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Ketogenic Diet Regulates Cardiac Remodeling and Calcium Homeostasis in Diabetic Rat Cardiomyopathy
oleh: Ting-I Lee, Nguyen Ngoc Trang, Ting-Wei Lee, Satoshi Higa, Yu-Hsun Kao, Yao-Chang Chen, Yi-Jen Chen
Format: | Article |
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Diterbitkan: | MDPI AG 2023-11-01 |
Deskripsi
A ketogenic diet (KD) might alleviate patients with diabetic cardiomyopathy. However, the underlying mechanism remains unclear. Myocardial function and arrhythmogenesis are closely linked to calcium (Ca<sup>2+</sup>) homeostasis. We investigated the effects of a KD on Ca<sup>2+</sup> homeostasis and electrophysiology in diabetic cardiomyopathy. Male Wistar rats were created to have diabetes mellitus (DM) using streptozotocin (65 mg/kg, intraperitoneally), and subsequently treated for 6 weeks with either a normal diet (ND) or a KD. Our electrophysiological and Western blot analyses assessed myocardial Ca<sup>2+</sup> homeostasis in ventricular preparations in vivo. Unlike those on the KD, DM rats treated with an ND exhibited a prolonged QTc interval and action potential duration. Compared to the control and DM rats on the KD, DM rats treated with an ND also showed lower intracellular Ca<sup>2+</sup> transients, sarcoplasmic reticular Ca<sup>2+</sup> content, sodium (Na<sup>+</sup>)-Ca<sup>2+</sup> exchanger currents (reverse mode), L-type Ca<sup>2+</sup> contents, sarcoplasmic reticulum ATPase contents, Cav1.2 contents. Furthermore, these rats exhibited elevated ratios of phosphorylated to total proteins across multiple Ca<sup>2+</sup> handling proteins, including ryanodine receptor 2 (RyR2) at serine 2808, phospholamban (PLB)-Ser16, and calmodulin-dependent protein kinase II (CaMKII). Additionally, DM rats treated with an ND demonstrated a higher frequency and incidence of Ca<sup>2+</sup> leak, cytosolic reactive oxygen species, Na<sup>+</sup>/hydrogen-exchanger currents, and late Na<sup>+</sup> currents than the control and DM rats on the KD. KD treatment may attenuate the effects of DM-dysregulated Na<sup>+</sup> and Ca<sup>2+</sup> homeostasis, contributing to its cardioprotection in DM.