1
|
Karmazyn M, Pierce GN, Fliegel L. The Remaining Conundrum of the Role of the Na +/H + Exchanger Isoform 1 (NHE1) in Cardiac Physiology and Pathology: Can It Be Rectified? Rev Cardiovasc Med 2022; 23:284. [PMID: 39076631 PMCID: PMC11266974 DOI: 10.31083/j.rcm2308284] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2022] [Revised: 06/29/2022] [Accepted: 07/08/2022] [Indexed: 07/31/2024] Open
Abstract
The mammalian Na + /H + exchanger (NHE) is a family of ubiquitous membrane proteins present in humans. Isoform one (NHE1) is present on the plasma membrane and regulates intracellular pH by removal of one intracellular proton in exchange for one extracellular sodium thus functioning as an electroneutral process. Human NHE1 has a 500 amino acid membrane domain plus a C-terminal 315 amino acid, regulatory cytosolic tail. It is regulated through a cytosolic regulatory C-terminal tail which is subject to phosphorylation and is modulated by proteins and lipids. Substantial evidence has implicated NHE1 activity in both myocardial ischemia and reperfusion damage and myocardial remodeling resulting in heart failure. Experimental data show excellent cardioprotection with NHE1 inhibitors although results from clinical results have been mixed. In cardiac surgery patients receiving the NHE1 inhibitor cariporide, subgroups showed beneficial effects of treatment. However, in one trial this was associated with a significantly increased incidence of ischemic strokes. This likely reflected both inappropriate dosing regimens as well as overly high drug doses. We suggest that further progress towards NHE1 inhibition as a treatment for cardiovascular disease is warranted through the development of novel compounds to inhibit NHE1 that are structurally different than those previously used in compromised clinical trials. Some novel pyrazinoyl guanidine inhibitors of NHE1 are already in development and the recent elucidation of the three-dimensional structure of the NHE1 protein and identity of the inhibitor binding site may facilitate development. An alternative approach may also be to control the endogenous regulation of activity of NHE1, which is activated in disease.
Collapse
Affiliation(s)
- Morris Karmazyn
- Department of Physiology and Pharmacology, University of Western Ontario, London, ON N6A 5C1, Canada
| | - Grant N. Pierce
- Institute of Cardiovascular Sciences, Albrechtsen Research Centre, St. Boniface Hospital, and Department of Physiology and Pathophysiology, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB R2H 2A6, Canada
| | - Larry Fliegel
- Department of Biochemistry, University Alberta, Edmonton, AB T6G 2H7, Canada
| |
Collapse
|
2
|
Spasov A, Ozerov A, Vassiliev P, Kosolapov V, Gurova N, Kucheryavenko A, Naumenko L, Babkov D, Sirotenko V, Taran A, Litvinov R, Borisov A, Klochkov V, Merezhkina D, Miroshnikov M, Uskov G, Ovsyankina N. Synthesis and multifaceted pharmacological activity of novel quinazoline NHE-1 inhibitors. Sci Rep 2021; 11:24380. [PMID: 34934125 PMCID: PMC8692498 DOI: 10.1038/s41598-021-03722-w] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2021] [Accepted: 12/09/2021] [Indexed: 11/20/2022] Open
Abstract
The Na+/H+ exchanger isoform 1 (NHE-1) attracts ongoing attention as a validated drug target for the management of cardiovascular and ocular diseases owing to cytoprotective, anti-ischemic and anti-inflammatory properties of NHE-1 inhibitors. Herein we report novel NHE-1 inhibitors realized via functionalization of N1-alkyl quinazoline-2,4(1H,3H)-dione and quinazoline-4(3H)-one with N-acylguanidine or 3-acyl(5-amino-1,2,4-triazole) side chain. Lead compounds show activity in a nanomolar range. Their pharmacophoric features were elucidated with neural network modeling. Several compounds combine NHE-1 inhibition with antiplatelet activity. Compound 6b reduces intraocular pressure in rats and effectively inhibits the formation of glycated proteins. Compounds 3e and 3i inhibit pro-inflammatory activation of murine macrophages, LPS-induced interleukin-6 secretion and also exhibit antidepressant activity similar to amiloride. Hence, novel compounds represent an interesting starting point for the development of agents against cardiovascular diseases, thrombotic events, excessive inflammation, long-term diabetic complications and glaucoma.
