1 the Ohio State University
2 CCRI
3 The Research Institute at Nationwide Children's Hospital
4 Ohio State University Medical Center
* To whom correspondence should be addressed. E-mail: John.Bauer{at}nationwidechildrens.org.
Type I diabetes is associated with a unique form of cardiomyopathy that is present without atherosclerosis. Redox imbalance and/or changes in vascular endothelial growth factor (VEGF) expression have been associated with diabetes-related cardiomyopathy. However, the mechanisms of these changes and their inter-relationships remain unclear. Using a murine type 1 diabetes model, we tested the hypothesis that alterations in cardiac performance are associated with decreased cardiac microvascular prevalence as well as down regulation of VEGF isoforms. We also investigated oxidative stress as a contributor to regulate individual VEGF isoforms and microvascular rarefaction. Significant and rapid hyperglycemia was observed at 1week post-streptozotocin (STZ) and persisted throughout the 5 week study. Left ventricular (LV) fractional shortening (FS%) was reduced at week 1 and 5 post STZ insult relative to age-matched controls. We also observed the early reduction in E/A ratio at 1 week. Immunostaining for CD31 and digital image analysis demonstrated a 35% reduction in microvessels/myocardial area, indicative of rarefaction, which was highly correlated with FS%. Further, a significant increase in the prevalence of protein-3nitrotyrosine was observed in the diabetic cardiac tissue, which was inversely associated with microvascular rarefaction. The expressions of three VEGF isoforms were significantly reduced to different extents. The reduction of VEGF164 was associated with GSSG accumulation. These data demonstrate that the mouse model of STZ-induced diabetes has hallmark features observed in humans with respect to non-ischemic systolic and diastolic performance and microvascular rarefaction, which are associated with changes in VEGF isoform expression and redox imbalance in the myocardium.
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