PMID- 19625611 OWN - NLM STAT- MEDLINE DCOM- 20091229 LR - 20200930 IS - 1522-1563 (Electronic) IS - 0363-6143 (Linking) VI - 297 IP - 6 DP - 2009 Dec TI - Adverse effects of high glucose and free fatty acid on cardiomyocytes are mediated by connective tissue growth factor. PG - C1490-500 LID - 10.1152/ajpcell.00049.2009 [doi] AB - Diabetic cardiomyopathy is characterized by interstitial fibrosis and cardiomyocyte hypertrophy and apoptosis. Also known as CCN2, connective tissue growth factor (CTGF) is implicated in the fibrosis; however, whether it contributes to cardiomyocytes changes and adverse effects of high glucose and lipids on these cells remains unknown. Hearts from streptozotocin-induced diabetic rats had elevated CTGF and changes of pathological myocardial hypertrophy, fibrosis, and cardiomyocyte apoptosis. Rat H9c2 cardiomyocytes were then treated with recombinant human (rh)CTGF, high glucose, or the saturated free fatty acid palmitate. Each reagent induced cell hypertrophy, as indicated by the ratio of total protein to cell number, cell size, and gene expression of cardiac hypertrophy marker genes atrial natriuretic peptide (ANP), and alpha-skeletal actin. Each treatment also caused apoptosis measured by increased caspase3/7 activity, apoptotic cells by transferase-mediated dUTP nick end labeling (TUNEL) assay, and lower viable cell number. Further studies showed CTGF mRNA was rapidly induced by high glucose and palmitate in H9c2 cells and in mouse neonatal cardiomyocyte primary cultures. small interfering RNA against CTGF blocked the high glucose and palmitate induction of hypertrophy and apoptosis. In addition, these CTGF effects were through the tyrosine kinase A (TrkA) receptor with tyrosine kinase activity, which has previously been implicated in CTGF signaling: TrkA was phosphorylated by CTGF, and a specific TrkA blocker abrogated CTGF-induced effects on hypertrophy and apoptosis. For the first time in any system, fatty acid is newly identified as a regulator of CTGF, and this work implicates autocrine CTGF as a mediator of adverse effects of high glucose and fatty acids in cardiomyocytes. FAU - Wang, Xiaoyu AU - Wang X AD - The University of Sydney, Australia. FAU - McLennan, Susan V AU - McLennan SV FAU - Allen, Terri J AU - Allen TJ FAU - Tsoutsman, Tatiana AU - Tsoutsman T FAU - Semsarian, Christopher AU - Semsarian C FAU - Twigg, Stephen M AU - Twigg SM LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20090722 PL - United States TA - Am J Physiol Cell Physiol JT - American journal of physiology. Cell physiology JID - 100901225 RN - 0 (Palmitates) RN - 0 (Recombinant Proteins) RN - 139568-91-5 (Connective Tissue Growth Factor) RN - EC 2.7.10.1 (Receptor, trkA) RN - IY9XDZ35W2 (Glucose) SB - IM MH - Animals MH - Animals, Newborn MH - Apoptosis MH - Cardiomegaly/etiology MH - Cell Size/drug effects MH - Cells, Cultured MH - Connective Tissue Growth Factor/*metabolism/pharmacology MH - Diabetes Mellitus, Experimental/complications/*metabolism/*pathology/physiopathology MH - Dose-Response Relationship, Drug MH - Glucose/*administration & dosage MH - Humans MH - Hypertrophy MH - Male MH - Mice MH - Mice, Inbred C57BL MH - Myocardium/pathology MH - Myocytes, Cardiac/drug effects/*metabolism/*pathology MH - Palmitates/*pharmacology MH - Rats MH - Rats, Sprague-Dawley MH - Receptor, trkA/metabolism MH - Recombinant Proteins/pharmacology EDAT- 2009/07/25 09:00 MHDA- 2009/12/30 06:00 CRDT- 2009/07/24 09:00 PHST- 2009/07/24 09:00 [entrez] PHST- 2009/07/25 09:00 [pubmed] PHST- 2009/12/30 06:00 [medline] AID - 00049.2009 [pii] AID - 10.1152/ajpcell.00049.2009 [doi] PST - ppublish SO - Am J Physiol Cell Physiol. 2009 Dec;297(6):C1490-500. doi: 10.1152/ajpcell.00049.2009. Epub 2009 Jul 22.