The role of CaMKII in diabetic heart dysfunction
Lorna Daniels1, James R Bell, Lea M D Delbridge
1Department of Physiology, University of Otago, PO Box 56, Dunedin, New Zealand.
Insights
Diabetes mellitus (DM) significantly increases heart failure (HF) risk, partly due to calmodulin-dependent protein kinase delta (CaMKIIδ) overactivation. Inhibiting CaMKIIδ shows therapeutic promise for diabetic heart disease.
Area of Science:
- Cardiology
- Endocrinology
- Molecular Biology
Background:
- Diabetes mellitus (DM) is a global epidemic with a high incidence of heart failure (HF).
- Diabetic patients exhibit a significantly higher risk of developing HF compared to non-diabetic individuals.
- Calmodulin-dependent protein kinase delta (CaMKIIδ) activation is a proposed mechanism linking DM and HF.
Purpose of the Study:
- To review the pathological role of CaMKIIδ in diabetes-related cardiac dysfunction.
- To explore CaMKIIδ as a potential therapeutic target for managing DM and its cardiac complications.
- To discuss the impact of exercise on CaMKIIδ activity in the context of diabetes.
Main Methods:
- Review of existing literature on CaMKIIδ function in diabetes and heart failure.
- Analysis of studies involving pharmacological inhibition and genetic knockout of CaMKIIδ.
- Examination of research on exercise interventions and their effects on CaMKIIδ.
Main Results:
- CaMKIIδ activity is elevated in the myocardium of diabetic patients and models, promoting cardiac hypertrophy, fibrosis, and apoptosis.
- Pharmacological inhibition and genetic ablation of CaMKIIδ have demonstrated protective effects against cardiac damage in diabetic conditions.
- Exercise interventions may modulate CaMKIIδ activity, offering potential benefits for diabetic cardiomyopathy.
Conclusions:
- CaMKIIδ plays a critical pathological role in the development of heart failure in diabetes.
- Targeting CaMKIIδ presents a promising therapeutic strategy for diabetic heart disease.
- Further research into exercise-mediated effects on CaMKIIδ is warranted for comprehensive treatment approaches.
Abstract:
Diabetes mellitus (DM) is an increasing epidemic that places a significant burden on health services worldwide. The incidence of heart failure (HF) is significantly higher in diabetic patients compared to non-diabetic patients. One underlying mechanism proposed for the link between DM and HF is activation of calmodulin-dependent protein kinase (CaMKIIδ). CaMKIIδ mediates ion channel function and Ca(2+) handling during excitation-contraction and excitation-transcription coupling in the myocardium. CaMKIIδ activity is up-regulated in the myocardium of diabetic patients and mouse models of diabetes, where it promotes pathological signaling that includes hypertrophy, fibrosis and apoptosis. Pharmacological inhibition and knockout models of CaMKIIδ have shown some promise of a potential therapeutic benefit of CaMKIIδ inhibition, with protection against cardiac hypertrophy and apoptosis reported. This review will highlight the pathological role of CaMKIIδ in diabetes and discuss CaMKIIδ as a therapeutic target in DM, and also the effects of exercise on CaMKIIδ.
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