Heart and Circulatory Physiology

Glucosamine improves cardiac function following trauma-hemorrhage by increased protein O-GlcNAcylation and attenuation of NF-κB signaling

Luyun Zou, Shaolong Yang, Voraratt Champattanachai, Shunhua Hu, Irshad H. Chaudry, Richard B. Marchase, John C. Chatham


We have previously demonstrated that in a rat model of trauma-hemorrhage (T-H), glucosamine administration during resuscitation improved cardiac function, reduced circulating levels of inflammatory cytokines, and increased tissue levels of O-linked N-acetylglucosamine (O-GlcNAc) on proteins. The mechanism(s) by which glucosamine mediated its protective effect were not determined; therefore, the goal of this study was to test the hypothesis that glucosamine treatment attenuated the activation of the nuclear factor-κB (NF-κB) signaling pathway in the heart via an increase in protein O-GlcNAc levels. Fasted male rats were subjected to T-H by bleeding to a mean arterial blood pressure of 40 mmHg for 90 min followed by resuscitation. Glucosamine treatment during resuscitation significantly attenuated the T-H-induced increase in cardiac levels of TNF-α and IL-6 mRNA, IκB-α phosphorylation, NF-κB, NF-κB DNA binding activity, ICAM-1, and MPO activity. LPS (2 μg/ml) increased the levels of IκB-α phosphorylation, TNF-α, ICAM-1, and NF-κB in primary cultured cardiomyocytes, which was significantly attenuated by glucosamine treatment and overexpression of O-GlcNAc transferase; both interventions also significantly increased O-GlcNAc levels. In contrast, the transfection of neonatal rat ventricular myocytes with OGT small-interfering RNA decreased O-GlcNAc transferase and O-GlcNAc levels and enhanced the LPS-induced increase in IκB-α phosphorylation. Glucosamine treatment of macrophage cell line RAW 264.7 also increased O-GlcNAc levels and attenuated the LPS-induced activation of NF-κB. These results demonstrate that the modulation of O-GlcNAc levels alters the response of cardiomyocytes to the activation of the NF-κB pathway, which may contribute to the glucosamine-mediated improvement in cardiac function following hemorrhagic shock.

  • nuclear factor-κB
  • cytokines
  • neonatal rat ventricular myocytes
  • O-linked N-acetylglucosamine


  • * L. Zou, S. Yang, and V. Champattanachai contributed equally to this study.

  • The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked “advertisement” in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.

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