Exercise enhances cardiac function by improving mitochondrial dysfunction and maintaining energy homoeostasis in the development of diabetic cardiomyopathy

Diabetic cardiomyopathy (DCM) is a major cause of morbidity and mortality in diabetic patients. Reactive oxygen species (ROS) produced by oxidative stress play an important role in the development of DCM. DCM involves abnormal energy metabolism, thereby reducing energy production. Exercise has been...

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Veröffentlicht in:Journal of molecular medicine (Berlin, Germany) Germany), 2020-02, Vol.98 (2), p.245-261
Hauptverfasser: Wang, Shawn Yongshun, Zhu, Siyu, Wu, Jian, Zhang, Maomao, Xu, Yousheng, Xu, Wei, Cui, Jinjin, Yu, Bo, Cao, Wei, Liu, Jingjin
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container_title Journal of molecular medicine (Berlin, Germany)
container_volume 98
creator Wang, Shawn Yongshun
Zhu, Siyu
Wu, Jian
Zhang, Maomao
Xu, Yousheng
Xu, Wei
Cui, Jinjin
Yu, Bo
Cao, Wei
Liu, Jingjin
description Diabetic cardiomyopathy (DCM) is a major cause of morbidity and mortality in diabetic patients. Reactive oxygen species (ROS) produced by oxidative stress play an important role in the development of DCM. DCM involves abnormal energy metabolism, thereby reducing energy production. Exercise has been reported to be effective in protecting the heart against ROS accumulation during the development of DCM. We hypothesize that the AMPK/PGC-1α axis may play a crucial role in exercise-induced bioenergetic metabolism and aerobic respiration on oxidative stress parameters in the development of diabetic cardiomyopathy. Using a streptozotocin/high-fat diet mouse to generate a diabetic model, our aim was to evaluate the effects of exercise on the cardiac function, mitochondrial oxidative capacity, mitochondrial function, and cardiac expression of PGC-1α. Mice fed a high-fat diet were given MO-siPGC-1α or treated with AMPK inhibitor. Mitochondrial structure and effects of switching between the Warburg effect and aerobic respiration were analysed. Exercise improved blood pressure and systolic dysfunction in diabetic mouse hearts. The beneficial effects of exercise were also observed in a mitochondrial function study, as reflected by an enhanced oxidative phosphorylation level, increased membrane potential, and decreased ROS level and oxygen consumption. On the other hand, depletion of PGC-1α attenuated the effects of exercise on the enhancement of mitochondrial function. In addition, PGC-1α may be responsible for reversing the Warburg effect to aerobic respiration, thus enhancing mitochondrial metabolism and energy homoeostasis. In this study, we demonstrate the protective effects of exercise on shifting energy metabolism from fatty acid oxidation to glucose oxidation in an established diabetic stage. These data suggest that exercise is effective at ameliorating diabetic cardiomyopathy by improving mitochondrial function and reducing metabolic disturbances.
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Reactive oxygen species (ROS) produced by oxidative stress play an important role in the development of DCM. DCM involves abnormal energy metabolism, thereby reducing energy production. Exercise has been reported to be effective in protecting the heart against ROS accumulation during the development of DCM. We hypothesize that the AMPK/PGC-1α axis may play a crucial role in exercise-induced bioenergetic metabolism and aerobic respiration on oxidative stress parameters in the development of diabetic cardiomyopathy. Using a streptozotocin/high-fat diet mouse to generate a diabetic model, our aim was to evaluate the effects of exercise on the cardiac function, mitochondrial oxidative capacity, mitochondrial function, and cardiac expression of PGC-1α. Mice fed a high-fat diet were given MO-siPGC-1α or treated with AMPK inhibitor. Mitochondrial structure and effects of switching between the Warburg effect and aerobic respiration were analysed. Exercise improved blood pressure and systolic dysfunction in diabetic mouse hearts. The beneficial effects of exercise were also observed in a mitochondrial function study, as reflected by an enhanced oxidative