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Erschienen in: Diabetologia 5/2012

01.05.2012 | Article

Coenzyme Q10 attenuates diastolic dysfunction, cardiomyocyte hypertrophy and cardiac fibrosis in the db/db mouse model of type 2 diabetes

verfasst von: K. Huynh, H. Kiriazis, X.-J. Du, J. E. Love, K. A. Jandeleit-Dahm, J. M. Forbes, J. R. McMullen, R. H. Ritchie

Erschienen in: Diabetologia | Ausgabe 5/2012

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Abstract

Aims/hypothesis

An increase in the production of reactive oxygen species is commonly thought to contribute to the development of diabetic cardiomyopathy. This study aimed to assess whether administration of the antioxidant coenzyme Q10 would protect the diabetic heart against dysfunction and remodelling, using the db/db mouse model of type 2 diabetes. Furthermore, we aimed to compare the efficacy of coenzyme Q10 to that of the ACE inhibitor ramipril.

Methods

Six-week-old non-diabetic db/+ mice and diabetic db/db mice received either normal drinking water or water supplemented with coenzyme Q10 for 10 weeks. Endpoint cardiac function was assessed by echocardiography and catheterisation. Ventricular tissue was collected for histology, gene expression and protein analysis.

Results

Untreated db/db diabetic mice exhibited hyperglycaemia, accompanied by diastolic dysfunction and adverse structural remodelling, including cardiomyocyte hypertrophy, myocardial fibrosis and increased apoptosis. Systemic lipid peroxidation and myocardial superoxide generation were also elevated in db/db mice. Coenzyme Q10 and ramipril treatment reduced superoxide generation, ameliorated diastolic dysfunction and reduced cardiomyocyte hypertrophy and fibrosis in db/db mice. Phosphorylation of Akt, although depressed in untreated db/db mice, was restored with coenzyme Q10 administration. We postulate that preservation of cardioprotective Akt signalling may be a mechanism by which coenzyme Q10-treated db/db mice are protected from pathological cardiac hypertrophy.

