PMID- 37961034 OWN - NLM STAT- MEDLINE DCOM- 20240111 LR - 20240111 IS - 1463-1326 (Electronic) IS - 1462-8902 (Linking) VI - 26 IP - 2 DP - 2024 Feb TI - FOXO1 reduces STAT3 activation and causes impaired mitochondrial quality control in diabetic cardiomyopathy. PG - 732-744 LID - 10.1111/dom.15369 [doi] AB - AIMS: To investigate the role of FOXO1 in STAT3 activation and mitochondrial quality control in the diabetic heart. METHODS: Type 1 diabetes mellitus (T1DM) was induced in rats by a single intraperitoneal injection of 60 mg . kg(-1) streptozotocin (STZ), while type 2 diabetes mellitus (T2DM) was induced in rats with a high-fat diet through intraperitoneal injection of 35 mg . kg(-1) STZ. Primary neonatal mouse cardiomyocytes and H9c2 cells were exposed to low glucose (5.5 mM) or high glucose (HG; 30 mM) with or without treatment with the FOXO1 inhibitor AS1842856 (1 muM) for 24 hours. In addition, the diabetic db/db mice (aged 8 weeks) and sex- and age-matched non-diabetic db/+ mice were treated with vehicle or AS1842856 by oral gavage for 15 days at a dose of 5 mg . kg(-1) . d(-1) . RESULTS: Rats with T1DM or T2DM had excessive cardiac FOXO1 activation, accompanied by decreased STAT3 activation. Immunofluorescence and immunoprecipitation analysis showed colocalization and association of FOXO1 and STAT3 under basal conditions in isolated cardiomyocytes. Selective inhibition of FOXO1 activation by AS1842856 or FOXO1 siRNA transfection improved STAT3 activation, mitophagy and mitochondrial fusion, and decreased mitochondrial fission in isolated cardiomyocytes exposed to HG. Transfection with STAT3 siRNA further reduced mitophagy, mitochondrial fusion and increased mitochondrial fission in HG-treated cardiomyocytes. AS1842856 alleviated cardiac dysfunction, pathological damage and improved STAT3 activation, mitophagy and mitochondrial dynamics in diabetic db/db mice. Additionally, AS1842856 improved mitochondrial function indicated by increased mitochondrial membrane potential and adenosine triphosphate production and decreased mitochondrial reactive oxygen species production in isolated cardiomyocytes exposed to HG. CONCLUSIONS: Excessive FOXO1 activation during diabetes reduces STAT3 activation, with subsequent impairment of mitochondrial quality, ultimately promoting the development of diabetic cardiomyopathy. CI - (c) 2023 John Wiley & Sons Ltd. FAU - Zhou, Lu AU - Zhou L AUID- ORCID: 0000-0002-7274-8910 AD - Department of Anesthesiology, Renmin Hospital of Wuhan University, Wuhan, China. FAU - Su, Wating AU - Su W AD - Department of Anesthesiology, Renmin Hospital of Wuhan University, Wuhan, China. FAU - Wang, Yafeng AU - Wang Y AD - Department of Anesthesiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. FAU - Zhang, Yuefu AU - Zhang Y AD - Department of Anesthesiology, Renmin Hospital of Wuhan University, Wuhan, China. FAU - Xia, Zhongyuan AU - Xia Z AD - Department of Anesthesiology, Renmin Hospital of Wuhan University, Wuhan, China. FAU - Lei, Shaoqing AU - Lei S AD - Department of Anesthesiology, Renmin Hospital of Wuhan University, Wuhan, China. LA - eng GR - NSFC 81700733/National Natural Science Foundation of China/ GR - NSFC 81772049/National Natural Science Foundation of China/ PT - Journal Article DEP - 20231114 PL - England TA - Diabetes Obes Metab JT - Diabetes, obesity & metabolism JID - 100883645 RN - IY9XDZ35W2 (Glucose) RN - 0 (RNA, Small Interfering) RN - 0 (Foxo1 protein, rat) RN - 0 (Foxo1 protein, mouse) RN - 0 (Stat3 protein, rat) RN - 0 (Stat3 protein, mouse) SB - IM MH - Animals MH - Mice MH - Rats MH - *Diabetes Mellitus, Type 1/complications/metabolism MH - *Diabetes Mellitus, Type 2/complications/metabolism MH - *Diabetic Cardiomyopathies MH - Glucose/metabolism MH - Mitochondria MH - Myocytes, Cardiac/metabolism MH - RNA, Small Interfering/therapeutic use OTO - NOTNLM OT - FOXO1 OT - STAT3 OT - diabetic cardiomyopathy OT - mitochondrial fission OT - mitochondrial fusion OT - mitophagy EDAT- 2023/11/14 06:42 MHDA- 2024/01/09 06:42 CRDT- 2023/11/14 03:48 PHST- 2023/10/30 00:00 [revised] PHST- 2023/07/05 00:00 [received] PHST- 2023/10/30 00:00 [accepted] PHST- 2024/01/09 06:42 [medline] PHST- 2023/11/14 06:42 [pubmed] PHST- 2023/11/14 03:48 [entrez] AID - 10.1111/dom.15369 [doi] PST - ppublish SO - Diabetes Obes Metab. 2024 Feb;26(2):732-744. doi: 10.1111/dom.15369. Epub 2023 Nov 14.