Collapse
Affiliation(s)
- Alexander Spasov
- grid.445050.00000 0000 8790 3085Department of Pharmacology & Bioinformatics, Volgograd State Medical University, Volgograd, Russia 400131 ,grid.445050.00000 0000 8790 3085Scientific Center for Innovative Drugs, Volgograd State Medical University, Volgograd, Russia 400087
| | - Alexander Ozerov
- grid.445050.00000 0000 8790 3085Scientific Center for Innovative Drugs, Volgograd State Medical University, Volgograd, Russia 400087 ,grid.445050.00000 0000 8790 3085Department of Pharmaceutical & Toxicological Chemistry, Volgograd State Medical University, Volgograd, Russia 400131
| | - Pavel Vassiliev
- grid.445050.00000 0000 8790 3085Department of Pharmacology & Bioinformatics, Volgograd State Medical University, Volgograd, Russia 400131 ,grid.445050.00000 0000 8790 3085Scientific Center for Innovative Drugs, Volgograd State Medical University, Volgograd, Russia 400087
| | - Vadim Kosolapov
- grid.445050.00000 0000 8790 3085Department of Pharmacology & Bioinformatics, Volgograd State Medical University, Volgograd, Russia 400131 ,grid.445050.00000 0000 8790 3085Scientific Center for Innovative Drugs, Volgograd State Medical University, Volgograd, Russia 400087
| | - Natalia Gurova
- grid.445050.00000 0000 8790 3085Department of Pharmacology & Bioinformatics, Volgograd State Medical University, Volgograd, Russia 400131 ,grid.445050.00000 0000 8790 3085Scientific Center for Innovative Drugs, Volgograd State Medical University, Volgograd, Russia 400087
| | - Aida Kucheryavenko
- grid.445050.00000 0000 8790 3085Department of Pharmacology & Bioinformatics, Volgograd State Medical University, Volgograd, Russia 400131
| | - Ludmila Naumenko
- grid.445050.00000 0000 8790 3085Department of Pharmacology & Bioinformatics, Volgograd State Medical University, Volgograd, Russia 400131
| | - Denis Babkov
- Department of Pharmacology & Bioinformatics, Volgograd State Medical University, Volgograd, Russia, 400131. .,Scientific Center for Innovative Drugs, Volgograd State Medical University, Volgograd, Russia, 400087.
| | - Viktor Sirotenko
- grid.445050.00000 0000 8790 3085Department of Pharmacology & Bioinformatics, Volgograd State Medical University, Volgograd, Russia 400131 ,grid.445050.00000 0000 8790 3085Scientific Center for Innovative Drugs, Volgograd State Medical University, Volgograd, Russia 400087
| | - Alena Taran
- grid.445050.00000 0000 8790 3085Department of Pharmacology & Bioinformatics, Volgograd State Medical University, Volgograd, Russia 400131 ,grid.445050.00000 0000 8790 3085Scientific Center for Innovative Drugs, Volgograd State Medical University, Volgograd, Russia 400087
| | - Roman Litvinov
- grid.445050.00000 0000 8790 3085Department of Pharmacology & Bioinformatics, Volgograd State Medical University, Volgograd, Russia 400131 ,grid.445050.00000 0000 8790 3085Scientific Center for Innovative Drugs, Volgograd State Medical University, Volgograd, Russia 400087
| | - Alexander Borisov
- grid.445050.00000 0000 8790 3085Scientific Center for Innovative Drugs, Volgograd State Medical University, Volgograd, Russia 400087
| | - Vladlen Klochkov
- grid.445050.00000 0000 8790 3085Department of Pharmacology & Bioinformatics, Volgograd State Medical University, Volgograd, Russia 400131
| | - Darya Merezhkina
- grid.445050.00000 0000 8790 3085Department of Pharmacology & Bioinformatics, Volgograd State Medical University, Volgograd, Russia 400131
| | - Mikhail Miroshnikov
- grid.445050.00000 0000 8790 3085Department of Pharmacology & Bioinformatics, Volgograd State Medical University, Volgograd, Russia 400131 ,grid.445050.00000 0000 8790 3085Scientific Center for Innovative Drugs, Volgograd State Medical University, Volgograd, Russia 400087
| | - Georgy Uskov
- grid.445050.00000 0000 8790 3085Department of Pharmacology & Bioinformatics, Volgograd State Medical University, Volgograd, Russia 400131
| | - Nadezhda Ovsyankina
- grid.445050.00000 0000 8790 3085Department of Pharmacology & Bioinformatics, Volgograd State Medical University, Volgograd, Russia 400131
| |
Collapse
|
3
|
Quade BN, Parker MD, Occhipinti R. The therapeutic importance of acid-base balance. Biochem Pharmacol 2021; 183:114278. [PMID: 33039418 PMCID: PMC7544731 DOI: 10.1016/j.bcp.2020.114278] [Citation(s) in RCA: 32] [Impact Index Per Article: 10.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2020] [Accepted: 10/06/2020] [Indexed: 02/06/2023]
