Endothelial deficiency of Nucleoside diphosphate kinase B (NDPKB) activates the hexosamine
biosynthesis pathway (HBP) and increases the protein O-GlcNAcylation levels. NDPKB-deficient
mice exhibit a similar pathology to diabetic retinopathy. In this study, we evaluated
the consequence of NDPKB deficiency in the heart by assessing cardiac endothelial
O-GlcNAc, as well as cardiac structure and function.
We analyzed the expression and location of proteins by immunoblotting and immunofluorescence.
Additionally, transthoracic echocardiography incorporated with pulse wave-/tissue
Doppler was utilized to evaluate cardiac function.
NDPKB-deficient mice showed a significant increase in heart weight/tibia length ratio
compared to wild-type (WT) mice. The diastolic diameter of the left ventricle (LV)
posterior wall measured by echocardiography revealed a significant enlargement in
the NDPKB-deficient mice compared to controls, whereas the parameters for systolic
function did not differ between the two groups. Tissue Doppler imaging showed a significantly
decreased mitral valve E/E’ wave ratio, along with a reduced ratio of E/A and E’/A’
in the NDPKB-deficient hearts. Immunoblotting experiments demonstrated significantly
enhanced protein O-GlcNAcylation in the NDPKB deficient LVs. Immunofluorescence staining
further proved O-GlcNAc predominantly in the cardiac vasculature. A significant increase
in protein O-GlcNAcylation was detected in the endocardium of NDPKB-deficient hearts.
In vitro experiments involving siRNA-mediated NDPKB knockdown in endothelial cells
resulted in the accumulation of excessive fibronectin, an extracellular matrix protein,
along with activation of the HBP. Furthermore, fibronectin was expressed significantly
higher in NDPKB-deficient LVs compared to controls as shown in immunoblotting and
Immunofluorescence staining.
Our study demonstrated that cardiac endothelial metabolic disorder in NDPKB-deficient
mice may contribute to the development of cardiac hypertrophy along with extracellular
matrix accumulation and diastolic dysfunction.