Activated Protein C Ameliorates Diabetic Cardiomyopathy via Modulating OTUB1/YB-1/MEF2B Axis

Author:

Zhong Xiaodan,Wang Tao,Xie Yang,Wang Mengwen,Zhang Wenjun,Dai Lei,Lai Jinsheng,Nie Xiang,He Xingwei,Madhusudhan Thati,Zeng Hesong,Wang Hongjie

Abstract

Graphical AbstractIn mouse model of chronic diabetes mellitus, persistent hyperglycemia impaired thrombin-thrombomodulin-EPCR dependent PC activation. The reduced aPC-dependent cytoprotective signaling via PAR1/EPCR supressed OTUB1 expression resulting in augmented K48 ubiquitination and proteasomal degradation of the transcription factor YB-1. Within the nucleus, YB-1 binds to MEF2B promoter and restrains its transcription. Accordingly, ubiquitination and reduced protein levels of YB-1 compromised its inhibitory effect on MEF2B promoter and enhanced MEF2B mRNA transcription. Subsequently, elevated MEF2B expression disrupted the homeostasis of cardiomyocytes, rendering them susceptible to DCM. Exogenous administration of PC restores OTUB1/YB-1/MEF2B dependent cytoprotective responses and ameliorates development of DCM.

Funder

National Natural Science Foundation of China-China Academy of General Technology Joint Fund for Basic Research

Fundamental Research Funds for the Central Universities

Publisher

Frontiers Media SA

Subject

Cardiology and Cardiovascular Medicine

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