Abstract
Baking soda and vinegar have been used as home remedies for generations and today we are only a mouse-click away from claims that baking soda, lemon juice, and apple cider vinegar are miracles cures for everything from cancer to COVID-19. Despite these specious claims, the therapeutic value of controlling acid-base balance is indisputable and is the basis of Food and Drug Administration-approved treatments for constipation, epilepsy, metabolic acidosis, and peptic ulcers. In this narrative review, we present evidence in support of the current and potential therapeutic value of countering local and systemic acid-base imbalances, several of which do in fact involve the administration of baking soda (sodium bicarbonate). Furthermore, we discuss the side effects of pharmaceuticals on acid-base balance as well as the influence of acid-base status on the pharmacokinetic properties of drugs. Our review considers all major organ systems as well as information relevant to several clinical specialties such as anesthesiology, infectious disease, oncology, dentistry, and surgery.
Collapse
Affiliation(s)
- Bianca N Quade
- Department of Physiology and Biophysics, The State University of New York, The University at Buffalo, Buffalo, NY 14203, USA
| | - Mark D Parker
- Department of Physiology and Biophysics, The State University of New York, The University at Buffalo, Buffalo, NY 14203, USA; Department of Ophthalmology, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, The State University of New York, Buffalo, NY, USA; State University of New York Eye Institute, University at Buffalo, The State University of New York, Buffalo, NY, USA
| | - Rossana Occhipinti
- Department of Physiology and Biophysics, Case Western Reserve University, School of Medicine, Cleveland, OH 44106, USA.
| |
Collapse
|
4
|
Dreffs A, Henderson D, Dmitriev AV, Antonetti DA, Linsenmeier RA. Retinal pH and Acid Regulation During Metabolic Acidosis. Curr Eye Res 2018; 43:902-912. [PMID: 29641914 PMCID: PMC6095710 DOI: 10.1080/02713683.2018.1458882] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
Abstract
PURPOSE Changes in retinal pH may contribute to a variety of eye diseases. To study the effect of acidosis alone, we induced systemic metabolic acidosis and hypothesized that the retina would respond with altered expression of genes involved in acid/base regulation. METHODS Systemic metabolic acidosis was induced in Long-Evans rats for up to 2 weeks by adding NH4Cl to the drinking water. After 2 weeks, venous pH was 7.25 ± 0.08 (SD) and [HCO3-] was 21.4 ± 4.6 mM in acidotic animals; pH was 7.41 ± 0.03 and [HCO3-] was 30.5 ± 1.0 mM in controls. Retinal mRNAs were quantified by quantitative reverse transcription polymerase chain reaction. Protein was quantified with Western blots and localized by confocal microscopy. Retinal [H+]o was measured in vivo with pH microelectrodes in animals subjected to metabolic acidosis and in controls. RESULTS NH4Cl in drinking water or given intravenous was effective in acidifying the retina. Cariporide, a blocker of Na+/H+ exchange, further acidified the retina. Metabolic acidosis for 2 weeks led to increases of 40-100% in mRNA for carbonic anhydrase isoforms II (CA-II) and XIV (CA-XIV) and acid-sensing ion channels 1 and 4 (ASIC1 and ASIC4) (all p < 0.005). Expression of anion exchange protein 3 (AEP-3) and Na+/H+ exchanger (NHE)-1 also increased by ≥50% (both p < 0.0001). Changes were similar after 1 week of acidosis. Protein for AEP-3 doubled. NHE-1 co-localized with vascular markers, particularly in the outer plexiform layer. CA-II was located in the neural parenchyma of the ganglion cell layer and diffusely in the rest of the inner retina. CONCLUSIONS The retina responds to systemic acidosis with increased expression of proton and bicarbonate exchangers, carbonic anhydrase, and ASICs. While responses to acidosis are usually associated with renal regulation, these studies suggest that the retina responds to changes in local pH presumably to control its acid/base environment in response to systemic acidosis.