phosphorylation level, increased membrane potential, and decreased ROS level and oxygen consumption. On the other hand, depletion of PGC-1α attenuated the effects of exercise on the enhancement of mitochondrial function. In addition, PGC-1α may be responsible for reversing the Warburg effect to aerobic respiration, thus enhancing mitochondrial metabolism and energy homoeostasis. In this study, we demonstrate the protective effects of exercise on shifting energy metabolism from fatty acid oxidation to glucose oxidation in an established diabetic stage. These data suggest that exercise is effective at ameliorating diabetic cardiomyopathy by improving mitochondrial function and reducing metabolic disturbances.</description><identifier>ISSN: 0946-2716</identifier><identifier>EISSN: 1432-1440</identifier><identifier>DOI: 10.1007/s00109-019-01861-2</identifier><identifier>PMID: 31897508</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adenosine Triphosphate - metabolism ; Aerobic respiration ; AMP-Activated Protein Kinases ; Animals ; Biomedical and Life Sciences ; Biomedicine ; Blood Pressure ; Cardiac function ; Cardiomyopathy ; Cells, Cultured ; Diabetes ; Diabetes mellitus ; Diabetes Mellitus, Experimental - metabolism ; Diabetes Mellitus, Experimental - physiopathology ; Diabetes Mellitus, Type 2 - metabolism ; Diabetes Mellitus, Type 2 - physiopathology ; Diabetic Cardiomyopathies - metabolism ; Diabetic Cardiomyopathies - physiopathology ; Energy Metabolism ; Exercise ; Glucose - metabolism ; Heart diseases ; High fat diet ; Homeostasis ; Human Genetics ; Internal Medicine ; Lactic Acid - metabolism ; Male ; Membrane potential ; Membrane Potential, Mitochondrial ; Metabolism ; Mice, Inbred C57BL ; Mitochondria ; Mitochondria, Heart - physiology ; Molecular Medicine ; Morbidity ; Myocytes, Cardiac - metabolism ; Original Article ; Oxidation ; Oxidative phosphorylation ; Oxidative stress ; Oxygen consumption ; Peroxisome Proliferator-Activated Receptor Gamma Coactivator 1-alpha - metabolism ; Phosphorylation ; Physical Conditioning, Animal ; Physical fitness ; Reactive oxygen species ; Reactive Oxygen Species - metabolism ; Respiration ; Streptozocin ; Ventricular Function, Left</subject><ispartof>Journal of molecular medicine (Berlin, Germany), 2020-02, Vol.98 (2), p.245-261</ispartof><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2020</rights><rights>Journal of Molecular Medicine is a copyright of Springer, (2020). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c441t-abf65452e5c01baa86f6e1f531ac8b3a7770821ac8fce6ef18cbbfc029b61d393</citedby><cites>FETCH-LOGICAL-c441t-abf65452e5c01baa86f6e1f531ac8b3a7770821ac8fce6ef18cbbfc029b61d393</cites><orcidid>0000-0003-1721-0349</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00109-019-01861-2$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00109-019-01861-2$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31897508$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wang, Shawn Yongshun</creatorcontrib><creatorcontrib>Zhu, Siyu</creatorcontrib><creatorcontrib>Wu, Jian</creatorcontrib><creatorcontrib>Zhang, Maomao</creatorcontrib><creatorcontrib>Xu, Yousheng</creatorcontrib><creatorcontrib>Xu, Wei</creatorcontrib><creatorcontrib>Cui, Jinjin</creatorcontrib><creatorcontrib>Yu, Bo</creatorcontrib><creatorcontrib>Cao, Wei</creatorcontrib><creatorcontrib>Liu, Jingjin</creatorcontrib><title>Exercise enhances cardiac function by improving mitochondrial dysfunction and maintaining energy homoeostasis in the development of diabetic cardiomyopathy</title><title>Journal of molecular medicine (Berlin, Germany)</title><addtitle>J Mol Med</addtitle><addtitle>J Mol Med (Berl)</addtitle><description>Diabetic cardiomyopathy (DCM) is a major cause of morbidity and mortality in diabetic patients. Reactive oxygen species (ROS) produced by oxidative stress play an important role in the development of DCM. DCM involves abnormal energy metabolism, thereby reducing energy production. Exercise has been reported to be effective in protecting the heart against ROS accumulation during the development of DCM. We hypothesize that the AMPK/PGC-1α axis may play a crucial role in exercise-induced bioenergetic