Abstract
Aims
This study aims to investigate the effect of aerobic exercise training on BKCa channel in diabetic vascular smooth muscle and explore the underlying mechanism.
Methods
Control m/m mice and diabetic db/db mice were randomly assigned to sedentary groups (W and D) and exercise training groups (WE and DE). Mice in exercise groups underwent training sessions lasting for 12 weeks, with a speed of 12 m/min for 60 min, five times per week. The thoracic aorta was extracted isolated and examined for measurement of vascular structure, global levels of reactive oxygen species (ROS), vasodilation, and protein expression. Rat thoracic aorta vascular smooth muscle cells (USMCs) were cultured, and siRNA transfection was conducted to detect whether AMPK contributed to the regulation. ROS level and protein expression were measured.
Results
Compared with control mice, diabetic mice had a larger vascular medium thickness, impaired BKCa-mediated vasodilation, a higher level of ROS, and a lower expression of BKCa α, BKCa β1, Nrf2, p-Nrf2, p-Nrf2/Nrf2, HO-1, and p-AMPK/AMPK. Exercise training increased the expression of BKCa α, Nrf2, p-Nrf2, p-Nrf2/Nrf2, HO-1, and p-AMPK/AMPK. AMPK deletion led to lower ROS levels and expression of BKCa α, β1, Nrf2, and HO-1 in USMCs cultured in high glucose conditions.
Conclusions
BKCa channel protein expression reduction in VSMCs contributes to vasodilation and vascular remodeling dysfunction in diabetes mellitus. Aerobic exercise can promote the expression of BKCa channel and improve BKCa-mediated vascular dysfunction in diabetic VSMCs through AMPK/Nrf2/HO-1 signaling pathway.
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References
International Diabetes Federation. IDF Diabetes Atlas 2022 Reports. 2022; Available from: https://diabetesatlas.org/2022-reports/
Zhu D, CD Society (2022) [Clinical guidelines for prevention and treatment of type 2 diabetes mellitus in the elderly in China (2022 edition)]
Naoto K (2018) Mechanism of development of atherosclerosis and cardiovascular disease in diabetes mellitus. J Atheroscler Thromb 25:27–39
Sarwar NF, Gao P, Gao PF et al (2010) Diabetes mellitus, fasting blood glucose concentration, and risk of vascular disease: a collaborative meta-analysis of 102 prospective studies. Lancet 375:2215–2222
Toro L, Wallner M, Meera P, Tanaka Y (1998) Maxi-K Ca, a unique member of the voltage-gated K channel superfamily. News Physiol Sci 13:112–117
Zhu Y, Ye P, Chen SL, Zhang DM (2018) Functional regulation of large conductance Ca2+-activated K+ channels in vascular diseases. Metabol Clin Exp 83:75–80
Lu T, Sun X, Li Y, Chai Q, Wang XL, Lee HC (2017) Role of Nrf2 signaling in the regulation of vascular BK channel Beta-1 subunit expression and BK channel function in high fat diet-induced diabetic mice. Diabetes 66(10):2681–90
Lu T, Chai Q, Jiao G, Wang XL, Lee HC (2019) Downregulation of BK channel function and protein expression in coronary arteriolar smooth muscle cells of type 2 diabetic patients. Cardiovasc Res 115:145–153
Yamada M, Iwata M, Warabi E, Oishi H, Lira VA, Okutsu M (2019) p62/SQSTM1 and Nrf2 are essential for exercise-mediated enhancement of antioxidant protein expression in oxidative muscle. FASEB J 33:8022–8032
Yan X, Shen Z, Yu D et al (2022) Nrf2 contributes to the benefits of exercise interventions on age-related skeletal muscle disorder via regulating Drp1 stability and mitochondrial fission. Free Radic Biol Med 178:59–75
