Translational Research in Culture: AADAC, Diabetes, and Cardiovascular Disease

Ashish Misra1, Edward A Fisher2

  • 1Heart Research Institute, Sydney, NSW, Australia; Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia.

Cell Stem Cell
|July 4, 2020
PubMed

Insights

Elevated arylacetamide deacetylase (AADAC) expression in vascular cells protects against cardiovascular disease (CVD) in type 2 diabetes patients. This finding offers new insights into CVD development and potential therapeutic targets.

Area of Science:

  • Cardiovascular Science
  • Diabetes Research
  • Stem Cell Biology

Background:

  • Type 2 diabetes (T2D) is a major risk factor for cardiovascular disease (CVD).
  • Individual susceptibility to CVD in T2D varies, suggesting underlying protective mechanisms.
  • Vascular smooth muscle cells (VSMCs) play a critical role in cardiovascular health and disease.

Purpose of the Study:

  • To investigate the role of arylacetamide deacetylase (AADAC) in mediating cardioprotection in the context of T2D.
  • To explore the functional impact of AADAC expression in differentiated VSMCs (dVSMCs) derived from patient-specific induced pluripotent stem cells (iPSCs).

Main Methods:

  • Generation of patient-derived iPSCs from individuals with T2D.
  • Differentiation of iPSCs into dVSMCs.
  • Assessment of AADAC expression levels in dVSMCs.
  • Functional assays to evaluate dVSMC properties and response to stimuli.
  • In vivo studies using murine models of CVD.

Main Results:

  • Elevated AADAC expression was identified in dVSMCs from T2D patients and associated with cardioprotection.
  • AADAC overexpression altered multiple functional properties of dVSMCs.
  • Increased AADAC expression led to decreased incidence or severity of CVD in a murine model.

Conclusions:

  • AADAC is a key mediator of cardioprotection in T2D.
  • Targeting AADAC may represent a novel therapeutic strategy for preventing CVD in T2D patients.
  • Patient-derived iPSC technology provides a valuable platform for studying T2D-related CVD mechanisms.

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