Diabetes mellitus is one of the most increasing diseases worldwide and associated with several cardiovascular diseases, among them diabetic cardiomyopathy and heart failure with preserved ejection fraction (HFpEF). Appropriate mitochondrial function is crucial to supply cardiomyocytes with energy and uphold cardiac performance. Mitochondrial cAMP microdomains contribute to mitochondrial function and dynamics, and their dysregulation leads to mitophagy and apoptosis. Nicotinamide adenine dinucleotide (NAD+) is a central coenzyme in glycolysis and mitochondrial oxidative phosphorylation metabolisms and a signaling substrate for sirtuins deacetylases regulating key cellular process like metabolic gene expression or autophagy. In the hearts of db/db mice, a well-established model for type 2 diabetes with diastolic dysfunction at the age of 14-16 weeks the NAD+ levels are decreased. NAD+ is synthesised from nicotinamide mononucleotide by nicotinamide mononucleotide adenyltransferases (NMNAT) 1-3. In axons, stress-induced dual leucine zipper kinase (DLK; mitogen activated protein 3 kinase 12, MAP3K12) results in the degradation of the cytosolic NMNAT2, ultimately leading to axon degeneration. Our preliminary data show that DLK becomes activated by diabetogenic factors.
In this project, we will use our complementary expertise to follow the hypothesis that the inhibition of DLK by small molecule inhibitors or by cardiomyocyte selective deletion of Dlk will prevent diabetes-induced cardiomyocyte mitochondrial dysfunction.