Collapse
Affiliation(s)
- Alyssa Dreffs
- Department of Ophthalmology and Visual Sciences, University of Michigan, Ann Arbor, MI
| | - Desmond Henderson
- Department of Biomedical Engineering, Northwestern University, Evanston and Chicago, IL
| | - Andrey V. Dmitriev
- Department of Biomedical Engineering, Northwestern University, Evanston and Chicago, IL
| | - David A. Antonetti
- Department of Ophthalmology and Visual Sciences, University of Michigan, Ann Arbor, MI
| | - Robert A. Linsenmeier
- Department of Biomedical Engineering, Northwestern University, Evanston and Chicago, IL
- Department of Neurobiology, Northwestern University, Evanston and Chicago, IL
- Department of Ophthalmology, Northwestern University, Evanston and Chicago, IL
| |
Collapse
|
5
|
Sun J, Wang B, Hao Y, Yang X. Effects of calcium dobesilate on Nrf2, Keap1 and HO-1 in the lenses of D-galactose-induced cataracts in rats. Exp Ther Med 2017; 15:719-722. [PMID: 29399076 PMCID: PMC5772489 DOI: 10.3892/etm.2017.5435] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2017] [Accepted: 09/04/2017] [Indexed: 01/13/2023] Open
Abstract
This study investigated the effects of calcium dobesilate on Nrf2, Keap1 and HO-1 in the lenses of D-galactose-induced cataracts in rats. Thirty Sprague-Dawley rats were randomly divided into three groups: a blank control group, a model control group and a model administration group. A normal diet was given to the rats in the blank control group and the rats with D-galactose-induced cataracts of the model control group. Calcium dobesilate was also given to the rats with D-galactose-induced cataracts of the model administration group. A slit lamp microscope was used to check the degree of lens opacity. RT-PCR and western blot analysis were used to detect the mRNA and protein expression of Nrf2, Keap1 and HO-1 in the lenses of the three groups. There was a significant difference in the degree of lens opacity among the three groups (P<0.05). The model control group was the most turbid of the three groups, followed by the model administration group. Moreover, the mRNA and protein expression of Nrf2, Keap1 and HO-1 in the lenses of the three groups were also significantly different (P<0.05). The mRNA levels of Nrf2 and HO-1 were the highest in the model control group, followed by the model administration group, and were the lowest in the blank control group. However, the mRNA expression level of Keap1 among the three groups had an opposite trend. In conclusion, calcium dobesilate can effectively increase the levels of Nrf2 and HO-1 in the lenses of diabetic cataract rats and inhibit the level of Keap1. Therefore, the therapeutic effect of calcium dobesilate against cataracts is related to the improvement of the Nrf2-Keap1 signaling pathway.