Conclusions/interpretation

These data demonstrate that coenzyme Q10 attenuates oxidative stress and left ventricular diastolic dysfunction and remodelling in the diabetic heart. Addition of coenzyme Q10 to the current therapy used in diabetic patients with diastolic dysfunction warrants further investigation.
Literatur
1.
Zurück zum Zitat Shaw JE, Sicree RA, Zimmet PZ (2010) Global estimates of the prevalence of diabetes for 2010 and 2030. Diabetes Res Clin Pract 87(1):4–14PubMedCrossRef Shaw JE, Sicree RA, Zimmet PZ (2010) Global estimates of the prevalence of diabetes for 2010 and 2030. Diabetes Res Clin Pract 87(1):4–14PubMedCrossRef
2.
Zurück zum Zitat Fang ZY, Prins JB, Marwick TH (2004) Diabetic cardiomyopathy: evidence, mechanisms, and therapeutic implications. Endocr Rev 25:543–567PubMedCrossRef Fang ZY, Prins JB, Marwick TH (2004) Diabetic cardiomyopathy: evidence, mechanisms, and therapeutic implications. Endocr Rev 25:543–567PubMedCrossRef
3.
Zurück zum Zitat Rubler S, Yuceoglu YZ, Kumral T, Grishman A, Branwood AW, Dlugash J (1972) New type of cardiomyopathy associated with diabetic glomerulosclerosis. Am J Cardiol 30:595–602PubMedCrossRef Rubler S, Yuceoglu YZ, Kumral T, Grishman A, Branwood AW, Dlugash J (1972) New type of cardiomyopathy associated with diabetic glomerulosclerosis. Am J Cardiol 30:595–602PubMedCrossRef
4.
Zurück zum Zitat Schannwell CM, Schneppenheim M, Perings S, Plehn G, Strauer BE (2002) Left ventricular diastolic dysfunction as an early manifestation of diabetic cardiomyopathy. Cardiology 98:33–39PubMedCrossRef Schannwell CM, Schneppenheim M, Perings S, Plehn G, Strauer BE (2002) Left ventricular diastolic dysfunction as an early manifestation of diabetic cardiomyopathy. Cardiology 98:33–39PubMedCrossRef
5.
Zurück zum Zitat Asbun J, Villarreal FJ (2006) The pathogenesis of myocardial fibrosis in the setting of diabetic cardiomyopathy. J Am Coll Cardiol 47:693–700PubMedCrossRef Asbun J, Villarreal FJ (2006) The pathogenesis of myocardial fibrosis in the setting of diabetic cardiomyopathy. J Am Coll Cardiol 47:693–700PubMedCrossRef
6.
Zurück zum Zitat Evans JL, Goldfine ID, Maddux BA, Grodsky GM (2002) Oxidative stress and stress-activated signaling pathways: a unifying hypothesis of type 2 diabetes. Endocr Rev 23:599–622PubMedCrossRef Evans JL, Goldfine ID, Maddux BA, Grodsky GM (2002) Oxidative stress and stress-activated signaling pathways: a unifying hypothesis of type 2 diabetes. Endocr Rev 23:599–622PubMedCrossRef
7.
Zurück zum Zitat Haidara MA, Yaseen HZ, Rateb M, Ammar H, Zorkani MA (2006) Role of oxidative stress in development of cardiovascular complications in diabetes mellitus. Curr Vasc Pharmacol 4:215–227PubMedCrossRef Haidara MA, Yaseen HZ, Rateb M, Ammar H, Zorkani MA (2006) Role of oxidative stress in development of cardiovascular complications in diabetes mellitus. Curr Vasc Pharmacol 4:215–227PubMedCrossRef
8.
Zurück zum Zitat Maritim AC, Sanders RA, Watkins JB (2003) Diabetes, oxidative stress, and antioxidants: a review. J Biochem Mol Toxicol 17:24–38PubMedCrossRef Maritim AC, Sanders RA, Watkins JB (2003) Diabetes, oxidative stress, and antioxidants: a review. J Biochem Mol Toxicol 17:24–38PubMedCrossRef
9.
Zurück zum Zitat Fiordaliso F, Bianchi R, Staszewsky L et al (2004) Antioxidant treatment attenuates hyperglycemia-induced cardiomyocyte death in rats. J Mol Cell Cardiol 37:959–968PubMedCrossRef Fiordaliso F, Bianchi R, Staszewsky L et al (2004) Antioxidant treatment attenuates hyperglycemia-induced cardiomyocyte death in rats. J Mol Cell Cardiol 37:959–968PubMedCrossRef
