Chronic diabetes increases advanced glycation end products on cardiac ryanodine receptors/calcium-release channels

Keshore R Bidasee1, Karuna Nallani, Yongqi Yu

  • 1Department of Pharmacology, University of Nebraska Medical Center, Omaha 68198-6260, USA. kbidasee@unmc.edu

Diabetes
|June 28, 2003
PubMed

Insights

Chronic diabetes impairs heart function by damaging the type 2 ryanodine receptor calcium-release channel (RyR2). Advanced glycation end products (AGEs) form on RyR2 in diabetes, and insulin treatment may reduce this damage.

Area of Science:

  • Biochemistry
  • Cardiovascular Physiology
  • Metabolic Diseases

Background:

  • Chronic diabetes is associated with cardiac dysfunction.
  • Type 2 ryanodine receptor calcium-release channel (RyR2) dysfunction contributes to diabetes-induced heart problems.
  • The precise mechanisms of RyR2 dysfunction in diabetes remain unclear.

Purpose of the Study:

  • To investigate the formation of non-cross-linking advanced glycation end products (AGEs) on RyR2 in chronic diabetes.
  • To determine if insulin treatment can attenuate the formation of these AGEs on RyR2.
  • To explore the potential role of AGEs in diabetes-related RyR2 dysfunction.

Main Methods:

  • Proteomic analysis of RyR2 from control, diabetic, and insulin-treated diabetic animal models.
  • Peptide identification using matrix-assisted laser desorption ionization-time of flight mass spectrometry.
  • Quantification of RyR2 peptides and identification of specific AGE modifications using a custom algorithm.

Main Results:

  • RyR2 from diabetic animals exhibited a 21% decrease in peptide yield compared to controls.
  • Specific nonenzymatic glycation products (AGEs) were identified on RyR2 from diabetic animals but not in controls.
  • Insulin treatment partially reduced the formation of some AGEs on RyR2.

Conclusions:

  • Advanced glycation end products (AGEs) are formed on intracellular RyR2 in the context of chronic diabetes.
  • The formation of AGEs on RyR2 represents a novel potential mechanism underlying diabetes-induced cardiac dysfunction.
  • These findings highlight a potential therapeutic target for mitigating diabetic cardiomyopathy.

Related Concept Videos

Diabetic Nephropathy01:28

Diabetic Nephropathy

Definition Diabetic nephropathy is a chronic kidney complication that results from prolonged hyperglycemia.Prevalence It is the most common cause of chronic kidney disease (CKD) and end-stage renal disease (ESRD) worldwide, affecting up to half of individuals with diabetes.Pathophysiology • Sustained hyperglycemia triggers multiple hemodynamic and metabolic changes in the kidney. • Early in the disease, increased renal blood flow and glomerular hyperfiltration occur due to afferent arteriolar...
Type II Diabetes II: Pathophysiology01:24

Type II Diabetes II: Pathophysiology

PathophysiologyType 2 diabetes mellitus (T2DM ) is a chronic metabolic disorder characterized by insulin resistance and progressive pancreatic β-cell dysfunction, leading to impaired glucose homeostasis. It results from interactions among genetic predisposition, environmental factors, and metabolic stressors, such as overnutrition and a sedentary lifestyle.Insulin Resistance and Glucose DysregulationEarly T2DM involves insulin resistance in skeletal muscle, adipose tissue, and the liver.
Coronary Artery Disease I: Introduction01:30

Coronary Artery Disease I: Introduction

Coronary Artery Disease (CAD): An Overview with Scientific InsightsCoronary Artery Disease (CAD), often referred to as C-A-D, is a prevalent blood vessel disorder classified under the broader category of atherosclerosis. Atherosclerosis is a pathological process characterized by the hardening and narrowing of arteries due to the accumulation of atherosclerotic plaques. These plaques are composed of cholesterol, fatty substances, inflammatory cells, calcium, and fibrin, reducing blood flow to...
Diabetic Neuropathy01:22

Diabetic Neuropathy

DefinitionDiabetic neuropathy is nerve damage caused by long-standing diabetes mellitus. It results directly from prolonged high blood sugar levels.PathophysiologyThe pathophysiology of diabetic neuropathy involves both metabolic and vascular disturbances triggered by chronic hyperglycemia.Metabolic injury: Elevated glucose levels activate the polyol pathway within nerve cells, leading to the accumulation of sorbitol and fructose. This increases oxidative stress, disrupts normal nerve...
Type II Diabetes I: Introduction01:26

Type II Diabetes I: Introduction

Type 2 diabetes mellitus (T2DM) is a chronic metabolic disorder characterized by insulin resistance, in which target tissues such as the liver, muscle, and adipose tissue respond poorly to insulin. It is also associated with inadequate compensatory insulin secretion, where pancreatic β-cells fail to produce sufficient insulin. Together, these abnormalities lead to persistent hyperglycemia.EtiologyT2DM develops through a complex interaction of genetic predisposition and environmental or...
Pathophysiology of Diabetes01:20

Pathophysiology of Diabetes

Diabetes mellitus is a chronic metabolic disorder characterized by hyperglycemia. The four categories of diabetes are type 1 diabetes, type 2 diabetes, other specific types of diabetes, and gestational diabetes.
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility, suggesting a...