Abstract | AIMS/HYPOTHESIS: Microvascular endothelial hyperpermeability, mainly caused by claudin-5 deficiency, is the initial pathological change that occurs in diabetes-associated cardiovascular disease. The ketone body β-hydroxybutyrate (BHB) exerts unique beneficial effects on the cardiovascular system, but the involvement of BHB in promoting the generation of claudin-5 to attenuate cardiac microvascular hyperpermeability in diabetes is poorly understood. METHODS: The effects of BHB on cardiac microvascular endothelial hyperpermeability and claudin-5 generation were evaluated in rats with streptozotocin-induced diabetes and in high glucose (HG)-stimulated human cardiac microvascular endothelial cells (HCMECs). To explore the underlying mechanisms, we also measured β- catenin nuclear translocation, binding of β- catenin, histone deacetylase (HDAC)1, HDAC3 and p300 to the Claudin-5 (also known as CLDN5) promoter, interaction between HDAC3 and β- catenin, and histone acetylation in the Claudin-5 promoter. RESULTS: We found that 10 weeks of BHB treatment promoted claudin-5 generation and antagonised cardiac microvascular endothelial hyperpermeability in rat models of diabetes. Meanwhile, BHB promoted claudin-5 generation and inhibited paracellular permeability in HG-stimulated HCMECs. Specifically, BHB (2 mmol/l) inhibited HG-induced HDAC3 from binding to the Claudin-5 promoter, although nuclear translocation or promoter binding of β- catenin did not change with BHB treatment. In addition, BHB prevented the binding and co-localisation of HDAC3 to β- catenin in HG-stimulated HCMECs. Furthermore, using mass spectrometry, acetylated H3K14 (H3K14ac) in the Claudin-5 promoter following BHB treatment was identified, regardless of whether cells were stimulated by HG or not. Although reduced levels of acetylated H3K9 in the Claudin-5 promoter were found following HG stimulation, increased H3K14ac was specifically associated with BHB treatment. CONCLUSIONS/INTERPRETATION: BHB inhibited HDAC3 and caused acetylation of H3K14 in the Claudin-5 promoter, thereby promoting claudin-5 generation and antagonising diabetes-associated cardiac microvascular hyperpermeability. Graphical abstract.
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Authors | Bin Li, Yijin Yu, Kun Liu, Yuping Zhang, Qi Geng, Feng Zhang, Yanning Li, Jinsheng Qi |
Journal | Diabetologia
(Diabetologia)
Vol. 64
Issue 1
Pg. 226-239
(01 2021)
ISSN: 1432-0428 [Electronic] Germany |
PMID | 33106900
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Chemical References |
- Claudin-5
- Histone Deacetylase Inhibitors
- beta Catenin
- Histone Deacetylases
- histone deacetylase 3
- 3-Hydroxybutyric Acid
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Topics |
- 3-Hydroxybutyric Acid
(pharmacology)
- Animals
- Capillary Permeability
(drug effects, physiology)
- Claudin-5
(biosynthesis, genetics)
- Coronary Vessels
(physiopathology)
- Diabetes Complications
(prevention & control)
- Diabetes Mellitus, Experimental
(physiopathology)
- Endothelium, Vascular
(physiopathology)
- Histone Deacetylase Inhibitors
(pharmacology)
- Histone Deacetylases
(drug effects, metabolism)
- Male
- Microvessels
(physiopathology)
- Promoter Regions, Genetic
(physiology)
- Rats
- Rats, Sprague-Dawley
- beta Catenin
(metabolism)
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