10.
Zurück zum Zitat Ritchie RH, Quinn JM, Cao AH et al (2007) The antioxidant tempol inhibits cardiac hypertrophy in the insulin-resistant GLUT4-deficient mouse in vivo. J Mol Cell Cardiol 42:1119–1128PubMedCrossRef Ritchie RH, Quinn JM, Cao AH et al (2007) The antioxidant tempol inhibits cardiac hypertrophy in the insulin-resistant GLUT4-deficient mouse in vivo. J Mol Cell Cardiol 42:1119–1128PubMedCrossRef
11.
Zurück zum Zitat Cai L (2006) Suppression of nitrative damage by metallothionein in diabetic heart contributes to the prevention of cardiomyopathy. Free Radic Biol Med 41:851–861PubMedCrossRef Cai L (2006) Suppression of nitrative damage by metallothionein in diabetic heart contributes to the prevention of cardiomyopathy. Free Radic Biol Med 41:851–861PubMedCrossRef
12.
Zurück zum Zitat Rauscher FM, Sanders RA, Watkins JB (2001) Effects of coenzyme Q10 treatment on antioxidant pathways in normal and streptozotocin-induced diabetic rats. J Biochem Mol Toxicol 15:41–46PubMedCrossRef Rauscher FM, Sanders RA, Watkins JB (2001) Effects of coenzyme Q10 treatment on antioxidant pathways in normal and streptozotocin-induced diabetic rats. J Biochem Mol Toxicol 15:41–46PubMedCrossRef
13.
Zurück zum Zitat Coldiron AD, Sanders RA, Watkins JB (2002) Effects of combined quercetin and coenzyme Q(10) treatment on oxidative stress in normal and diabetic rats. J Biochem Mol Toxicol 16:197–202PubMedCrossRef Coldiron AD, Sanders RA, Watkins JB (2002) Effects of combined quercetin and coenzyme Q(10) treatment on oxidative stress in normal and diabetic rats. J Biochem Mol Toxicol 16:197–202PubMedCrossRef
14.
Zurück zum Zitat Langsjoen PH, Langsjoen A, Willis R, Folkers K (1997) Treatment of hypertrophic cardiomyopathy with coenzyme Q(10). Mol Asp Med 18:S145–S151CrossRef Langsjoen PH, Langsjoen A, Willis R, Folkers K (1997) Treatment of hypertrophic cardiomyopathy with coenzyme Q(10). Mol Asp Med 18:S145–S151CrossRef
15.
Zurück zum Zitat Silver MA, Langsjoen PH, Szabo S, Patil H, Zelinger A (2004) Effect of atorvastatin on left ventricular, diastolic function and ability of coenzyme Q(10) to reverse that dysfunction. Am J Cardiol 94:1306–1310PubMedCrossRef Silver MA, Langsjoen PH, Szabo S, Patil H, Zelinger A (2004) Effect of atorvastatin on left ventricular, diastolic function and ability of coenzyme Q(10) to reverse that dysfunction. Am J Cardiol 94:1306–1310PubMedCrossRef
16.
Zurück zum Zitat Sander S, Coleman CI, Patel AA, Kluger J, White CM (2006) The impact of coenzyme Q10 on systolic function in patients with chronic heart failure. J Card Fail 12:464–472PubMedCrossRef Sander S, Coleman CI, Patel AA, Kluger J, White CM (2006) The impact of coenzyme Q10 on systolic function in patients with chronic heart failure. J Card Fail 12:464–472PubMedCrossRef
17.
Zurück zum Zitat Sourris KC, Harcourt BE, Tang PH et al (2012) Ubiquinone (coenzyme Q10) prevents renal mitochondrial dysfunction in an experimental model of type 2 diabetes. Free Radic Biol Med 52:716–723PubMedCrossRef Sourris KC, Harcourt BE, Tang PH et al (2012) Ubiquinone (coenzyme Q10) prevents renal mitochondrial dysfunction in an experimental model of type 2 diabetes. Free Radic Biol Med 52:716–723PubMedCrossRef
18.
