Key result
Diabetic cardiomyocytes exhibited a 14% decline in mitochondrial area fraction and an irregular arrangement of mitochondria and myofibrils, leading to a 40% rise in average inorganic phosphate concentration.
Why the study?
Diabetic cardiomyopathy alters mitochondrial energy metabolism and cardiomyocyte ultrastructure, but the impact of these ultrastructural changes on cardiac bioenergetics was not fully understood.
In silico simulations demonstrate that disorganized cellular ultrastructure and mitochondrial dysfunction in diabetic cardiomyopathy negatively impact metabolite transport and cardiac bioenergetics.
May guide future modeling of diabetic cardiomyopathy; leaves open clinical translation from rat data.
Diabetic cardiomyopathy is a leading cause of heart failure in diabetes. At the cellular level, diabetic cardiomyopathy leads to altered mitochondrial energy metabolism and cardiomyocyte ultrastructure. We combined electron microscopy (EM) and computational modelling to understand the impact of diabetes-induced ultrastructural changes on cardiac bioenergetics. We collected transverse micrographs of multiple control and type I diabetic rat cardiomyocytes using EM. Micrographs were converted to finite-element meshes, and bioenergetics was simulated over them using a biophysical model. The simulations also incorporated depressed mitochondrial capacity for oxidative phosphorylation (OXPHOS) and creatine kinase (CK) reactions to simulate diabetes-induced mitochondrial dysfunction. Analysis of micrographs revealed a 14% decline in mitochondrial area fraction in diabetic cardiomyocytes, and an irregular arrangement of mitochondria and myofibrils. Simulations predicted that this irregular arrangement, coupled with the depressed activity of mitochondrial CK enzymes, leads to large spatial variation in adenosine diphosphate (ADP)/adenosine triphosphate (ATP) ratio profile of diabetic cardiomyocytes. However, when spatially averaged, myofibrillar ADP/ATP ratios of a cardiomyocyte do not change with diabetes. Instead, average concentration of inorganic phosphate rises by 40% owing to lower mitochondrial area fraction and dysfunction in OXPHOS. These simulations indicate that a disorganized cellular ultrastructure negatively impacts metabolite transport in diabetic cardiomyopathy. This article is part of the theme issue 'The cardiomyocyte: new revelations on the interplay between architecture and function in growth, health, and disease'.
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Ghosh et al. (2022) studied Diabetic cardiomyopathy. Type I diabetes (diabetes-induced ultrastructural changes) vs. Control was evaluated on Mitochondrial area fraction and bioenergetics (ADP/ATP ratio, inorganic phosphate concentration). Diabetic cardiomyocytes exhibited a 14% decline in mitochondrial area fraction and an irregular arrangement of mitochondria and myofibrils, leading to a 40% rise in average inorganic phosphate concentration.
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