Key result
Rap1a promotes diabetic cardiac fibroblast activation and oxidative stress via the AGE/RAGE cascade.
Why the study?
Heart failure in type 2 diabetes involves myofibroblast-driven left ventricular stiffening via AGE/RAGE signaling; the authors investigated whether Rap1a crosses the AGE/RAGE cascade to alter signaling proteins in cardiac fibroblasts.
Rap1a acts as a molecular switch in the AGE/RAGE signaling cascade to promote myofibroblast differentiation and oxidative stress in diabetic cardiac fibroblasts, presenting a potential therapeutic target for diabetic cardiomyopathy.
Answers are grounded in this paper and cite their sources.
Rap1a may drive fibroblast activation in diabetic models; leaves open whether targeting it alters cardiomyopathy progression.
Cardiovascular disease, specifically heart failure, is a common complication for individuals with type 2 diabetes mellitus. Heart failure can arise with stiffening of the left ventricle, which can be caused by "active" cardiac fibroblasts (i.e., myofibroblasts) remodeling the extracellular matrix (ECM). Differentiation of fibroblasts to myofibroblasts has been demonstrated to be an outcome of AGE/RAGE signaling. Hyperglycemia causes advanced glycated end products (AGEs) to accumulate within the body, and this process is greatly accelerated under chronic diabetic conditions. AGEs can bind and activate their receptor (RAGE) to trigger multiple downstream outcomes, such as altering ECM remodeling, inflammation, and oxidative stress. Previously, our lab has identified a small GTPase, Rap1a, that possibly overlaps the AGE/RAGE signaling cascade to affect the downstream outcomes. Rap1a acts as a molecular switch connecting extracellular signals to intracellular responses. Therefore, we hypothesized that Rap1a crosses the AGE/RAGE cascade to alter the expression of AGE/RAGE associated signaling proteins in cardiac fibroblasts in type 2 diabetic mice. To delineate this cascade, we used genetically different cardiac fibroblasts from non-diabetic, diabetic, non-diabetic RAGE knockout, diabetic RAGE knockout, and Rap1a knockout mice and treated them with pharmacological modifiers (exogenous AGEs, EPAC, Rap1a siRNA, and pseudosubstrate PKC-ζ). We examined changes in expression of proteins implicated as markers for myofibroblasts (α-SMA) and inflammation/oxidative stress (NF-κB and SOD-1). In addition, oxidative stress was also assessed by measuring hydrogen peroxide concentration. Our results indicated that Rap1a connects to the AGE/RAGE cascade to promote and maintain α-SMA expression in cardiac fibroblasts. Moreover, Rap1a, in conjunction with activation of the AGE/RAGE cascade, increased NF-κB expression as well as hydrogen peroxide concentration, indicating a possible oxidative stress response. Additionally, knocking down Rap1a expression resulted in an increase in SOD-1 expression suggesting that Rap1a can affect oxidative stress markers independently of the AGE/RAGE signaling cascade. These results demonstrated that Rap1a contributes to the myofibroblast population within the heart via AGE/RAGE signaling as well as promotes possible oxidative stress. This study offers a new potential therapeutic target that could possibly reduce the risk for developing diabetic cardiovascular complications attributed to AGE/RAGE signaling.
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Burr et al. (2021) studied Type 2 diabetes mellitus (Cardiac fibrosis model). Pharmacological modifiers (exogenous AGEs, EPAC, Rap1a siRNA, and ps-PKC-ζ) vs. Untreated cells or scrambled control siRNA was evaluated on Changes in protein expression of α-SMA, p-NF-κB, and SOD-1 as markers for myofibroblasts and inflammation/oxidative stress. Rap1a interacts with the AGE/RAGE cascade to promote α-SMA expression, increase p-NF-κB expression, and elevate hydrogen peroxide concentration in cardiac fibroblasts from type 2 diabetic mice.
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