Activation of calcium‑sensing receptor‑mediated autophagy in high glucose‑induced cardiac fibrosis in vitro

Jul 25, 2020Molecular medicine reports

Activation of calcium-sensing receptor linked to self-cleaning process in heart scarring caused by high sugar in lab cells

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Abstract

Treatment with high glucose increased CaSR expression in cardiac fibroblasts.

  • High glucose exposure elevated levels of CaSR, α-smooth muscle actin, collagen I/III, and matrix metalloproteinases 2/9 in cardiac fibroblasts.
  • Increased CaSR expression was associated with enhanced autophagosome generation and cardiac fibroblast proliferation.
  • CaSR activation led to higher intracellular calcium concentrations and increased ubiquitination of specific proteins involved in cellular regulation.
  • The CaSR agonist (R568) and inhibitor (Calhex231) influenced the effects of high glucose on cardiac fibroblasts, promoting and inhibiting changes respectively.
  • Findings suggest that increased CaSR in cardiac fibroblasts contributes to excessive collagen deposition and myocardial fibrosis in diabetic cardiomyopathy.

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