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S110, a novel decitabine dinucleotide, increases fetal hemoglobin levels in baboons (P. anubis)
Authors:Donald Lavelle  Yogen Saunthararajah  Kestis Vaitkus  Mahipal Singh  Virryan Banzon  Pasit Phiasivongsva  Sanjeev Redkar  Sarath Kanekal  David Bearss  Chongtie Shi  Roger Inloes  Joseph DeSimone
Affiliation:1. Assistant Professor of Radiology, University of Pennsylvania School of Veterinary Medicine, New Bolton Center, 19348, Kennett Square, PA, USA
2. Executive Vice President, Fonar Corporation, Marcus Drive, Melville, NY, USA
3. National Scrapie Program Coordinator, United States Department of Agriculture, Animal and Plant Health Inspection Service, Veterinary Services, 20737, Riverdale, MD, USA
4. United States Department of Agriculture, Animal and Plant Health Inspection Service, Veterinary Services Laboratories, 50010, Ames, IA, USA
5. Professor, The Pennsylvania Animal Diagnostic Laboratory System at New Bolton Center and the Laboratory of Pathology and Toxicology, School of Veterinary Medicine, University of Pennsylvania, 382 W. Street Road, 19348, Kennett Square, Pennsylvania, USA
6. Professor of Medicine & Chief, Section of Medicine, Department of Clinical Studies, New Bolton Center, 382 West Street Road, 19348, Kennett Square, PA, USA
7. Professor of Population Biology and Epidemiology & Chief, Section of Epidemiology and Public Health, Department of Clinical Studies, New Bolton Center, 382 West Street Road, 19348, Kennett Square, PA, USA
8. Saint Francis Hospital and Medical Center, 06105, Hartford, CT, USA
9. Medistem Inc, 92101, San Diego, CA, USA
10. Georgetown Dermatology, 20010, Washington, DC, USA
11. Professor and Chairman (Retired), Medical Computer Science Program, College of Health Related Professions, Downstate Medical Center, State University of New York, Brooklyn, NY, USA
Abstract:

Background

Apoptosis is an early event involved in cardiomyopathy associated with diabetes mellitus. Toll-like receptor (TLR) signaling triggers cell apoptosis through multiple mechanisms. Up-regulation of TLR4 expression has been shown in diabetic mice. This study aimed to delineate the role of TLR4 in myocardial apoptosis, and to block this process through gene silencing of TLR4 in the myocardia of diabetic mice.

Methods

Diabetes was induced in C57/BL6 mice by the injection of streptozotocin. Diabetic mice were treated with 50 μg of TLR4 siRNA or scrambled siRNA as control. Myocardial apoptosis was determined by TUNEL assay.

Results

After 7 days of hyperglycemia, the level of TLR4 mRNA in myocardial tissue was significantly elevated. Treatment of TLR4 siRNA knocked down gene expression as well as diminished its elevation in diabetic mice. Apoptosis was evident in cardiac tissues of diabetic mice as detected by a TUNEL assay. In contrast, treatment with TLR4 siRNA minimized apoptosis in myocardial tissues. Mechanistically, caspase-3 activation was significantly inhibited in mice that were treated with TLR4 siRNA, but not in mice treated with control siRNA. Additionally, gene silencing of TLR4 resulted in suppression of apoptotic cascades, such as Fas and caspase-3 gene expression. TLR4 deficiency resulted in inhibition of reactive oxygen species (ROS) production and NADPH oxidase activity, suggesting suppression of hyperglycemia-induced apoptosis by TLR4 is associated with attenuation of oxidative stress to the cardiomyocytes.

Conclusions

In summary, we present novel evidence that TLR4 plays a critical role in cardiac apoptosis. This is the first demonstration of the prevention of cardiac apoptosis in diabetic mice through silencing of the TLR4 gene.
Keywords:
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