Key result
Advanced glycation end products reduced Cx43 and Cx40 expression in diabetic rat atria via the AMPK pathway, leading to gap junction dysfunction.
Why the study?
Diabetes mellitus increases susceptibility to AF possibly via AGE accumulation, but the mechanisms leading to dysregulated Cx43 and Cx40 in diabetic atrial myocytes remain unclear.
Advanced glycation end products downregulate gap junction proteins Cx43 and Cx40 via the AMPK pathway, providing a potential mechanism for increased atrial fibrillation susceptibility in diabetes.
May link AGEs to atrial gap junction dysfunction in diabetic rats; leaves open human AF relevance.
Purpose: Diabetes mellitus is an independent risk factor for atrial fibrillation (AF), which may be related to accumulation of advanced glycation end products (AGEs). However, the mechanisms involved are not completely clear. Abnormality of gap junction proteins, especially connexin 43 (Cx43) and connexin 40 (Cx40) in atrial myocytes, is an important cause of increased susceptibility of AF. The aim of our work is to investigate the mechanism of dysregulated Cx43 and Cx40 in atrial myocytes of diabetic rats. Methods: We established a type 1 diabetic rat model by intraperitoneal injection of streptozotocin. HL-1 cells and primary rat atrial myocytes were treated with AGEs in vitro. Using Western blotting, immunofluorescence staining, immunohistochemistry, and lucifer yellow diffusion measurements, we investigated dysregulation of Cx43 and Cx40 and its mechanism in atrial myocytes of diabetic rats. Results: Accumulation of AGEs was found in diabetic rats. The expression of Cx43 and Cx40 was reduced in the atrium of diabetic rats, accompanied by the decrease of phosphorylated Adenosine 5'-monophosphate-activated protein kinase (p-AMPK). Similar results were found in cultured HL-1 cells and primary rat atrial myocytes, suggesting a role of AGEs on gap junction proteins. An AMPK agonist, 5-Aminoimidazole-4-carboxamide ribonucleoside (AICAR), reversed the down-regulated Cx43 expression induced by AGEs stimulation. More importantly, lucifer yellow diffusion assay showed that AGEs significantly affected gap junctional function, and these changes were reversed by AICAR. Conclusion: Thus, we conclude that AGEs cause dysregulation of Cx43 and Cx40 in diabetic atria via the AMPK pathway, thereby leading to gap junction dysfunction, which may contribute to the increased AF susceptibility in diabetes.
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Yang et al. (2023) studied Diabetes mellitus. Advanced glycation end products (AGEs) was evaluated on Expression of Cx43 and Cx40 and gap junctional function. Advanced glycation end products reduced Cx43 and Cx40 expression in diabetic rat atria via the AMPK pathway, leading to gap junction dysfunction.
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