Lijun S, Bailin L, Yanyan Z, Zhimin X, Yujia L, Yu C (2014) Exercise training reverses unparallel downregulation of MaxiK channel α- and β1-subunit to enhance vascular function in aging mesenteric arteries. J Gerontol 69(12):1462–73
Shi L, Zhang Y, Liu Y, Gu B, Zhao T (2016) Exercise prevents upregulation of RyRs–BKCa coupling in cerebral arterial smooth muscle cells from spontaneously hypertensive rats highlights. Arterioscler Thromb Vasc Biol 36:1607
Li N, Shi Y, Shi L, Liu Y (2013) Effects of aerobic exercise training on large-conductance Ca(2+)-activated K (+) channels in rat cerebral artery smooth muscle cells. Eur J Appl Physiol 113:2553–2563
Gwinn DM, Shackelford DB, Egan DF, Mihaylova MM, Shaw RJ (2008) AMPK phosphorylation of raptor mediates a metabolic checkpoint. Mol Cell 30:214–226
Duck-Pil O, Kangeun K, Yong BJ (2018) Exercise without dietary changes alleviates nonalcoholic fatty liver disease without weight loss benefits. Lipids Health Dis 17:207
Cokorinos EC, Delmore J, Reyes AR et al (2017) Activation of skeletal muscle AMPK promotes glucose disposal and glucose lowering in non-human primates and mice. Cell Metab 25:1147
Park SY, Choi MH, Li M, Li K, Choi YW (2018) AMPK/Nrf2 signaling is involved in the anti-neuroinflammatory action of Petatewalide B from Petasites japonicus against lipopolysaccharides in microglia. Immunopharmacol Immunotoxicol 40:1–10
Schneider H, Schubert KM, Blodow S, Kreutz CP, Pohl U (2015) AMPK dilates resistance arteries via activation of SERCA and BKCa channels in smooth muscle. Hypertension 66:108–116
Rubin LJ, Magliola L, Feng X, Jones AW, Hale CC (2005) Metabolic activation of AMP kinase in vascular smooth muscle. J Appl Physiol 98:296–306
Durham AL, Speer MY, Scatena M, Giachelli CM, Shanahan CM (2018) Role of smooth muscle cells in vascular calcification: implications in atherosclerosis and arterial stiffness. Cardiovasc Res 114:590
Ragolia L, Palaia T, Koutrouby TB, Maesaka JK (2004) Inhibition of cell cycle progression and migration of vascular smooth muscle cells by prostaglandin D2 synthase: resistance in diabetic Goto-Kakizaki rats. Am J Physiol Cell Physiol 287:1273–1281
Gaia S, Nicolle K, Costanza E, Paolo M (2008) Diabetes and vessel wall remodelling: from mechanistic insights to regenerative therapies. Cardiovasc Res 78(2):265–273
Hetherington-Rauth M, Magalhes JP, Júdice PB, Melo X, Sardinha LB (2020) Vascular improvements in individuals with type 2 diabetes following a 1 year randomised controlled exercise intervention, irrespective of changes in cardiorespiratory fitness. Diabetologia. 63:722–732
Shi L, Liu N, Fau B et al (2012) Aerobic exercise increases BK(Ca) channel contribution to regulation of mesenteric arterial tone by upregulating β1-subunit. Exp Physiol 98(1):326–36
Li H, An J, Seo M et al (2021) Downregulation of large-conductance Ca2+-activated K+ channels in human umbilical arterial smooth muscle cells in gestational diabetes mellitus. Life Sci 288:120169
Wang RX, Shi HF, Chai Q, Wu Y, Lu T (2012) Molecular mechanisms of diabetic coronary dysfunction due to large conductance Ca2+ -activated K+ channel impairment. Chin Med J 125:2548–2555
Mcgahon MK, Dash DP, Arora A, Wall N, Curtis TM (2007) Diabetes downregulates large-conductance Ca2+-Activated potassium β1 channel subunit in retinal arteriolar smooth muscle. Circ Res 100:703–711
