Deficiency in nucleoside diphosphate kinase B leads to endothelial activation of the hexosamine biosynthesis pathway

Feng Shao1, Johanna Wieland1,2, Yixin Wang1

  • 1Experimental Pharmacology Mannheim, European Center for Angioscience (ECAS), Medical Faculty Mannheim, Heidelberg University, Ludolf-Krehl-Str. 13-17, 68167, Mannheim, Germany.

Cardiovascular Diabetology
|February 21, 2025
PubMed

Insights

Nucleoside diphosphate kinase B (NDPKB) deficiency causes heart problems by activating the hexosamine biosynthesis pathway (HBP) in endothelial cells. This leads to cardiac dysfunction and highlights HBP's role in cardiovascular health.

Area of Science:

  • Cardiovascular Biology
  • Metabolic Pathways
  • Cellular Signaling

Background:

  • Nucleoside diphosphate kinase B (NDPKB) deficiency in endothelial cells (ECs) is linked to hexosamine biosynthesis pathway (HBP) activation and retinal vascular damage.
  • The study investigates the cardiac consequences of NDPKB deficiency in a mouse model.

Purpose of the Study:

  • To determine the effects of NDPKB deficiency on cardiac function and structure.
  • To elucidate the role of the hexosamine biosynthesis pathway (HBP) in NDPKB-deficient hearts.

Main Methods:

  • Utilized NDPKB-deficient mice and assessed cardiac function via echocardiography.
  • Analyzed cardiomyocyte contractility using hiPSC-derived cardiomyocytes (hiPSC-CMs) and IonOptix system.
  • Performed immunoblotting and immunofluorescence to examine protein expression and localization in cardiac tissues and cells.

Main Results:

  • NDPKB deficient mice exhibited impaired glucose tolerance, cardiac hypertrophy, and diastolic dysfunction.
  • Reduced phosphorylation of phospholamban (PLN) and sarcoplasmic/endoplasmic reticulum Ca2+-ATPase 2 (SERCA2) expression were observed.
  • Activation of the HBP and O-GlcNAc cycle, along with fibrosis and TGF-β upregulation, occurred in NDPKB-deficient hearts and cardiac ECs.

Conclusions:

  • NDPKB deficiency triggers endothelial HBP activation, leading to cardiac dysfunction.
  • Proper endothelial HBP function is critical for maintaining cardiovascular homeostasis.
Abstract

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