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Publication : Hyperglycemia regulates cardiac K(+) channels via O-GlcNAc-CaMKII and NOX2-ROS-PKC pathways.

First Author  Hegyi B Year  2020
Journal  Basic Res Cardiol Volume  115
Issue  6 Pages  71
PubMed ID  33237428 Mgi Jnum  J:355607
Mgi Id  MGI:7750968 Doi  10.1007/s00395-020-00834-8
Citation  Hegyi B, et al. (2020) Hyperglycemia regulates cardiac K(+) channels via O-GlcNAc-CaMKII and NOX2-ROS-PKC pathways. Basic Res Cardiol 115(6):71
abstractText  Chronic hyperglycemia and diabetes lead to impaired cardiac repolarization, K(+) channel remodeling and increased arrhythmia risk. However, the exact signaling mechanism by which diabetic hyperglycemia regulates cardiac K(+) channels remains elusive. Here, we show that acute hyperglycemia increases inward rectifier K(+) current (I(K1)), but reduces the amplitude and inactivation recovery time of the transient outward K(+) current (I(to)) in mouse, rat, and rabbit myocytes. These changes were all critically dependent on intracellular O-GlcNAcylation. Additionally, I(K1) amplitude and I(to) recovery effects (but not I(to) amplitude) were prevented by the Ca(2+)/calmodulin-dependent kinase II (CaMKII) inhibitor autocamtide-2-related inhibitory peptide, CaMKIIdelta-knockout, and O-GlcNAc-resistant CaMKIIdelta-S280A knock-in. I(to) reduction was prevented by inhibition of protein kinase C (PKC) and NADPH oxidase 2 (NOX2)-derived reactive oxygen species (ROS). In mouse models of chronic diabetes (streptozotocin, db/db, and high-fat diet), heart failure, and CaMKIIdelta overexpression, both I(to) and I(K1) were reduced in line with the downregulated K(+) channel expression. However, I(K1) downregulation in diabetes was markedly attenuated in CaMKIIdelta-S280A. We conclude that acute hyperglycemia enhances I(K1) and I(to) recovery via CaMKIIdelta-S280 O-GlcNAcylation, but reduces I(to) amplitude via a NOX2-ROS-PKC pathway. Moreover, chronic hyperglycemia during diabetes and CaMKII activation downregulate K(+) channel expression and function, which may further increase arrhythmia susceptibility.
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