Collapse
Affiliation(s)
- Jinfeng Sun
- School of Medicine, Shandong University, Jinan, Shandong 250012, P.R. China.,Qingdao Eye Hospital, Shandong Eye Institute, Shandong Academy of Medical Sciences, Qingdao, Shandong 266071, P.R. China.,Department of Ophthalmology, Yantaishan Hospital, Yantai, Shandong 264001, P.R. China
| | - Bin Wang
- School of Medicine, Shandong University, Jinan, Shandong 250012, P.R. China.,Qingdao Eye Hospital, Shandong Eye Institute, Shandong Academy of Medical Sciences, Qingdao, Shandong 266071, P.R. China.,Department of Ophthalmology, The First Afflicated Hospital of Baotou Medical College, Baotou, Inner Mongolia 014010, P.R. China
| | - Youjuan Hao
- Department of Ophthalmology, Yantaishan Hospital, Yantai, Shandong 264001, P.R. China
| | - Xueli Yang
- Department of Ophthalmology, Yantaishan Hospital, Yantai, Shandong 264001, P.R. China
| |
Collapse
|
6
|
Liu Y, Luo W, Luo X, Yong Z, Zhong X. Effects of Rosa laevigata Michx. extract on reactive oxygen species production and mitochondrial membrane potential in lens epithelial cells cultured under high glucose. Int J Clin Exp Med 2015; 8:15759-15765. [PMID: 26629073 PMCID: PMC4658962] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2015] [Accepted: 08/02/2015] [Indexed: 06/05/2023]
Abstract
This study was to investigate the effects of Rosa laevigata Michx. (RLM) extract on reactive oxygen species (ROS) production and mitochondrial membrane potential (MMP) in lens epithelial cells (LECs) cultured under high glucose. SRA01/04 cell models of diabetic cataract were established by high glucose culture, and these cells were administrated with RLM extract. Levels of ROS and MMP in SRA01/04 cells were detected with fluorescent probes. HO-1 expression level, Akt phosphorylation, and Nrf2 translocation were detected by Western blot. RLM treatment could exert protective effects on SRA01/04 cells under high glucose condition, decreasing the ROS production and elevating the MMP in these cells. Western blot analysis indicated that the expression level of HO-1 was significantly elevated in SRA01/04 cells after the RLM treatment. Moreover, when HO-1 was interfered with siRNA, the effects of RLM on the levels of ROS and MMP were diminished, indicating that HO-1 induction was necessary for the function of RLM. Furthermore, HO-1 inducing effects of RLM were mediated by the PI3K/Akt and Nrf2/ARE pathways. The effects would be abolished when either pathway was inhibited by pharmacological manipulation or siRNA silencing. RLM inhibits ROS production and elevates MMP, through the induction of HO-1 expression, in LECs under high glucose condition. The protective effects of RLM are mediated by the PI3K/Akt and Nrf2/ARE pathways. Our findings provide theoretic basis and experimental evidence for the application of RLM in the treatment of diabetic cataract.
Collapse
Affiliation(s)
- Yuefeng Liu
- Department of Ophthalmology, Taihe Hospital of Shiyan Affiliated to Hubei University of MedicineShiyan 442000, Hubei, China
| | - Weimin Luo
- Department of Cardiothoracic Surgery, Taihe Hospital of Shiyan Affiliated to Hubei University of MedicineShiyan 442000, Hubei, China
| | - Xiangyu Luo
- Department of Cardiothoracic Surgery, Taihe Hospital of Shiyan Affiliated to Hubei University of MedicineShiyan 442000, Hubei, China
| | - Zhang Yong
- Department of Ophthalmology, Taihe Hospital of Shiyan Affiliated to Hubei University of MedicineShiyan 442000, Hubei, China
| | - Xiaodong Zhong
- Department of Ophthalmology, Taihe Hospital of Shiyan Affiliated to Hubei University of MedicineShiyan 442000, Hubei, China
| |
Collapse
|
7
|
Prasad V, Lorenz JN, Miller ML, Vairamani K, Nieman ML, Wang Y, Shull GE. Loss of NHE1 activity leads to reduced oxidative stress in heart and mitigates high-fat diet-induced myocardial stress. J Mol Cell Cardiol 2013; 65:33-42. [PMID: 24080184 PMCID: PMC3883452 DOI: 10.1016/j.yjmcc.2013.09.013] [Citation(s) in RCA: 33] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/28/2013] [Revised: 09/16/2013] [Accepted: 09/21/2013] [Indexed: 12/23/2022]
Abstract
Acute inhibition of the NHE1 Na(+)/H(+) exchanger protects against ischemia-reperfusion injury and chronic inhibition attenuates development of cardiac hypertrophy and failure. To determine the cardiac effects of chronic inhibition of NHE1 under non-pathological conditions we used NHE1-null mice as a model of long-term NHE1 inhibition. Cardiovascular performance was relatively normal in Nhe1(-/-) mice although cardiac contractility and relaxation were slightly improved in mutant mice of the FVB/N background. GSH levels and GSH:GSSG ratios were elevated in Nhe1(-/-) hearts indicating an enhanced redox potential. Consistent with a reduced need for antioxidant protection, expression of heat shock proteins Hsp60 and Hsp25 was lower in Nhe1(-/-) hearts. Similarly, expression of mitochondrial superoxide dismutase 2 was reduced, with no increase in expression of other ROS scavenging enzymes. GLUT1 levels were increased in Nhe1(-/-) hearts, the number of lipid droplets in myocytes was reduced, and PDK4 expression was refractory to high-fat diet-induced upregulation observed in wild-type hearts. High-fat diet-induced stress was attenuated in Nhe1(-/-) hearts, as indicated by smaller increases in phosphorylation of Hsp25 and α-B crystallin, and there was better preservation of insulin sensitivity, as evidenced by PKB/Akt phosphorylation. Plasma glucose and insulin levels were lower and high-fat diet-induced hepatic lipid accumulation was reduced in Nhe1(-/-) mice, demonstrating extracardiac effects of NHE1 ablation. These data indicate that long-term ablation of NHE1 activity increases the redox potential, mitigates high-fat diet-induced myocardial stress and fatty liver disease, leads to better preservation of insulin sensitivity, and may alter both cardiac and systemic metabolic substrate handling in mice.
