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Phosphodiesterase III Inhibition Increases cAMP Levels and Augments the Infarct Size Limiting Effect of a DPP-4 Inhibitor in Mice with Type-2 Diabetes Mellitus

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机构: [1]The Department of Biochemistry and Molecular Biology, University of Texas Medical Branch, 301 University Blvd, Galveston, TX 77555, USA [2]The Section of Cardiology, Baylor College of Medicine, Houston, TX, USA [3]Texas Heart Institute, St. Luke Episcopal Hospital, Houston, TX, USA [4]Department of Anesthesiology, the First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, China [5]Laboratory of Space Medicine Fundamentals and Application, China Astronaut Research and Training Center, Beijing, China [6]The Section of Endocrinology, Baylor College of Medicine, Houston, TX, USA
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关键词: Diabetes mellitus cAMP-protein kinase A Phosphodiesterase-III inhibitor Infarct size Ischemia Reperfusion PTEN Dipeptidyl-peptidase-4

摘要:
We assessed whether phosphodiesterase-III inhibition with cilostazol (Cil) augments the infarct size (IS)-limiting effects of MK0626 (MK), a dipeptidyl-peptidase-4 (DPP4) inhibitor, by increasing intracellular cAMP in mice with type-2 diabetes. Db/Db mice received 3-day MK (0, 1, 2 or 3 mg/kg/d) with or without Cil (15 mg/kg/d) by oral gavage and were subjected to 30 min coronary artery occlusion and 24 h reperfusion. Cil and MK at 2 and 3 mg/kg/d significantly reduced IS. Cil and MK had additive effects at all three MK doses. IS was the smallest in the MK-3+Cil. MK in a dose dependent manner and Cil increased cAMP levels (p < 0.001). cAMP levels were higher in the combination groups at all MK doses. MK-2 and Cil increased PKA activity when given alone; however, PKA activity was significantly higher in the MK-2+Cil group than in the other groups. Both MK-2 and Cil increased myocardial levels of Ser(133) P-CREB, Ser(523) P-5-lipoxygenase, Ser(473)P-Akt and Ser(633) P-eNOS. These levels were significantly higher in the MK-2+Cil group. Myocardial PTEN (Phosphatase and tensin homolog on chromosome ten) levels were significantly higher in the Db/Db mice compared to nondiabetic mice. MK-2 and Cil normalized PTEN levels. PTEN levels tended to be lower in the combination group than in the MK and Cil alone groups. MK and Cil have additive IS-limiting effects in diabetic mice. The additive effects are associated with an increase in myocardial cAMP levels and PKA activity with downstream phosphorylation of Akt, eNOS, 5-lipoxygenase and CREB and downregulation of PTEN expression.

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出版当年[2013]版:
大类 | 3 区 医学
小类 | 3 区 心脏和心血管系统 3 区 药学
最新[2023]版:
大类 | 3 区 医学
小类 | 3 区 药学 4 区 心脏和心血管系统
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出版当年[2012]版:
Q2 CARDIAC & CARDIOVASCULAR SYSTEMS Q2 PHARMACOLOGY & PHARMACY
最新[2023]版:
Q2 CARDIAC & CARDIOVASCULAR SYSTEMS Q2 PHARMACOLOGY & PHARMACY

影响因子: 最新[2023版] 最新五年平均 出版当年[2012版] 出版当年五年平均 出版前一年[2011版] 出版后一年[2013版]

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第一作者机构: [1]The Department of Biochemistry and Molecular Biology, University of Texas Medical Branch, 301 University Blvd, Galveston, TX 77555, USA [2]The Section of Cardiology, Baylor College of Medicine, Houston, TX, USA [3]Texas Heart Institute, St. Luke Episcopal Hospital, Houston, TX, USA
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