Zurück zum Zitat Dunn SR, Qi ZH, Bottinger EP, Breyer MD, Sharma K (2004) Utility of endogenous creatinine clearance as a measure of renal function in mice. Kidney Int 65:1959–1967PubMedCrossRef Dunn SR, Qi ZH, Bottinger EP, Breyer MD, Sharma K (2004) Utility of endogenous creatinine clearance as a measure of renal function in mice. Kidney Int 65:1959–1967PubMedCrossRef
19.
Zurück zum Zitat Huynh K, McMullen JR, Julius T et al (2010) Cardiac-specific insulin-like growth factor 1 receptor transgenic expression protects against cardiac fibrosis and diastolic dysfunction in a mouse model of diabetic cardiomyopathy. Diabetes 59:1512–1520PubMedCrossRef Huynh K, McMullen JR, Julius T et al (2010) Cardiac-specific insulin-like growth factor 1 receptor transgenic expression protects against cardiac fibrosis and diastolic dysfunction in a mouse model of diabetic cardiomyopathy. Diabetes 59:1512–1520PubMedCrossRef
20.
Zurück zum Zitat Chen ZY, Chua CC, Ho YS, Hamdy RC, Chua BHL (2001) Overexpression of Bcl-2 attenuates apoptosis and protects against myocardial I/R injury in transgenic mice. Am J Physiol-Heart Circul Physiol 280:H2313–H2320 Chen ZY, Chua CC, Ho YS, Hamdy RC, Chua BHL (2001) Overexpression of Bcl-2 attenuates apoptosis and protects against myocardial I/R injury in transgenic mice. Am J Physiol-Heart Circul Physiol 280:H2313–H2320
21.
Zurück zum Zitat Rosenkranz AC, Hood SG, Woods RL, Dusting GJ, Ritchie RH (2003) B-type natriuretic peptide prevents acute hypertrophic responses in the diabetic rat heart—importance of cyclic GMP. Diabetes 52:2389–2395PubMedCrossRef Rosenkranz AC, Hood SG, Woods RL, Dusting GJ, Ritchie RH (2003) B-type natriuretic peptide prevents acute hypertrophic responses in the diabetic rat heart—importance of cyclic GMP. Diabetes 52:2389–2395PubMedCrossRef
22.
Zurück zum Zitat Laskowski A, Woodman OL, Cao AH et al (2006) Antioxidant actions contribute to the antihypertrophic effects of atrial natriuretic peptide in neonatal rat cardiomyocytes. Cardiovasc Res 72:112–123PubMedCrossRef Laskowski A, Woodman OL, Cao AH et al (2006) Antioxidant actions contribute to the antihypertrophic effects of atrial natriuretic peptide in neonatal rat cardiomyocytes. Cardiovasc Res 72:112–123PubMedCrossRef
23.
Zurück zum Zitat McMullen JR, Shioi T, Zhang L et al (2003) Phosphoinositide 3-kinase(p110 alpha) plays a critical role for the induction of physiological, but not pathological, cardiac hypertrophy. Proc Natl Acad Sci USA 100:12355–12360PubMedCrossRef McMullen JR, Shioi T, Zhang L et al (2003) Phosphoinositide 3-kinase(p110 alpha) plays a critical role for the induction of physiological, but not pathological, cardiac hypertrophy. Proc Natl Acad Sci USA 100:12355–12360PubMedCrossRef
24.
Zurück zum Zitat Devereux RB, Roman MJ, Paranicas M et al (2000) Impact of diabetes on cardiac structure and function. The strong heart study. Circulation 101:2271–2276PubMed Devereux RB, Roman MJ, Paranicas M et al (2000) Impact of diabetes on cardiac structure and function. The strong heart study. Circulation 101:2271–2276PubMed
25.
Zurück zum Zitat Gonzalez-Vilchez F, Ayuela J, Ares M, Pi J, Castillo L, Martin-Duran R (2005) Oxidative stress and fibrosis in incipient myocardial dysfunction in type 2 diabetic patients. Int J Cardiol 101:53–58PubMedCrossRef Gonzalez-Vilchez F, Ayuela J, Ares M, Pi J, Castillo L, Martin-Duran R (2005) Oxidative stress and fibrosis in incipient myocardial dysfunction in type 2 diabetic patients. Int J Cardiol 101:53–58PubMedCrossRef