metabolism and aerobic respiration on oxidative stress parameters in the development of diabetic cardiomyopathy. Using a streptozotocin/high-fat diet mouse to generate a diabetic model, our aim was to evaluate the effects of exercise on the cardiac function, mitochondrial oxidative capacity, mitochondrial function, and cardiac expression of PGC-1α. Mice fed a high-fat diet were given MO-siPGC-1α or treated with AMPK inhibitor. Mitochondrial structure and effects of switching between the Warburg effect and aerobic respiration were analysed. Exercise improved blood pressure and systolic dysfunction in diabetic mouse hearts. The beneficial effects of exercise were also observed in a mitochondrial function study, as reflected by an enhanced oxidative phosphorylation level, increased membrane potential, and decreased ROS level and oxygen consumption. On the other hand, depletion of PGC-1α attenuated the effects of exercise on the enhancement of mitochondrial function. In addition, PGC-1α may be responsible for reversing the Warburg effect to aerobic respiration, thus enhancing mitochondrial metabolism and energy homoeostasis. In this study, we demonstrate the protective effects of exercise on shifting energy metabolism from fatty acid oxidation to glucose oxidation in an established diabetic stage. These data suggest that exercise is effective at ameliorating diabetic cardiomyopathy by improving mitochondrial function and reducing metabolic disturbances.</description><subject>Adenosine Triphosphate - metabolism</subject><subject>Aerobic respiration</subject><subject>AMP-Activated Protein Kinases</subject><subject>Animals</subject><subject>Biomedical and Life Sciences</subject><subject>Biomedicine</subject><subject>Blood Pressure</subject><subject>Cardiac function</subject><subject>Cardiomyopathy</subject><subject>Cells, Cultured</subject><subject>Diabetes</subject><subject>Diabetes mellitus</subject><subject>Diabetes Mellitus, Experimental - metabolism</subject><subject>Diabetes Mellitus, Experimental - physiopathology</subject><subject>Diabetes Mellitus, Type 2 - metabolism</subject><subject>Diabetes Mellitus, Type 2 - physiopathology</subject><subject>Diabetic Cardiomyopathies - metabolism</subject><subject>Diabetic Cardiomyopathies - physiopathology</subject><subject>Energy Metabolism</subject><subject>Exercise</subject><subject>Glucose - metabolism</subject><subject>Heart diseases</subject><subject>High fat diet</subject><subject>Homeostasis</subject><subject>Human Genetics</subject><subject>Internal Medicine</subject><subject>Lactic Acid - metabolism</subject><subject>Male</subject><subject>Membrane potential</subject><subject>Membrane Potential, Mitochondrial</subject><subject>Metabolism</subject><subject>Mice, Inbred C57BL</subject><subject>Mitochondria</subject><subject>Mitochondria, Heart - physiology</subject><subject>Molecular Medicine</subject><subject>Morbidity</subject><subject>Myocytes, Cardiac - metabolism</subject><subject>Original Article</subject><subject>Oxidation</subject><subject>Oxidative phosphorylation</subject><subject>Oxidative stress</subject><subject>Oxygen consumption</subject><subject>Peroxisome Proliferator-Activated Receptor Gamma Coactivator 1-alpha - metabolism</subject><subject>Phosphorylation</subject><subject>Physical Conditioning, Animal</subject><subject>Physical fitness</subject><subject>Reactive oxygen species</subject><subject>Reactive Oxygen Species - metabolism</subject><subject>Respiration</subject><subject>Streptozocin</subject><subject>Ventricular Function, Left</subject><issn>0946-2716</issn><issn>1432-1440</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kc1u1TAQhS1ERS-3fQEWyBIbNqH-i5MsUVWgUiU2sI5sZ3zjKrEvtlORZ-Fl8SWlSF2wGI1G_uYcjw5Cbyj5QAlprhIhlHQVoadqJa3YC7SjgrOKCkFeoh3phKxYQ-U5ep3SfcGbuhOv0DmnbdfUpN2hXzc_IRqXAIMflTeQsFFxcMpgu3iTXfBYr9jNxxgenD_g2eVgxuCH6NSEhzU9YcoPeFbO51InEjzEw4rHMAcIKavkEnYe5xHwAA8wheMMPuNgcbHTkJ3ZrMO8hqPK43qBzqyaElw-9j36_unm2_WX6u7r59vrj3eVEYLmSmkra1EzqA2hWqlWWgnU1pwq02qumqYhLTsN1oAES1ujtTWEdVrSgXd8j95vuuXGHwuk3M8uGZgm5SEsqWecc0matvQ9evcMvQ9L9OV3haoZ75pWyEKxjTIxpBTB9sfoZhXXnpL-FF2_RdeX6Po_0ZXtPXr7KL3oGYanlb9ZFYBvQCpP_gDxn_d_ZH8Dp8OpFA</recordid><startdate>20200201</startdate><enddate>20200201</enddate><creator>Wang, Shawn