Abstract

BackgroundThe aim of the present study was to investigate whether the disappearance of ischemic post-processing (IPO) in the myocardium of diabetes mellitus (DM) is associated with the increase of succinate dehydrogenase-flavin protein (SDHA).MethodsA total of 50 Sprague Dawley rats, weighing 300–400 g, were divided into 5 groups according to the random number table method, each with 10 rats. After DM rats were fed a high-fat and -sugar diet for 4 weeks, they were injected with Streptozotocin to establish the diabetic rat model. Normal rats were fed the same regular diet for the same number of weeks. Next, the above rats were taken to establish a cardiopulmonary bypass (CPB) model. Intraperitoneal glucose tolerance test (IPGTT) and oral glucose tolerance test (OGTT) were used to detect whether the DM rat model was established successfully. Taking blood from the femoral artery to collect the blood-gas analysis indicators, and judged whether the CPB model is established. After perfusion was performed according to the experimental strategy, the area of myocardial infarction (MI), and serum creatine kinase isoenzyme (CK-MB) and cardiac troponin (CTnI) levels were measured. Finally, the relative mRNA and protein expression of SDHA was detected.ResultsThe OGTT and IPGTT suggested that the DM rat model was successfully established. The arterial blood gas analysis indicated that the CPB model was successfully established. As compared with the N group, the heart function of the IR group was significantly reduced, the levels of myocardial enzyme markers, the area of MI, as well as the relative mRNA and protein expression of SDHA, were all increased. As compared with the IR group, the CK-MB and CTnI levels in the IPO group, the MI area, relative mRNA and protein expression of SDHA decreased. As compared with the IPO group, the myocardial enzyme content in the DM + IPO group, the MI area and the relative mRNA and protein expression of SDHA increased. As compared with the DM + IPO group, in the DM + IPO + dme group, the myocardial enzyme content, area of MI and relative mRNA and protein expression were all decreased.ConclusionIPO can inhibit the expression of SDHA, reduce MIRI and exert a cardioprotective effect in the normal rats. However, the protective effect of IPO disappears in the diabetic rats. The inhibitor dme combined with IPO can increase the expression of SDHA and restore the protective effect of IPO in DM myocardia.

Highlights

  • Myocardial ischemia–reperfusion injury (MIRI) is the pathological core of several cardiovascular diseases, such as stroke and myocardial infarction (MI) [1]

  • ischemic post-processing (IPO) can inhibit the expression of succinate dehydrogenaseflavin protein (SDHA), reduce MIRI and exert a cardioprotective effect in the normal rats

  • The protective effect of IPO disappears in the diabetic rats

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Summary

Introduction

Myocardial ischemia–reperfusion injury (MIRI) is the pathological core of several cardiovascular diseases, such as stroke and myocardial infarction (MI) [1]. SDH, known as succinate ubiquinone oxidoreductase or mitochondrial complex II, is the only multi-subunit enzyme integrated in the inner mitochondrial membrane of the tricarboxylic acid cycle (TCA). It is composed of two watersoluble heterodimers of dehydrogenase-flavin protein (SDHA) and succinate dehydrogenase-iron-sulfur protein (SDHB), combined with two hydrophobic subunits SDHC (CybL) and SDHD (Cybs). The aim of the present study was to investigate whether the disappearance of ischemic post-processing (IPO) in the myocardium of diabetes mellitus (DM) is associated with the increase of succinate dehydrogenaseflavin protein (SDHA)

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