查看更多>>摘要:Mitochondrial aldehyde dehydrogenase(ALDH2)offers proven cardiovascular benefit although its impact in diabetes remains elusive.This study examined the effect of ALDH2 overexpression(OE)and knockout(KO)on diabetic cardiomyopathy and mechanism involved with a focus on mitochondrial integrity.ALDH2 OE and KO mice were challenged with streptozotocin(STZ,200 mg/kg.i.p.)to establish diabetes.Diabetic patients displayed reduced plasma ALDH2 activity,cardiac remodeling,and diastolic dysfunction.STZ challenge prompted reduced respiratory exchange ratio,dampened fractional shortening,ejection fraction,increased left ventricular(LV)end-systolic and diastolic diameters,cardiac remodeling,cardiomyocyte contractile,and intracellular Ca2 + defects(depressed peak shortening and maximal velocity of shortening/relengthening,prolonged relengthening,dampened intracellular Ca2 + rise and clearance),myocardial ultrastructural injury,oxidative stress,apoptosis,and mitochondrial damage,the effects of which were overtly attenuated and accentuated by ALDH2 OE and KO,respectively.Immunoblotting revealed downregulated mitochondrial proteins PPAR γ coactivator 1 α(PGC-1 α)and UCP-2,Ca2 + regulatory proteins including SERCA and Na+-Ca2 + exchanger,elevated phospholamban,dampened autophagy and mitophagy(LC3B ratio,TOM20,Parkin,FUNDC1,and BNIP3),disrupted phosphorylation of Akt,GSK3 β,and Foxo3a,and elevated PTEN phosphorylation,the effect of which was reversed and worsened by ALDH2 OE and KO,respectively(except FUNDC1 and BNIP3).In vivo and in vitro data revealed that novel ALDH2 activator torezolid/Alda-1 protected against STZ or high glucose-induced cardiac anomalies,the effect was nullified by inhibition of Akt,GSK3 β,Parkin,and mitochondrial coupling.Our data discerned a vital role for ALDH2 in diabetic cardiomyopathy possibly through regulation of Akt,GSK3 β activation,Parkin mitophagy,and mitochondrial function.