PMID- 16253633 OWN - NLM STAT- MEDLINE DCOM- 20051228 LR - 20131121 IS - 0026-0495 (Print) IS - 0026-0495 (Linking) VI - 54 IP - 11 DP - 2005 Nov TI - Elevated glucose activates protein synthesis in cultured cardiac myocytes. PG - 1453-60 AB - Diabetes mellitus results in chronic hyperglycemia, a serious metabolic disorder associated with a markedly increased risk of cardiovascular disease. However, the effects of high glucose (HG) on cardiac myocyte growth have not been fully clarified. In this study, the effect of glucose on cardiac myocyte growth was examined using leucine incorporation as an index of protein synthesis. High glucose (HG, 25 mmol/L) increased leucine incorporation (167% +/- 0.2% over normal glucose, n=4, P<.01) compared with a physiological glucose concentration (5.5 mmol/L, normal glucose). The HG-induced increase in leucine incorporation was time- and dose-dependent and was not due to osmotic changes because 25 mmol/L mannitol did not change leucine incorporation. High glucose also significantly reduced elongation factor 2 phosphorylation, an effect known to result in increased protein synthesis at the elongation step. Western blot analysis showed that HG-activated protein kinase B (PKB), also called Akt (PKB/Akt), at 18 hours. High glucose-induced leucine incorporation was attenuated with phosphatidylinositol 3-kinase (PI3K) inhibition using wortmannin and LY294002 and by rapamycin, a mammalian target of rapamycin (mTOR) inhibitor, 72%, 64%, and 65% (P<.05), respectively. High glucose also activated extracellular signal-regulated kinase 1/2 activity with peak stimulation at 5 minutes. In addition, PD98059, an inhibitor of mitogen-activated protein kinase kinase, attenuated HG-induced leucine incorporation. These data show for the first time that elevated glucose increases protein synthesis in cardiac myocytes. The increase appears to be mediated by activation of PI3K-PKB/Akt and/or PI3K-mTOR as well as extracellular signal-regulated kinase 1/2. These results provide new evidence for a direct effect of glucose independent of insulin on cardiac myocyte growth. FAU - Yeshao, Wen AU - Yeshao W AD - Division of Endocrinology and Metabolism, Department of Internal Medicine, University of Virginia Health Science Center, Charlottesville, VA 22908, USA. yw4w@virginia.edu FAU - Gu, Jiali AU - Gu J FAU - Peng, Xianghong AU - Peng X FAU - Nairn, Angus C AU - Nairn AC FAU - Nadler, Jerry L AU - Nadler JL LA - eng GR - P01 HL 557898/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PL - United States TA - Metabolism JT - Metabolism: clinical and experimental JID - 0375267 RN - 0 (Antibiotics, Antineoplastic) RN - 0 (Peptide Elongation Factor 2) RN - EC 2.7.11.1 (Proto-Oncogene Proteins c-akt) RN - EC 2.7.11.1 (Ribosomal Protein S6 Kinases, 70-kDa) RN - EC 2.7.11.24 (Mitogen-Activated Protein Kinase 1) RN - EC 2.7.11.24 (Mitogen-Activated Protein Kinase 3) RN - GMW67QNF9C (Leucine) RN - IY9XDZ35W2 (Glucose) RN - W36ZG6FT64 (Sirolimus) SB - IM MH - Animals MH - Antibiotics, Antineoplastic/pharmacology MH - Cells, Cultured MH - Glucose/*pharmacology MH - Leucine/pharmacokinetics MH - Mitogen-Activated Protein Kinase 1/metabolism MH - Mitogen-Activated Protein Kinase 3/metabolism MH - Myocytes, Cardiac/cytology/*drug effects/*metabolism MH - Peptide Elongation Factor 2/metabolism MH - Phosphorylation MH - Protein Biosynthesis/*drug effects/*physiology MH - Proto-Oncogene Proteins c-akt/metabolism MH - Rats MH - Rats, Sprague-Dawley MH - Ribosomal Protein S6 Kinases, 70-kDa/metabolism MH - Signal Transduction/physiology MH - Sirolimus/pharmacology EDAT- 2005/10/29 09:00 MHDA- 2005/12/29 09:00 CRDT- 2005/10/29 09:00 PHST- 2004/11/16 00:00 [received] PHST- 2005/05/08 00:00 [accepted] PHST- 2005/10/29 09:00 [pubmed] PHST- 2005/12/29 09:00 [medline] PHST- 2005/10/29 09:00 [entrez] AID - S0026-0495(05)00218-0 [pii] AID - 10.1016/j.metabol.2005.05.010 [doi] PST - ppublish SO - Metabolism. 2005 Nov;54(11):1453-60. doi: 10.1016/j.metabol.2005.05.010.