Olver TD, Edwards JC, Ferguson BS, Hiemstra JA, Emter CA (2018) Chronic interval exercise training prevents BK-channel mediated coronary vascular dysfunction in aortic-banded mini-swine. Med Intens 125:86–96
Lu MC, Ji JA, Jiang ZY, You QD (2016) The Keap1-Nrf2-ARE pathway as a potential preventive and therapeutic target: an update. Med Res Rev 36:924–963
Velmurugan VG, Sundaresan RN, Gupta PM et al (2013) Defective Nrf2-dependent redox signalling contributes to microvascular dysfunction in type 2 diabetes. Cardiovasc Res 100(1):143–150
Li Y, Wang XL, Sun X et al (2017) Regulation of vascular large-conductance calcium-activated potassium channels by Nrf2 signalling. Diab Vasc Dis Res 14(4):353–362
Fathi R, Nasiri K, Akbari A, Ahmadi-Kanigolzar F, Golzar FAK (2020) Exercise protects against ethanol-induced damage in rat heart and liver through the inhibition of apoptosis and activation of Nrf2/Keap-1/HO-1 pathway. Life Sci 256:117958
Mallard AR, Spathis JG, Coombes JS (2020) Nuclear factor (erythroid-derived 2)-like 2 (Nrf2) and exercise. Free Radical Biol Med 160:471–479
Petsouki E, Cabrera SNS, Heiss EH (2022) AMPK and NRF2: Interactive players in the same team for cellular homeostasis? Free Radic Biol Med 190:75–93
Trefts E, Shaw RJ (2021) AMPK: restoring metabolic homeostasis over space and time. Mol Cell 81:3677–3690
Dong K, Wu M, Liu X et al (2016) Glutaredoxins concomitant with optimal ROS activate AMPK through S-glutathionylation to improve glucose metabolism in type 2 diabetes. Free Radical Biol Med 101:334–347
Diniz TA, Junior EADL, Teixeira AA, Biondo LA, Neto JCR (2021) Aerobic training improves NAFLD markers and insulin resistance through AMPK-PPAR-α signaling in obese mice. Life Sci 266:118868
Spaulding HR, Yan Z (2022) AMPK and the adaptation to exercise. Annu Rev Physiol 84:209–227
Liu XM, Peyton KJ, Shebib AR, Wang H, Korthuis RJ, Durante W (2011) Activation of AMPK stimulates heme oxygenase-1 gene expression and human endothelial cell survival. Am J Physiol Heart Circ Physiol 69:H84–H93
Wang L, Han J, Shan P, You S, Liang G (2017) MD2 blockage protects obesity-induced vascular remodeling via activating AMPK/Nrf2. Obesity 25:1532–1539
Sun Y, Zhou S, Guo H et al (2020) Protective effects of sulforaphane on type 2 diabetes-induced cardiomyopathy via AMPK-mediated activation of lipid metabolic pathways and NRF2 function-ScienceDirect. Metabolism 102:154002
Funding
This analysis was based upon work funded by the Natural Science Foundation of the Jiangsu Education Institutions of China (Grant No. 22KJB180017) and Xuzhou Natural Science Foundation (Grant No. KC21029).
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YL and XW designed the research. Material preparation, data collection, and analysis were performed by YL, YC, NX, ZW, SL, and LG. The first draft of the manuscript was written by YL, YC, and XW, and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.
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The animal studies were approved by the Animal Care and Use Committee of Beijing Sport University (No. 2020147A).
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Liu, Y., Cheng, Y., Xiang, N. et al. Aerobic exercise improves BKCa channel-mediated vasodilation in diabetic vascular smooth muscle via AMPK/Nrf2/HO-1 pathway. Acta Diabetol 61, 425–434 (2024). https://doi.org/10.1007/s00592-023-02210-z
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DOI: https://doi.org/10.1007/s00592-023-02210-z