Erschienen in:
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.