Nitroxyl (HNO), one-electron reduced and protonated sibling of
nitric oxide (NO), is a potential regulator of cardiovascular functions. It produces positive inotropic, lusitropic, myocardial anti-hypertrophic and
vasodilator properties. Despite of these favorable actions, the significance and the possible mechanisms of HNO in diabetic hearts have yet to be fully elucidated. H9c2 cells or primary neonatal mouse cardiomyocytes were incubated with normal
glucose (NG) or high
glucose (HG). Male C57BL/6 mice received
intraperitoneal injection of
streptozotocin (STZ) to induce diabetes. Here, we demonstrated that the baseline fluorescence signals of HNO in H9c2 cells were reinforced by both HNO donor
Angeli's salt (AS), and the mixture of
hydrogen sulfide (H2S) donor
sodium hydrogen sulfide (
NaHS) and NO donor
sodium nitroprusside (SNP), but decreased by HG. Pretreatment with AS significantly reduced HG-induced cell vitality injury, apoptosis,
reactive oxygen species (ROS) generation, and
hypertrophy in H9c2 cells. This effect was mediated by induction of
caveolin-3 (Cav-3)/endothelial
nitric oxide (
NO) synthase (eNOS) complex. Disruption of Cav-3/eNOS by pharmacological manipulation or
small interfering RNA (
siRNA) abolished the protective effects of AS in HG-incubated H9c2 cells. In STZ-induced diabetic mice, administration of AS ameliorated the development of
diabetic cardiomyopathy, as evidenced by improved cardiac function and reduced
cardiac hypertrophy, apoptosis, oxidative stress and myocardial
fibrosis without affecting
hyperglycemia. This study shed light on how interaction of NO and H2S regulates cardiac pathology and provide new route to treat
diabetic cardiomyopathy with HNO.