26.
Zurück zum Zitat Bonnefont-Rousselot D, Bastard JP, Jaudon MC, Delattre J (2000) Consequences of the diabetic status on the oxidant/antioxidant balance. Diabetes Metab 26:163–176PubMed Bonnefont-Rousselot D, Bastard JP, Jaudon MC, Delattre J (2000) Consequences of the diabetic status on the oxidant/antioxidant balance. Diabetes Metab 26:163–176PubMed
27.
Zurück zum Zitat Chew GT, Watts GF, Davis TME et al (2008) Hemodynamic effects of fenofibrate and coenzyme Q(10) in type 2 diabetic subjects with left ventricular diastolic dysfunction. Diabetes Care 31:1502–1509PubMedCrossRef Chew GT, Watts GF, Davis TME et al (2008) Hemodynamic effects of fenofibrate and coenzyme Q(10) in type 2 diabetic subjects with left ventricular diastolic dysfunction. Diabetes Care 31:1502–1509PubMedCrossRef
28.
Zurück zum Zitat Diamant M, Lamb HJ, Groeneveld Y et al (2003) Diastolic dysfunction is associated with altered myocardial metabolism in asymptomatic normotensive patients with well-controlled type 2 diabetes mellitus. J Am Coll Cardiol 42:328–335PubMedCrossRef Diamant M, Lamb HJ, Groeneveld Y et al (2003) Diastolic dysfunction is associated with altered myocardial metabolism in asymptomatic normotensive patients with well-controlled type 2 diabetes mellitus. J Am Coll Cardiol 42:328–335PubMedCrossRef
29.
Zurück zum Zitat Shimizu M, Umeda K, Sugihara N et al (1993) Collagen remodelling in myocardia of patients with diabetes. J Clin Path 46:32–36PubMedCrossRef Shimizu M, Umeda K, Sugihara N et al (1993) Collagen remodelling in myocardia of patients with diabetes. J Clin Path 46:32–36PubMedCrossRef
30.
Zurück zum Zitat Kumar A, Kaur H, Devi P, Mohan V (2009) Role of coenzyme Q10 (CoQ10) in cardiac disease, hypertension and Meniere-like syndrome. Pharmacol Ther 124:259–268PubMedCrossRef Kumar A, Kaur H, Devi P, Mohan V (2009) Role of coenzyme Q10 (CoQ10) in cardiac disease, hypertension and Meniere-like syndrome. Pharmacol Ther 124:259–268PubMedCrossRef
31.
Zurück zum Zitat Belke DD, Swanson EA, Dillmann WH (2004) Decreased sarcoplasmic reticulum activity and contractility in diabetic db/db mouse heart. Diabetes 53:3201–3208PubMedCrossRef Belke DD, Swanson EA, Dillmann WH (2004) Decreased sarcoplasmic reticulum activity and contractility in diabetic db/db mouse heart. Diabetes 53:3201–3208PubMedCrossRef
32.
Zurück zum Zitat Levy D, Garrison RJ, Savage DD, Kannel WB, Castelli WP (1990) Prognostic implications of echocardiographically determined left-ventricular mass in the Framingham Heart Study. New Engl J Med 322:1561–1566PubMedCrossRef Levy D, Garrison RJ, Savage DD, Kannel WB, Castelli WP (1990) Prognostic implications of echocardiographically determined left-ventricular mass in the Framingham Heart Study. New Engl J Med 322:1561–1566PubMedCrossRef
33.
Zurück zum Zitat Langsjoen PH, Langsjoen A, Willis R, Folkers K (1996) Treatment of hypertrophic cardiomyopathy with coenzyme Q(10). Pergamon, Ancona, Italy, pp S145–S151 Langsjoen PH, Langsjoen A, Willis R, Folkers K (1996) Treatment of hypertrophic cardiomyopathy with coenzyme Q(10). Pergamon, Ancona, Italy, pp S145–S151
34.
Zurück zum Zitat Frustaci A, Kajstura J, Chimenti C et al (2000) Myocardial cell death in human diabetes. Circ Res 87:1123–1132PubMed Frustaci A, Kajstura J, Chimenti C et al (2000) Myocardial cell death in human diabetes. Circ Res 87:1123–1132PubMed
