PMID- 31595157 OWN - NLM STAT- MEDLINE DCOM- 20200518 LR - 20200518 IS - 1449-2288 (Electronic) IS - 1449-2288 (Linking) VI - 15 IP - 11 DP - 2019 TI - Cathelicidin-related antimicrobial peptide protects against cardiac fibrosis in diabetic mice heart by regulating endothelial-mesenchymal transition. PG - 2393-2407 LID - 10.7150/ijbs.35736 [doi] AB - Cathelicidin-related antimicrobial peptide (CRAMP), antimicrobial peptide, was reported to protect against myocardial ischemia/reperfusion injury. In the pathology of diabetic cardiomyopathy, endothelial-to-mesenchymal transition (EndMT) results from hyperglycemia-induced endothelial injury, leading to cardiac fibrosis. This study aims to evaluate the effect of CRAMP on EndMT and cardiac fibrosis on diabetic mice heart. Mice were subjected to streptozotocin to induce diabetes. CRAMP was administered by intraperitoneal injection (1 or 8 mg/kg/d) for 4 weeks from 12 weeks till 16 weeks after final streptozotocin injection. Cardiac dysfunction was observed in diabetic mice. Only 8 mg/kg/d CRAMP treatment proved cardiac function. Increased EndMT and fibrosis level were also observed in diabetic mice heart. 8mg/kg CRAMP inhibited EndMT and fibrosis level in diabetic mice. Mouse heart endothelial cells (MHECs) were treated with CRAMP and exposed to high glucose. Hyperglycemia-induced EndMT in MHECs was also attenuated by CRAMP treatment. Activation of TGFbeta/Smad signalling was increased in diabetic mice heart tissue and hyperglycemia stimulated MHECs, which was prevented following CRAMP treatment. Activation of AMPKa1/mTOR showed similar changes. AMPKa1 siRNA abrogated the effects of CRAMP in MHECs. TGFbeta/Smad inhibitor LY2109761 and AMPKa agonist AIRCA mimic the effect of CRAMP. In summary, CRAMP can inhibit EndMT, cardiac fibrosis and protect against diabetic cardiomyopathy by regulating AMPKa1/TGFbeta signalling. CI - (c) The author(s). FAU - Zheng, Xiaolin AU - Zheng X AD - Department of Cardiology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou, China. FAU - Peng, Meng AU - Peng M AD - Department of Cardiology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou, China. FAU - Li, Yan AU - Li Y AD - Department of Cardiology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou, China. FAU - Wang, Xule AU - Wang X AD - Department of Cardiology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou, China. FAU - Lu, Wenjie AU - Lu W AD - Department of Cardiology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou, China. FAU - Wang, Xi AU - Wang X AD - Department of Cardiology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou, China. FAU - Shan, Yingguang AU - Shan Y AD - Department of Cardiology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou, China. FAU - Li, Ran AU - Li R AD - Department of Cardiology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou, China. FAU - Gao, Lu AU - Gao L AD - Department of Cardiology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou, China. FAU - Qiu, Chunguang AU - Qiu C AD - Department of Cardiology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou, China. LA - eng PT - Journal Article DEP - 20190907 PL - Australia TA - Int J Biol Sci JT - International journal of biological sciences JID - 101235568 RN - 0 (Antimicrobial Cationic Peptides) RN - 0 (LY2109761) RN - 0 (Pyrazoles) RN - 0 (Pyrroles) RN - 0 (Transforming Growth Factor beta) RN - EC 2.7.11.1 (AMPK alpha1 subunit, mouse) RN - EC 2.7.11.31 (AMP-Activated Protein Kinases) RN - IY9XDZ35W2 (Glucose) SB - IM MH - AMP-Activated Protein Kinases/metabolism MH - Animals MH - Antimicrobial Cationic Peptides/*therapeutic use MH - Cells, Cultured MH - Diabetes Mellitus, Experimental/drug therapy MH - Diabetic Cardiomyopathies/drug therapy MH - Echocardiography MH - Endothelial Cells/cytology/drug effects MH - Endothelium/cytology MH - Epithelial-Mesenchymal Transition/*drug effects MH - Fibrosis/drug therapy MH - Glucose/adverse effects MH - Hemodynamics/drug effects MH - Hyperglycemia/drug therapy MH - Male MH - Mice MH - Mice, Inbred C57BL MH - Pyrazoles/therapeutic use MH - Pyrroles/therapeutic use MH - Signal Transduction/drug effects MH - Transforming Growth Factor beta/antagonists & inhibitors/metabolism PMC - PMC6775320 OTO - NOTNLM OT - AMPKa1 OT - Cathelicidin-related antimicrobial peptide OT - EndMT OT - diabetic cardiomyopathy COIS- Competing Interests: The authors have declared that no competing interest exists. EDAT- 2019/10/09 06:00 MHDA- 2020/05/19 06:00 PMCR- 2019/01/01 CRDT- 2019/10/10 06:00 PHST- 2019/04/14 00:00 [received] PHST- 2019/07/25 00:00 [accepted] PHST- 2019/10/10 06:00 [entrez] PHST- 2019/10/09 06:00 [pubmed] PHST- 2020/05/19 06:00 [medline] PHST- 2019/01/01 00:00 [pmc-release] AID - ijbsv15p2393 [pii] AID - 10.7150/ijbs.35736 [doi] PST - epublish SO - Int J Biol Sci. 2019 Sep 7;15(11):2393-2407. doi: 10.7150/ijbs.35736. eCollection 2019.