Exogenous H2S regulates endoplasmic reticulum-mitochondria cross-talk to inhibit apoptotic pathways in STZ-induced

Fan Yang1, Xiangjing Yu1, Ting Li1

  • 1Department of Pathophysiology, Harbin Medical University, Harbin, China; and.

Insights

Hydrogen sulfide (H2S) protects the heart in diabetic cardiomyopathy by reducing oxidative stress and inhibiting ER-mitochondrial apoptosis. H2S treatment, using NaHS, improved cardiac function and normalized key protein expressions in diabetic rats.

Area of Science:

  • Cardiovascular Research
  • Molecular Biology
  • Endocrinology

Background:

  • Diabetes cardiomyopathy (DCM) involves cardiomyocyte apoptosis driven by reactive oxygen species (ROS).
  • Mitofusin-2 (Mfn-2) links mitochondria and endoplasmic reticulum (ER), crucial for apoptosis.
  • Hydrogen sulfide (H2S) exhibits cardioprotective effects attributed to its antioxidant properties.

Purpose of the Study:

  • To investigate the protective role of exogenous H2S against cardiac dysfunction in STZ-induced diabetic rats.
  • To elucidate the mechanism of H2S in regulating ER-mitochondrial interactions and apoptosis in DCM.

Main Methods:

  • Induction of type I diabetes in rats using streptozotocin (STZ).
  • Administration of sodium hydrosulfide (NaHS) as an H2S donor.
  • Assessment of cardiac function, ultrastructural changes, apoptosis (TUNEL), ER stress markers, mitochondrial proteins (cytochrome c, Mfn-2), and mitochondrial permeability transition pore (MPTP) opening.

Main Results:

  • Hyperglycemia impaired cardiac function and increased cardiomyocyte apoptosis, ER stress, and Mfn-2 downregulation.
  • Exogenous H2S administration ameliorated cardiac dysfunction and reduced apoptosis and ER stress markers.
  • H2S treatment decreased mitochondrial apoptotic protein release and MPTP opening, while restoring Mfn-2 expression.

Conclusions:

  • Exogenous H2S protects against DCM by inhibiting the ER-mitochondrial apoptotic pathway.
  • H2S exerts its cardioprotective effects through the regulation of Mfn-2 expression and mitigation of oxidative stress.