PMID- 17508918 OWN - NLM STAT- MEDLINE DCOM- 20070911 LR - 20071203 IS - 1523-0864 (Print) IS - 1523-0864 (Linking) VI - 9 IP - 7 DP - 2007 Jul TI - Cardiac synchronous and dys-synchronous remodeling in diabetes mellitus. PG - 971-8 AB - Glucose-mediated impairment of homocysteine (Hcy) metabolism and decrease in renal clearance contribute to hyperhomocysteinemia (HHcy) in diabetes. The Hcy induces oxidative stress, inversely relates to the expression of peroxisome proliferators activated receptor (PPAR), and contributes to diabetic complications. Extracellular matrix (ECM) functionally links the endothelium to the myocyte and is important for cardiac synchronization. However, in diabetes and hyperhomocysteinemia, a "disconnection" is caused by activated matrix metalloproteinase with subsequent accumulation of oxidized matrix (fibrosis) between the endothelium and myocyte (E-M). This contributes to "endothelial-myocyte uncoupling," attenuation of cardiac synchrony, leading to diastolic heart failure (DHF), and cardiac dys-synchronizatrion. The decreased levels of thioredoxin and peroxiredoxin and cardiac tissue inhibitor of metalloproteinase are in response to antagonizing PPARgamma. FAU - Sen, Utpal AU - Sen U AD - Department of Physiology and Biophysics, University of Louisville School of Medicine, Louisville, KY 40202, USA. FAU - Tyagi, Neetu AU - Tyagi N FAU - Moshal, Karni S AU - Moshal KS FAU - Kartha, Ganesh K AU - Kartha GK FAU - Rosenberger, Dorothea AU - Rosenberger D FAU - Henderson, Brooke C AU - Henderson BC FAU - Joshua, Irving G AU - Joshua IG FAU - Tyagi, Suresh C AU - Tyagi SC LA - eng GR - HL71010/HL/NHLBI NIH HHS/United States GR - HL74185/HL/NHLBI NIH HHS/United States GR - HL88012/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Review PL - United States TA - Antioxid Redox Signal JT - Antioxidants & redox signaling JID - 100888899 RN - 0 (Peroxisome Proliferator-Activated Receptors) SB - IM MH - Animals MH - Cardiomyopathies/complications/metabolism/*physiopathology MH - Diabetic Angiopathies/complications/metabolism/*physiopathology MH - Endothelium, Vascular/metabolism/pathology/physiopathology MH - Humans MH - Hyperhomocysteinemia/complications/metabolism/*physiopathology MH - Models, Biological MH - *Oxidative Stress MH - Peroxisome Proliferator-Activated Receptors/metabolism RF - 125 EDAT- 2007/05/19 09:00 MHDA- 2007/09/12 09:00 CRDT- 2007/05/19 09:00 PHST- 2007/05/19 09:00 [pubmed] PHST- 2007/09/12 09:00 [medline] PHST- 2007/05/19 09:00 [entrez] AID - 10.1089/ars.2007.1597 [doi] PST - ppublish SO - Antioxid Redox Signal. 2007 Jul;9(7):971-8. doi: 10.1089/ars.2007.1597.