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Identification of potential biomarkers for predicting the early onset of diabetic cardiomyopathy in a mouse model

Abstract : Type 2 diabetes (T2D) is characterized by metabolic derangements that cause a shift in substrate preference, inducing cardiac interstitial fibrosis. Interstitial fibrosis plays a key role in aggravating left ventricular diastolic dysfunction (LVDD), which has previously been associated with the asymptomatic onset of heart failure. The latter is responsible for 80% of deaths among diabetic patients and has been termed diabetic cardiomyopathy (DCM). Through in silico prediction and subsequent detection in a leptin receptor-deficient db/db mice model (db/db), we confirmed the presence of previously identified potential biomarkers to detect the early onset of DCM. Differential expression of Lysyl Oxidase Like 2 (LOXL2) and Electron Transfer Flavoprotein Beta Subunit (ETFβ), in both serum and heart tissue of 6-16-week-old db/db mice, correlated with a reduced left-ventricular diastolic dysfunction as assessed by high-resolution Doppler echocardiography. Principal component analysis of the combined biomarkers, LOXL2 and ETFβ, further displayed a significant difference between wild type and db/db mice from as early as 9 weeks of age. Knockdown in H9c2 cells, utilising siRNA of either LOXL2 or ETFβ, revealed a decrease in the expression of Collagen Type I Alpha1 (COL1A1), a marker known to contribute to enhanced myocardial fibrosis. Additionally, receiver-operating curve (ROC) analysis of the proposed diagnostic profile showed that the combination of LOXL2 and ETFβ resulted in an area under the curve (AUC) of 0.813, with a cut-off point of 0.824, thus suggesting the favorable positive predictive power of the model and further supporting the use of LOXL2 and ETFβ as possible early predictive DCM biomarkers.
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https://www.hal.inserm.fr/inserm-03231675
Contributor : Laboratoire Carmen <>
Submitted on : Friday, May 21, 2021 - 9:33:22 AM
Last modification on : Saturday, May 22, 2021 - 3:25:58 AM

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R. Johnson, X. Nxele, M. Cour, N. Sangweni, T. Jooste, et al.. Identification of potential biomarkers for predicting the early onset of diabetic cardiomyopathy in a mouse model. Scientific Reports, Nature Publishing Group, 2020, 10 (1), pp.12352. ⟨10.1038/s41598-020-69254-x⟩. ⟨inserm-03231675⟩

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