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Published on: April 18, 2025
Prohibitin overexpression improves myocardial function in diabetic cardiomyopathy
Wen-qian Dong1, Min Chao2, Qing-hua Lu3
1The Key Laboratory of Cardiovascular Remodeling and Function Research, Chinese Ministry of Education and Chinese Ministry of Public Health, Qilu Hospital, Shandong University, Jinan, China.
Insights
Prohibitin (PHB) protein overexpression improved cardiac function in a type 2 diabetic rat model. PHB reduced insulin resistance, fibrosis, and apoptosis, suggesting it as a therapeutic target for diabetic cardiomyopathy (DCM).
Area of Science:
- Cardiovascular Biology
- Metabolic Diseases
- Molecular Medicine
Background:
- Prohibitin (PHB) is a conserved protein involved in cell proliferation, apoptosis, and mitochondrial function.
- The role of PHB in diabetic cardiomyopathy (DCM) remains largely unknown.
- Diabetic cardiomyopathy is characterized by insulin resistance, cardiac dysfunction, fibrosis, and apoptosis.
Purpose of the Study:
- To investigate the role of Prohibitin (PHB) in the pathogenesis of type 2 diabetic cardiomyopathy (DCM).
- To explore the therapeutic potential of PHB overexpression in ameliorating DCM.
- To elucidate the molecular mechanisms underlying PHB's effects in DCM.
Main Methods:
- A type 2 diabetic rat model was established using a high-fat diet and streptozotocin.
- PHB overexpression was induced in vivo via lentiviral gene delivery.
- Cardiac function was assessed using metabolic tests, echocardiography, and histopathology.
- In vitro studies utilized cardiofibroblasts and H9c2 cardiomyoblasts under high glucose conditions.
Main Results:
- PHB overexpression significantly ameliorated DCM symptoms, including insulin resistance, left ventricular dysfunction, fibrosis, and apoptosis.
- In cardiofibroblasts, PHB overexpression reduced collagen expression, matrix metalloproteinase activity, and proliferation.
- In H9c2 cardiomyoblasts, PHB overexpression inhibited high glucose-induced apoptosis.
- PHB overexpression modulated key signaling pathways, decreasing ERK1/2 phosphorylation and restoring Akt phosphorylation.
Conclusions:
- Prohibitin (PHB) plays a protective role in diabetic cardiomyopathy.
- PHB overexpression demonstrates therapeutic potential for treating DCM.
- PHB influences key cellular processes like fibrosis, apoptosis, and signaling pathways in DCM.
Abstract:
Prohibitin (PHB) is a highly conserved protein implicated in various cellular functions including proliferation, apoptosis, tumor suppression, transcription, and mitochondrial protein folding. However, its function in diabetic cardiomyopathy (DCM) is still unclear. In vivo, type 2 diabetic rat model was induced by using a high-fat diet and low-dose streptozotocin. Overexpression of the PHB protein in the model rats was achieved by injecting lentivirus carrying PHB cDNA via the jugular vein. Characteristics of type 2 DCM were evaluated by metabolic tests, echocardiography and histopathology. Rats with DCM showed severe insulin resistance, left ventricular dysfunction, fibrosis and apoptosis. PHB overexpression ameliorated the disease. Cardiofibroblasts (CFs) and H9c2 cardiomyoblasts were used in vitro to investigate the mechanism of PHB in altered function. In CFs treated with HG, PHB overexpression decreased expression of collagen, matrix metalloproteinase activity, and proliferation. In H9c2 cardiomyoblasts, PHB overexpression inhibited apoptosis induced by HG. Furthermore, the increased phosphorylation of extracellular signal-regulated kinase (ERK) 1/2 was significantly decreased and the inhibited phosphorylation of Akt was restored in DCM. Therefore, PHB may be a new therapeutic target for human DCM.
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