Collapse
Affiliation(s)
- Vikram Prasad
- Department of Molecular Genetics, Biochemistry, and Microbiology, University of Cincinnati College of Medicine, Cincinnati, OH, 45267-0524
| | - John N. Lorenz
- Department of Molecular and Cellular Physiology, University of Cincinnati College of Medicine, Cincinnati, OH, 45267-0524
| | - Marian L. Miller
- Department of Environmental Health, University of Cincinnati College of Medicine, Cincinnati, OH, 45267-0524
| | - Kanimozhi Vairamani
- Department of Molecular Genetics, Biochemistry, and Microbiology, University of Cincinnati College of Medicine, Cincinnati, OH, 45267-0524
| | - Michelle L. Nieman
- Department of Molecular and Cellular Physiology, University of Cincinnati College of Medicine, Cincinnati, OH, 45267-0524
| | - Yigang Wang
- Department of Pathology and Laboratory Medicine, University of Cincinnati College of Medicine, Cincinnati, OH, 45267-0524
| | - Gary E. Shull
- Department of Molecular Genetics, Biochemistry, and Microbiology, University of Cincinnati College of Medicine, Cincinnati, OH, 45267-0524
| |
Collapse
|
8
|
Lupachyk S, Watcho P, Shevalye H, Vareniuk I, Obrosov A, Obrosova IG, Yorek MA. Na+/H+ exchanger 1 inhibition reverses manifestation of peripheral diabetic neuropathy in type 1 diabetic rats. Am J Physiol Endocrinol Metab 2013; 305:E396-404. [PMID: 23736542 PMCID: PMC3742852 DOI: 10.1152/ajpendo.00186.2013] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
Evidence for an important role for Na(+)/H(+) exchangers in diabetic complications is emerging. The aim of this study was to evaluate whether Na(+)/H(+) exchanger 1 inhibition reverses experimental peripheral diabetic neuropathy. Control and streptozotocin-diabetic rats were treated with the specific Na(+)/H(+) exchanger 1 inhibitor cariporide for 4 wk after 12 wk without treatment. Neuropathy end points included sciatic motor and sensory nerve conduction velocities, endoneurial nutritive blood flow, vascular reactivity of epineurial arterioles, thermal nociception, tactile allodynia, and intraepidermal nerve fiber density. Advanced glycation end product and markers of oxidative stress, including nitrated protein levels in sciatic nerve, were evaluated by Western blot. Rats with 12-wk duration of diabetes developed motor and sensory nerve conduction deficits, thermal hypoalgesia, tactile allodynia, and intraepidermal nerve fiber loss. All these changes, including impairment of nerve blood flow and vascular reactivity of epineurial arterioles, were partially reversed by 4 wk of cariporide treatment. Na(+)/H(+) exchanger 1 inhibition was also associated with reduction of diabetes-induced accumulation of advanced glycation endproduct, oxidative stress, and nitrated proteins in sciatic nerve. In conclusion, these findings support an important role for Na(+)/H(+) exchanger 1 in functional, structural, and biochemical manifestations of peripheral diabetic neuropathy and provide the rationale for development of Na(+)/H(+) exchanger 1 inhibitors for treatment of diabetic vascular and neural complications.
Collapse
Affiliation(s)
- Sergey Lupachyk
- Pennington Biomedical Research Center, Louisiana State University System, Baton Rouge, Louisiana, USA
| | | | | | | | | | | | | |
Collapse
|