Abstract

AimCardiac microvascular endothelial cells (CMECs) dysfunction contributes to cardiovascular complications in diabetes, whereas, the underlying mechanism is not fully clarified. FoxO transcription factors are involved in apoptosis and reactive oxygen species (ROS) production. Therefore, the present study was designed to elucidate the potential role of FoxO3a on the CMECs injury induced by high glucose.Materials and MethodsCMECs were isolated from hearts of adult rats and cultured in normal or high glucose medium for 6 h, 12 h and 24 h respectively. To down-regulate FoxO3a expression, CMECs were transfected with FoxO3a siRNA. ROS accumulation and apoptosis in CMECs were assessed by dihydroethidine (DHE) staining and TUNEL assay respectively. Moreover, the expressions of Akt, FoxO3a, Bim and BclxL in CMECs were assessed by Western blotting assay.ResultsROS accumulation in CMECs was significantly increased after high glucose incubation for 6 to 24 h. Meanwhile, high glucose also increased apoptosis in CMECs, correlated with decreased the phosphorylation expressions of Akt and FoxO3a. Moreover, high glucose incubation increased the expression of Bim, whereas increased anti-apoptotic protein BclxL. Furthermore, siRNA target FoxO3a silencing enhanced the ROS accumulation, whereas suppressed apoptosis in CMECs. FoxO3a silencing also abolished the disturbance of Bcl-2 proteins induced by high glucose in CMECs.ConclusionOur data provide evidence that high glucose induced FoxO3a activation which suppressed ROS accumulation, and in parallel, resulted in apoptosis of CMECs.

Highlights

  • Diabetes, a major risk factor of cardiovascular disease, induces significant morbidity and mortality worldwide [1,2]

  • reactive oxygen species (ROS) accumulation in Cardiac microvascular endothelial cells (CMECs) was significantly increased after high glucose incubation for 6 to 24 h

  • FoxO3a silencing abolished the disturbance of Bcl-2 proteins induced by high glucose in CMECs

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Summary

Introduction

A major risk factor of cardiovascular disease, induces significant morbidity and mortality worldwide [1,2]. Accumulating evidence has demonstrated that microvascular injury plays an important role in diabetic complications [3]. Cardiac microvascular impairment is thought to contribute to the pathophysiology of diabetic cardiovascular disease [4,5]. Cardiac microvascular endothelial cells (CMECs), comprising up to onethird of the total heart cells, play a critical role to keep coronary microvessels and adjacent cardiomyocytes in normal condition [6]. Chronic hyperglycemia and inflammatory cytokines result in CMECs malfunction and apoptosis, leading to microangiopathy [7]. The mechanism of CMECs dysfunction induced by high glucose is still not clear

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