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Updated: Jun 22, 2026

Modeling and Evaluation of Murine Diabetic Cardiomyopathy Model
Published on: November 29, 2024
Blockage of receptor for advanced glycation end products prevents development of cardiac dysfunction in db/db type 2
Jan M Nielsen1, Steen B Kristiansen, Rikke Nørregaard
1Department of Cardiology, Aarhus University Hospital, Skejby, 8200 Aarhus N, Denmark. janmn@dadlnet.dk
Aims:
Activation of the receptor for advanced glycation end products (RAGE) is associated with long-term complications in diabetes mellitus. In this study, we tested whether RAGE activation in the diabetic myocardium is implicated in the development of cardiac dysfunction.
Methods And Results:
Using MRI and conductance catheter techniques, we evaluated cardiac function in a type 2 diabetic mouse model (db/db), and assessed the effect of blocking RAGE with a RAGE antibody. Gene expressions were evaluated in samples of myocardial tissue. Diabetic db/db mice demonstrated an accelerated age-dependent deterioration in cardiac function associated with altered expression of genes related to cardiac structure and function. Blockage of RAGE signalling prevented the reduction in systolic function (preload recruitable stroke work: 109.8 +/- 13.8 vs. 94.5 +/- 14.9 mmHg/microL, P = 0.04) and development of increased LV diastolic chamber stiffness (0.18 +/- 0.05 vs. 0.27 +/- 0.07 mmHg, P = 0.01). The cardiac expression of collagen (col1a1) was reduced by approximately 45% and the expression of myosin was switched from the foetal isoform (MHCbeta) to the adult isoform (MHCalpha).
Conclusion:
Activation of RAGE is a significant pathogenetic mechanism for the development of cardiac dysfunction in type 2 diabetes. The underlying mechanisms involve not only the passive biophysical properties of the myocardium but also myocyte function.
Insights
Activation of the receptor for advanced glycation end products (RAGE) contributes to cardiac dysfunction in type 2 diabetes. Blocking RAGE improved systolic function and reduced myocardial stiffness in diabetic mice.
Area of Science:
- Cardiovascular Research
- Metabolic Diseases
- Molecular Biology
Background:
- Receptor for advanced glycation end products (RAGE) activation is linked to diabetes complications.
- Cardiac dysfunction is a common long-term complication in diabetes mellitus.
Purpose of the Study:
- To investigate the role of RAGE activation in the diabetic myocardium.
- To determine if blocking RAGE signaling can prevent or reverse cardiac dysfunction in type 2 diabetes.
Main Methods:
- Utilized a type 2 diabetic mouse model (db/db) for cardiac function assessment.
- Employed MRI and conductance catheter techniques to evaluate cardiac performance.
- Assessed the impact of RAGE antibody treatment on cardiac function and gene expression.
Main Results:
- Diabetic mice exhibited accelerated age-dependent cardiac dysfunction.
- RAGE blockade preserved systolic function and reduced left ventricular diastolic stiffness.
- RAGE inhibition decreased collagen expression and normalized myosin isoform expression in the myocardium.
Conclusions:
- RAGE activation is a key pathogenic mechanism in diabetic cardiac dysfunction.
- Mechanisms involve alterations in myocardial biophysical properties and myocyte function.
- Targeting RAGE may offer therapeutic potential for diabetic heart disease.
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