35.
Zurück zum Zitat Fiordaliso F, Li BS, Latini R et al (2000) Myocyte death in streptozotocin-induced diabetes in rats is angiotensin II-dependent. Lab Invest 80:513–527PubMed Fiordaliso F, Li BS, Latini R et al (2000) Myocyte death in streptozotocin-induced diabetes in rats is angiotensin II-dependent. Lab Invest 80:513–527PubMed
36.
Zurück zum Zitat Lim SC, Tan HH, Goh SK et al (2006) Oxidative burden in prediabetic and diabetic individuals: evidence from plasma coenzyme Q(10). Diabet Med 23:1344–1349PubMedCrossRef Lim SC, Tan HH, Goh SK et al (2006) Oxidative burden in prediabetic and diabetic individuals: evidence from plasma coenzyme Q(10). Diabet Med 23:1344–1349PubMedCrossRef
37.
Zurück zum Zitat Bentinger M, Brismar K, Dallner G (2007) The antioxidant role of coenzyme Q. Mitochondrion 7:S41–S50PubMedCrossRef Bentinger M, Brismar K, Dallner G (2007) The antioxidant role of coenzyme Q. Mitochondrion 7:S41–S50PubMedCrossRef
38.
Zurück zum Zitat Hodgson JM, Watts GF, Playford DA, Burke V, Croft KD (2002) Coenzyme Q(10) improves blood pressure and glycaemic control: a controlled trial in subjects with type 2 diabetes. Eur J Clin Nutr 56:1137–1142PubMedCrossRef Hodgson JM, Watts GF, Playford DA, Burke V, Croft KD (2002) Coenzyme Q(10) improves blood pressure and glycaemic control: a controlled trial in subjects with type 2 diabetes. Eur J Clin Nutr 56:1137–1142PubMedCrossRef
39.
Zurück zum Zitat Liang W, Tan CYR, Ang L et al (2008) Ramipril improves oxidative stress-related vascular endothelial dysfunction in db/db mice. J Physiol Sci 58:405–411PubMedCrossRef Liang W, Tan CYR, Ang L et al (2008) Ramipril improves oxidative stress-related vascular endothelial dysfunction in db/db mice. J Physiol Sci 58:405–411PubMedCrossRef
40.
Zurück zum Zitat Otto A, Fontaine J, Berkenboom G (2006) Ramipril treatment protects against nitrate-induced oxidative stress in eNOS(−/−) mice: an implication of the NADPH oxidase pathway. J Cardiovasc Pharmacol 48:842–849PubMedCrossRef Otto A, Fontaine J, Berkenboom G (2006) Ramipril treatment protects against nitrate-induced oxidative stress in eNOS(−/−) mice: an implication of the NADPH oxidase pathway. J Cardiovasc Pharmacol 48:842–849PubMedCrossRef
41.
Zurück zum Zitat Aragno M, Mastrocola R, Alloatti G et al (2008) Oxidative stress triggers cardiac fibrosis in the heart of diabetic rats. Endocrinology 149:380–388PubMedCrossRef Aragno M, Mastrocola R, Alloatti G et al (2008) Oxidative stress triggers cardiac fibrosis in the heart of diabetic rats. Endocrinology 149:380–388PubMedCrossRef
42.
Zurück zum Zitat Bendall JK, Cave AC, Heymes C, Gall N, Shah AM (2002) Pivotal role of a gp91(phox)-containing NADPH oxidase in angiotensin II-induced cardiac hypertrophy in mice. Circulation 105:293–296PubMedCrossRef Bendall JK, Cave AC, Heymes C, Gall N, Shah AM (2002) Pivotal role of a gp91(phox)-containing NADPH oxidase in angiotensin II-induced cardiac hypertrophy in mice. Circulation 105:293–296PubMedCrossRef
43.
Zurück zum Zitat Nakagami H, Takemoto M, Liao JK (2003) NADPH oxidase-derived superoxide anion mediates angiotensin II-induced cardiac hypertrophy. J Mol Cell Cardiol 35:851–859PubMedCrossRef Nakagami H, Takemoto M, Liao JK (2003) NADPH oxidase-derived superoxide anion mediates angiotensin II-induced cardiac hypertrophy. J Mol Cell Cardiol 35:851–859PubMedCrossRef
44.
