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Publication : Diabetes increases mortality after myocardial infarction by oxidizing CaMKII.

First Author  Luo M Year  2013
Journal  J Clin Invest Volume  123
Issue  3 Pages  1262-74
PubMed ID  23426181 Mgi Jnum  J:207291
Mgi Id  MGI:5555934 Doi  10.1172/JCI65268
Citation  Luo M, et al. (2013) Diabetes increases mortality after myocardial infarction by oxidizing CaMKII. J Clin Invest 123(3):1262-74
abstractText  Diabetes increases oxidant stress and doubles the risk of dying after myocardial infarction, but the mechanisms underlying increased mortality are unknown. Mice with streptozotocin-induced diabetes developed profound heart rate slowing and doubled mortality compared with controls after myocardial infarction. Oxidized Ca(2+)/calmodulin-dependent protein kinase II (ox-CaMKII) was significantly increased in pacemaker tissues from diabetic patients compared with that in nondiabetic patients after myocardial infarction. Streptozotocin-treated mice had increased pacemaker cell ox-CaMKII and apoptosis, which were further enhanced by myocardial infarction. We developed a knockin mouse model of oxidation-resistant CaMKIIdelta (MM-VV), the isoform associated with cardiovascular disease. Streptozotocin-treated MM-VV mice and WT mice infused with MitoTEMPO, a mitochondrial targeted antioxidant, expressed significantly less ox-CaMKII, exhibited increased pacemaker cell survival, maintained normal heart rates, and were resistant to diabetes-attributable mortality after myocardial infarction. Our findings suggest that activation of a mitochondrial/ox-CaMKII pathway contributes to increased sudden death in diabetic patients after myocardial infarction.
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