PMID- 21521688 OWN - NLM STAT- MEDLINE DCOM- 20110830 LR - 20211020 IS - 1083-351X (Electronic) IS - 0021-9258 (Print) IS - 0021-9258 (Linking) VI - 286 IP - 25 DP - 2011 Jun 24 TI - Caloric restriction mimetic 2-deoxyglucose antagonizes doxorubicin-induced cardiomyocyte death by multiple mechanisms. PG - 21993-2006 LID - 10.1074/jbc.M111.225805 [doi] AB - Caloric restriction (CR) is a dietary intervention known to enhance cardiovascular health. The glucose analog 2-deoxy-D-glucose (2-DG) mimics CR effects in several animal models. However, whether 2-DG is beneficial to the heart remains obscure. Here, we tested the ability of 2-DG to reduce cardiomyocyte death triggered by doxorubicin (DOX, 1 mum), an antitumor drug that can cause heart failure. Treatment of neonatal rat cardiomyocytes with 0.5 mm 2-DG dramatically suppressed DOX cytotoxicity as indicated by a decreased number of cells that stained positive for propidium iodide and reduced apoptotic markers. 2-DG decreased intracellular ATP levels by 17.9%, but it prevented DOX-induced severe depletion of ATP, which may contribute to 2-DG-mediated cytoprotection. Also, 2-DG increased the activity of AMP-activated protein kinase (AMPK). Blocking AMPK signaling with compound C or small interfering RNA-mediated knockdown of the catalytic subunit markedly attenuated the protective effects of 2-DG. Conversely, AMPK activation by pharmacological or genetic approach reduced DOX cardiotoxicity but did not produce additive effects when used together with 2-DG. In addition, 2-DG induced autophagy, a cellular degradation pathway whose activation could be either protective or detrimental depending on the context. Paradoxically, despite its ability to activate autophagy, 2-DG prevented DOX-induced detrimental autophagy. Together, these results suggest that the CR mimetic 2-DG can antagonize DOX-induced cardiomyocyte death, which is mediated through multiple mechanisms, including the preservation of ATP content, the activation of AMPK, and the inhibition of autophagy. FAU - Chen, Kai AU - Chen K AD - Cardiovascular Health Research Center, Sanford Research/University of South Dakota, Sioux Falls, South Dakota 57104, USA. FAU - Xu, Xianmin AU - Xu X FAU - Kobayashi, Satoru AU - Kobayashi S FAU - Timm, Derek AU - Timm D FAU - Jepperson, Tyler AU - Jepperson T FAU - Liang, Qiangrong AU - Liang Q LA - eng GR - P20 RR017662/RR/NCRR NIH HHS/United States GR - 2P20RR017662-06A1/RR/NCRR NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20110426 PL - United States TA - J Biol Chem JT - The Journal of biological chemistry JID - 2985121R RN - 80168379AG (Doxorubicin) RN - 8L70Q75FXE (Adenosine Triphosphate) RN - 9G2MP84A8W (Deoxyglucose) RN - EC 2.7.11.31 (AMP-Activated Protein Kinases) SB - IM MH - AMP-Activated Protein Kinases/metabolism MH - Adenosine Triphosphate/metabolism MH - Animals MH - Autophagy/drug effects MH - *Caloric Restriction MH - Cell Death/*drug effects MH - Cytoprotection/drug effects MH - Deoxyglucose/*pharmacology MH - Doxorubicin/*adverse effects/*antagonists & inhibitors MH - Myocytes, Cardiac/*cytology/*drug effects/enzymology/metabolism MH - Rats MH - Rats, Sprague-Dawley PMC - PMC3121344 EDAT- 2011/04/28 06:00 MHDA- 2011/08/31 06:00 PMCR- 2012/06/24 CRDT- 2011/04/28 06:00 PHST- 2011/04/28 06:00 [entrez] PHST- 2011/04/28 06:00 [pubmed] PHST- 2011/08/31 06:00 [medline] PHST- 2012/06/24 00:00 [pmc-release] AID - S0021-9258(19)48907-2 [pii] AID - M111.225805 [pii] AID - 10.1074/jbc.M111.225805 [doi] PST - ppublish SO - J Biol Chem. 2011 Jun 24;286(25):21993-2006. doi: 10.1074/jbc.M111.225805. Epub 2011 Apr 26.