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Glyoxalase 1 Prevents Chronic Hyperglycemia Induced Heart-Explant Derived Cell Dysfunction
Melanie Villanueva1, Connor Michie1, Sandrine Parent1
1University of Ottawa Heart Institute, Division of Cardiology, Department of Medicine, University of Ottawa, Ottawa, Canada K1Y4W7.
Insights
Diabetes impairs heart cell therapy by increasing toxic metabolites. Overexpressing the glyoxalase 1 (Glo1) enzyme reduces this damage, improving cell function and heart repair in diabetic conditions.
Area of Science:
- Cardiovascular Research
- Metabolic Disease Research
- Regenerative Medicine
Background:
- Diabetes significantly increases heart disease risk and worsens outcomes post-myocardial infarction.
- Cell therapy is a promising alternative for heart repair in diabetic patients, as heart transplantation is contraindicated.
- Hyperglycemia in diabetes generates toxic metabolites, impairing cell function.
Purpose of the Study:
- To investigate the role of glyoxalase 1 (Glo1) in mitigating hyperglycemia-induced dysfunction of heart explant-derived cells (EDCs).
- To evaluate the therapeutic potential of Glo1-overexpressing EDCs in models of myocardial ischemia.
Main Methods:
- EDCs were cultured from mice treated with streptozotocin (to induce hyperglycemia) or vehicle, including Glo1 over-expressing and wild-type groups.
- In vitro and in vivo models of myocardial ischemia were used to assess EDC function and therapeutic efficacy.
- Evaluated cell culture yields, dicarbonyl stress, angiogenic potential, exosome production, senescence, proliferation, and cardiac function post-transplantation.
Main Results:
- Chronic hyperglycemia reduced EDC culture yields, increased dicarbonyl stress, and impaired angiogenic potential and exosome production.
- Hyperglycemic EDCs showed reduced efficacy in improving myocardial function and promoting vascular/cardiomyocyte growth compared to normoglycemic cells.
- Glo1 overexpression restored EDC culture yields and improved repair of ischemic myocardium, associated with enhanced extracellular vesicle production.
Conclusions:
- Chronic hyperglycemia impairs the regenerative capacity of EDCs, negatively impacting their therapeutic potential for heart repair.
- Glyoxalase 1 (Glo1) overexpression mitigates dicarbonyl stress and prevents hyperglycemia-induced EDC dysfunction.
- Restoring Glo1 levels rejuvenates EDC function by enhancing pro-healing extracellular vesicle production, offering a potential therapeutic strategy for diabetic heart disease.
Abstract:
Decades of work have shown that diabetes increases the risk of heart disease and worsens clinical outcomes after myocardial infarction. Because diabetes is an absolute contraindication to heart transplant, cell therapy is increasingly being explored as a means of improving heart function for these patients with very few other options. Given that hyperglycemia promotes the generation of toxic metabolites, the influence of the key detoxification enzyme glyoxalase 1 (Glo1) on chronic hyperglycemia induced heart explant-derived cell (EDC) dysfunction was investigated. Methods: EDCs were cultured from wild type C57Bl/6 or Glo1 over-expressing transgenic mice 2 months after treatment with the pancreatic beta cell toxin streptozotocin or vehicle. The effects of Glo1 overexpression was evaluated using in vitro and in vivo models of myocardial ischemia. Results: Chronic hyperglycemia reduced overall culture yields and increased the reactive dicarbonyl cell burden within EDCs. These intrinsic cell changes reduced the angiogenic potential and production of pro-healing exosomes while promoting senescence and slowing proliferation. Compared to intra-myocardial injection of normoglycemic cells, chronic hyperglycemia attenuated cell-mediated improvements in myocardial function and reduced the ability of transplanted cells to promote new blood vessel and cardiomyocyte growth. In contrast, Glo1 overexpression decreased oxidative damage while restoring both cell culture yields and EDC-mediated repair of ischemic myocardium. The latter was associated with enhanced production of pro-healing extracellular vesicles by Glo1 cells without altering the pro-healing microRNA cargo within. Conclusions: Chronic hyperglycemia decreases the regenerative performance of EDCs. Overexpression of Glo1 reduces dicarbonyl stress and prevents chronic hyperglycemia-induced dysfunction by rejuvenating the production of pro-healing extracellular vesicles.
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