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TRANSLATIONAL PHYSIOLOGY
mitogen-activated protein kinase prevents cardiac apoptosis and remodeling after streptozotocin-induced diabetes mellitus1Department of Clinical Pharmacology, Niigata University of Pharmacy and Applied Life Sciences, Niigata, Japan; 2Cardiovascular Research Center, University of Connecticut School of Medicine, Farmington, Connecticut; 3Department of Functional and Analytical Food Sciences, Niigata University of Pharmacy and Applied Life Sciences, Niigata, Japan; 4Lightlab Imaging, Westford, Massachusetts; 5Center for Cardiovascular Research, Department of Internal Medicine, Washington University School of Medicine, St. Louis, Missouri; and 6First Department of Medicine, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan
Submitted 6 February 2009 ; accepted in final form 14 July 2009
The p38 mitogen-activated protein kinase (MAPK) is activated during heart diseases that might be associated with myocardial damage and cardiac remodeling process. Diabetic cardiomyopathy is associated with increased oxidative stress and inflammation. The purpose of this study was to investigate the role of p38
MAPK after experimental diabetes by using transgenic (TG) mice with cardiac-specific expression of a dominant-negative mutant form of p38
MAPK. The elevation of blood glucose was comparable between the nontransgenic (NTG) and TG mice. The expression of phospho-p38 MAPK and phospho-MAPK-activated protein kinase 2 levels were significantly suppressed in TG mice heart than in NTG mice after diabetes induction. Left ventricular (LV) dimension in systole was smaller, and the percent fractional shortening was higher in diabetic TG mice compared with diabetic NTG mice. In addition, diabetic TG mice had reduced cardiac myocyte diameter, content of cardiac fibrosis, LV tissue expressions of atrial natriuretic peptide, transforming growth factor β1, and collagen III compared with diabetic NTG mice. Moreover, LV expression of NADPH oxidase subunits, p22phox, p67phox, gp91phox, and Nox4, reactive oxygen species and lipid peroxidation levels were significantly increased in diabetic NTG mice, but not in diabetic TG mice. Furthermore, myocardial apoptosis, the number of caspase-3-positive cells, and the downregulation of antiapoptotic protein Bcl-XL were less in diabetic TG mice compared with diabetic NTG mice. In conclusion, our data establish that p38
MAPK activity is required for cardiac remodeling after diabetes induction and suggest that p38
MAPK may promote cardiomyocyte apoptosis by downregulation of Bcl-XL.
p38 mitogen-activated protein kinase; oxidative stress
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