Exogenous hydrogen sulphide ameliorates diabetic cardiomyopathy in rats by reversing disordered calcium-handling

Yu-Si Cheng1, De-Zai Dai2, Yin Dai2

  • 1Institute of Nephrology, Zhong Da Hospital, Medical School of Southeast University, Nanjing, China.

Insights

Hydrogen sulphide (H2S) administration improved diabetic cardiomyopathy by restoring the sarcoplasmic reticulum

Area of Science:

  • Cardiovascular Science
  • Endocrinology
  • Molecular Biology

Background:

  • Hydrogen sulphide (H2S) is implicated in cardiovascular diseases, but its precise role remains unclear.
  • Diabetic cardiomyopathy is a significant complication of diabetes mellitus, characterized by cardiac dysfunction.
  • Disordered calcium handling in the sarcoplasmic reticulum (SR) is a key feature of cardiac pathology.

Purpose of the Study:

  • To investigate the therapeutic potential of sodium hydrogen sulphide (NaHS), an H2S donor, in diabetic cardiomyopathy.
  • To determine if NaHS can ameliorate diabetic cardiomyopathy by correcting calcium-handling abnormalities in the SR.
  • To elucidate the molecular mechanisms underlying the protective effects of H2S in this condition.

Main Methods:

  • A diabetic rat model was established using streptozotocin (STZ) injection.
  • Rats were treated with aminoguanidine (AG) or sodium hydrogen sulphide (NaHS).
  • Cardiac function, myocardial hypertrophy, oxidative stress markers, and the expression of key proteins involved in calcium handling and signaling pathways were assessed.

Main Results:

  • Diabetic rats exhibited cardiac dysfunction, myocardial hypertrophy, increased reactive oxygen species (ROS), and altered expression of endothelin A receptor (ETA) and protein kinase Cε (PKCε).
  • Expressions of SR calcium-handling proteins, including FKBP12.6, SERCA2a, and CASQ2, were downregulated in diabetic hearts, leading to calcium leak.
  • NaHS treatment significantly attenuated these pathological changes and improved cardiac function.

Conclusions:

  • Exogenous hydrogen sulphide (H2S) exerts a protective effect against diabetic cardiomyopathy.
  • H2S normalizes the SR calcium-handling system and inhibits the ET-NADPH oxidase-PKCε pathway.
  • NaHS represents a potential therapeutic agent for managing diabetic cardiomyopathy.
Abstract