Key result
Glucagon receptor monoclonal antibody treatment attenuated the reduction in cardiac microvascular density and left ventricular diastolic function in diabetic mice.
Why the study?
The role of cardiac microvascular endothelial cells in diabetic cardiomyopathy is not fully understood, and whether glucagon receptor antagonism provides protection through these cells remains to be clarified.
Does glucagon receptor antagonism ameliorate diabetic cardiomyopathy and protect cardiac microvascular endothelial cells in diabetic mice?
Does glucagon receptor antagonism ameliorate diabetic cardiomyopathy and protect cardiac microvascular endothelial cells in diabetic mice?
Glucagon receptor antagonism improves diastolic function and protects cardiac microvascular endothelial cells in diabetic mice, likely by modulating fatty acid β-oxidation and mitochondrial fusion.
May support glucagon receptor antagonism in diabetic cardiomyopathy models; hypothesis-generating and requires human validation.
INTRODUCTION: The role of cardiac microvascular endothelial cells (CMECs) in diabetic cardiomyopathy is not fully understood. We aimed to investigate whether a glucagon receptor (GCGR) monoclonal antibody (mAb) ameliorated diabetic cardiomyopathy and clarify whether and how CMECs participated in the process. RESEARCH DESIGN AND METHODS: The db/db mice were treated with GCGR mAb or immunoglobulin G (as control) for 4 weeks. Echocardiography was performed to evaluate cardiac function. Immunofluorescent staining was used to determine microvascular density. The proteomic signature in isolated primary CMECs was analyzed by using tandem mass tag-based quantitative proteomic analysis. Some target proteins were verified by using western blot. RESULTS: Compared with db/m mice, cardiac microvascular density and left ventricular diastolic function were significantly reduced in db/db mice, and this reduction was attenuated by GCGR mAb treatment. A total of 199 differentially expressed proteins were upregulated in db/db mice versus db/m mice and downregulated in GCGR mAb-treated db/db mice versus db/db mice. The enrichment analysis demonstrated that fatty acid β-oxidation and mitochondrial fusion were the key pathways. The changes of the related proteins carnitine palmitoyltransferase 1B, optic atrophy type 1, and mitofusin-1 were further verified by using western blot. The levels of these three proteins were upregulated in db/db mice, whereas this upregulation was attenuated by GCGR mAb treatment. CONCLUSION: GCGR antagonism has a protective effect on CMECs and cardiac diastolic function in diabetic mice, and this beneficial effect may be mediated via inhibiting fatty acid β-oxidation and mitochondrial fusion in CMECs.
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Wang et al. (2023) studied Diabetic cardiomyopathy. Glucagon receptor (GCGR) monoclonal antibody (mAb) vs. Immunoglobulin G (IgG) was evaluated on Cardiac microvascular density, left ventricular diastolic function, and proteomic signature. Glucagon receptor monoclonal antibody treatment attenuated the reduction in cardiac microvascular density and left ventricular diastolic function in diabetic mice.
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