Description
Heart disease is the lead cause of mortality among diabetic patients in the U.S. UC San Diego researchers have developed a method to treat diabetic cardiomyopathy by gene therapy using an enzyme specific for the removal of a single sugar molecule from proteins such as transcription factors. The researchers demonstrated that elevated extra-cellular glucose levels result in impaired calcium cycling in myocytes, leading to impaired cardiac contractility and poor myocardial performance, by a mechanism involving O-linked glycosylation of nuclear proteins. They found that these effects can be reversed by gene therapy with an enzyme, O-GlcNAcase, which can remove specific O-linked hexosamines from proteins. Delivery of viral vectors encoding O-GlcNAcase to myocytes from diabetic rats markedly improved calcium flux and contractile function.