Zurück zum Zitat McMullen JR, Shioi T, Huang WY et al (2004) The insulin-like growth factor 1 receptor induces physiological heart growth via the phosphoinositide 3-kinase(p110 alpha) pathway. J Biol Chem 279:4782–4793PubMedCrossRef McMullen JR, Shioi T, Huang WY et al (2004) The insulin-like growth factor 1 receptor induces physiological heart growth via the phosphoinositide 3-kinase(p110 alpha) pathway. J Biol Chem 279:4782–4793PubMedCrossRef
45.
Zurück zum Zitat Stas SN, El-Atat FA, Sowers JR (2004) Pathogenesis of hypertension in diabetes. Rev Endocr Metab Disord 5:221–225PubMedCrossRef Stas SN, El-Atat FA, Sowers JR (2004) Pathogenesis of hypertension in diabetes. Rev Endocr Metab Disord 5:221–225PubMedCrossRef
46.
Zurück zum Zitat Su W, Guo ZH, Randall DC, Cassis L, Brown DR, Gong MC (2008) Hypertension and disrupted blood pressure circadian rhythm in type 2 diabetic db/db mice. Am J Physiol-Heart Circ Physiol 295:H1634–H1641PubMedCrossRef Su W, Guo ZH, Randall DC, Cassis L, Brown DR, Gong MC (2008) Hypertension and disrupted blood pressure circadian rhythm in type 2 diabetic db/db mice. Am J Physiol-Heart Circ Physiol 295:H1634–H1641PubMedCrossRef
47.
Zurück zum Zitat Singh RB, Niaz MA, Rastogi SS, Shukla PK, Thakur AS (1999) Effect of hydrosoluble coenzyme Q10 on blood pressures and insulin resistance in hypertensive patients with coronary artery disease. J Hum Hypertens 13:203–208PubMedCrossRef Singh RB, Niaz MA, Rastogi SS, Shukla PK, Thakur AS (1999) Effect of hydrosoluble coenzyme Q10 on blood pressures and insulin resistance in hypertensive patients with coronary artery disease. J Hum Hypertens 13:203–208PubMedCrossRef
48.
Zurück zum Zitat Rosenfeldt FL, Haas SJ, Krum H et al (2007) Coenzyme Q(10) in the treatment of hypertension: a meta-analysis of the clinical trials. J Hum Hypertens 21:297–306PubMed Rosenfeldt FL, Haas SJ, Krum H et al (2007) Coenzyme Q(10) in the treatment of hypertension: a meta-analysis of the clinical trials. J Hum Hypertens 21:297–306PubMed
49.
Zurück zum Zitat Luders S, Schrader J, Berger J et al (2008) The PHARAO study: prevention of hypertension with the angiotensin-converting enzyme inhibitor ramipril in patients with high-normal blood pressure—a prospective, randomised, controlled prevention trial of the German Hypertension League. J Hypertens 26:1487–1496PubMedCrossRef Luders S, Schrader J, Berger J et al (2008) The PHARAO study: prevention of hypertension with the angiotensin-converting enzyme inhibitor ramipril in patients with high-normal blood pressure—a prospective, randomised, controlled prevention trial of the German Hypertension League. J Hypertens 26:1487–1496PubMedCrossRef
50.
Zurück zum Zitat Bugger H, Abel ED (2009) Rodent models of diabetic cardiomyopathy. Dis Model Mech 2:454–466PubMedCrossRef Bugger H, Abel ED (2009) Rodent models of diabetic cardiomyopathy. Dis Model Mech 2:454–466PubMedCrossRef
Metadaten
Titel
Coenzyme Q10 attenuates diastolic dysfunction, cardiomyocyte hypertrophy and cardiac fibrosis in the db/db mouse model of type 2 diabetes
verfasst von
K. Huynh
H. Kiriazis
X.-J. Du
J. E. Love
K. A. Jandeleit-Dahm
J. M. Forbes
J. R. McMullen
R. H. Ritchie
Publikationsdatum
01.05.2012
Verlag
Springer-Verlag
Erschienen in
Diabetologia / Ausgabe 5/2012
Print ISSN: 0012-186X
Elektronische ISSN: 1432-0428
DOI
https://doi.org/10.1007/s00125-012-2495-3

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