棕色脂肪组织:代谢紊乱中预防心血管疾病的潜在治疗靶点。

IF 3.9 3区 医学 Q2 ENDOCRINOLOGY & METABOLISM
Tamara Egan Beňová, Matúš Sýkora, Katarína Ondreják Andelová, Veronika Farkašová, Marek Lepáček, Marta Šoltésová Prnová, Pavel Babál, Dávid Janko, Natália Andelová, Miroslav Ferko, Barbara Szeiffová Bačová
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引用次数: 0

摘要

背景:肥胖和2型糖尿病(T2D)仍然是导致心血管并发症的重大健康挑战。本研究旨在研究肥胖T2D大鼠棕色脂肪组织(BAT)和连接蛋白43 (Cx43)的变化,并评价抗氧化剂西替司他的作用。Cx43在BAT和心脏功能中都起着至关重要的作用,但其在T2D心脏中的表达仍未得到充分研究。材料与方法:将40只雄性Zucker糖尿病脂肪(ZDF)大鼠分为4组:(1)瘦非糖尿病(ZDF lean), (2) cemtirestat治疗的瘦非糖尿病(ZDF lean + C),(3)肥胖糖尿病(ZDF T2D), (4) cemtirestat治疗的肥胖糖尿病(ZDF T2D + C)。6个月后,测定BAT和左心室的生物特征和生化参数,并分析Cx43、选定的蛋白激酶和细胞因子。在研究完成前记录超声心动图。结果:肥胖T2D大鼠体重、心脏重量、内脏脂肪、BAT质量、葡萄糖、胰岛素、胆固醇和甘油三酯均增加。T2D大鼠左心室Cx43升高,而BAT降低。西替司他增加瘦大鼠BAT中的Cx43,而肥胖T2D大鼠左心室中的Cx43没有增加。T2D大鼠BAT和左心室的蛋白激酶C ε降低,而蛋白激酶C δ升高,西替司他使其部分正常化。在T2D大鼠中观察到BAT变白,线粒体解偶联蛋白1和成纤维细胞生长因子21减少。超声心动图显示t2dm大鼠舒张功能不全,西替司他可减轻舒张功能不全。结论:这些发现支持BAT作为代谢性疾病的治疗靶点的作用,并确定Cx43是连接脂肪组织功能障碍和心脏损害的分子介质。虽然低剂量西替司他的疗效有限,但它显示了心脏代谢干预的潜力,值得进一步研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Brown adipose tissue: a potential therapeutic target for preventing cardiovascular disease in metabolic disorders.

Background: Obesity and Type 2 diabetes (T2D) remain significant health challenges contributing to cardiovascular complications. This study aimed to investigate brown adipose tissue (BAT) and connexin43 (Cx43) in obese T2D rats and evaluate the effects of antioxidant Cemtirestat. Cx43 plays a crucial role in both BAT and heart function, yet its expression in T2D hearts remains underexplored.

Materials and methods: Forty male Zucker diabetic fatty (ZDF) rats were divided into four groups: (1) lean nondiabetic (ZDF lean), (2) Cemtirestat-treated lean nondiabetic (ZDF lean + C), (3) obese diabetic (ZDF T2D), and (4) Cemtirestat-treated obese diabetic (ZDF T2D + C). After 6 months, biometric and biochemical parameters were measured and Cx43, selected protein kinases and batokines were analyzed in the BAT and left ventricle. Echocardiograms were recorded prior to study completion.

Results: Obese T2D rats exhibited increased body weight, heart weight, visceral fat, BAT mass, glucose, insulin, cholesterol and triglycerides. Cx43 was decreased in BAT but increased in the left ventricles of T2D rats. Cemtirestat increased Cx43 in BAT of lean rats but not in the left ventricles of obese T2D rats. Protein kinase C epsilon was reduced in BAT, while protein kinase C delta was increased in both BAT and left ventricles of T2D rats and partially normalized by Cemtirestat. BAT whitening together with reduced mitochondrial uncoupling protein 1 and fibroblast growth factor 21 were observed in T2D rats. Echocardiography revealed diastolic dysfunction in T2D rats, which was attenuated by Cemtirestat.

Conclusion: These findings support the role of BAT as a therapeutic target in metabolic disease and identify Cx43 as a molecular mediator linking adipose tissue dysfunction to cardiac impairment. Although low-dose Cemtirestat showed limited efficacy, it demonstrates potential for cardiometabolic intervention, justifying further investigation.

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来源期刊
Diabetology & Metabolic Syndrome
Diabetology & Metabolic Syndrome ENDOCRINOLOGY & METABOLISM-
CiteScore
6.20
自引率
0.00%
发文量
170
审稿时长
7.5 months
期刊介绍: Diabetology & Metabolic Syndrome publishes articles on all aspects of the pathophysiology of diabetes and metabolic syndrome. By publishing original material exploring any area of laboratory, animal or clinical research into diabetes and metabolic syndrome, the journal offers a high-visibility forum for new insights and discussions into the issues of importance to the relevant community.
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