Yongshun</creator><creator>Zhu, Siyu</creator><creator>Wu, Jian</creator><creator>Zhang, Maomao</creator><creator>Xu, Yousheng</creator><creator>Xu, Wei</creator><creator>Cui, Jinjin</creator><creator>Yu, Bo</creator><creator>Cao, Wei</creator><creator>Liu, Jingjin</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-1721-0349</orcidid></search><sort><creationdate>20200201</creationdate><title>Exercise enhances cardiac function by improving mitochondrial dysfunction and maintaining energy homoeostasis in the development of diabetic cardiomyopathy</title><author>Wang, Shawn Yongshun ; 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Reactive oxygen species (ROS) produced by oxidative stress play an important role in the development of DCM. DCM involves abnormal energy metabolism, thereby reducing energy production. Exercise has been reported to be effective in protecting the heart against ROS accumulation during the development of DCM. We hypothesize that the AMPK/PGC-1α axis may play a crucial role in exercise-induced bioenergetic metabolism and aerobic respiration on oxidative stress parameters in the development of diabetic cardiomyopathy. Using a streptozotocin/high-fat diet mouse to generate a diabetic model, our aim was to evaluate the effects of exercise on the cardiac function, mitochondrial oxidative capacity, mitochondrial function, and cardiac expression of PGC-1α. Mice fed a high-fat diet were given MO-siPGC-1α or treated with AMPK inhibitor. Mitochondrial structure and effects of switching between the Warburg effect and aerobic respiration were analysed. Exercise improved blood pressure and systolic dysfunction in diabetic mouse hearts. The beneficial effects of exercise were also observed in a mitochondrial function study, as reflected by an enhanced oxidative phosphorylation level, increased membrane potential, and decreased ROS level and oxygen consumption. On the other hand, depletion of PGC-1α attenuated the effects of exercise on the enhancement of mitochondrial function. In addition, PGC-1α may be responsible for reversing the Warburg effect to aerobic respiration, thus enhancing mitochondrial metabolism and energy homoeostasis. In this study, we demonstrate the protective effects of exercise on shifting energy metabolism from fatty acid oxidation to glucose oxidation in an established diabetic stage. These data suggest that exercise is effective at ameliorating diabetic cardiomyopathy by improving mitochondrial function and reducing metabolic disturbances.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>31897508</pmid><doi>10.1007/s00109-019-01861-2</doi><tpages>17</tpages><orcidid>https://orcid.org/0000-0003-1721-0349</orcidid></addata></record>
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subjects Adenosine Triphosphate - metabolism
Aerobic respiration
AMP-Activated Protein Kinases
Animals
Biomedical and Life Sciences
Biomedicine
Blood Pressure
Cardiac function
Cardiomyopathy
Cells, Cultured
Diabetes
Diabetes mellitus
Diabetes Mellitus, Experimental - metabolism
Diabetes Mellitus, Experimental - physiopathology
Diabetes Mellitus, Type 2 - metabolism
Diabetes Mellitus, Type 2 - physiopathology
Diabetic Cardiomyopathies - metabolism
Diabetic Cardiomyopathies - physiopathology
Energy Metabolism
Exercise
Glucose - metabolism
Heart diseases
High fat diet
Homeostasis
Human Genetics
Internal Medicine
Lactic Acid - metabolism
Male
Membrane potential
Membrane Potential, Mitochondrial
Metabolism
Mice, Inbred C57BL
Mitochondria
Mitochondria, Heart - physiology
Molecular Medicine
Morbidity
Myocytes, Cardiac - metabolism
Original Article
Oxidation
Oxidative phosphorylation
Oxidative stress
Oxygen consumption
Peroxisome Proliferator-Activated Receptor Gamma Coactivator 1-alpha - metabolism
Phosphorylation
Physical Conditioning, Animal
Physical fitness
Reactive oxygen species
Reactive Oxygen Species - metabolism
Respiration
Streptozocin
Ventricular Function, Left
title Exercise enhances cardiac function by improving mitochondrial dysfunction and maintaining energy homoeostasis in the development of diabetic cardiomyopathy
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