{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T16:11:31Z","timestamp":1793376691189,"version":"4.5.0"},"reference-count":64,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["Circulation Research"],"published-print":{"date-parts":[[2024,7,19]]},"abstract":"<jats:sec>\n            <jats:title>BACKGROUND:<\/jats:title>\n            <jats:p>Exercise intolerance is an independent predictor of poor prognosis in diabetes. The underlying mechanism of the association between hyperglycemia and exercise intolerance remains undefined. We recently demonstrated that the interaction between ARRDC4 (arrestin domain-containing protein 4) and GLUT1 (glucose transporter 1) regulates cardiac metabolism.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>METHODS:<\/jats:title>\n            <jats:p>To determine whether this mechanism broadly impacts diabetic complications, we investigated the role of ARRDC4 in the pathogenesis of diabetic cardiac\/skeletal myopathy using cellular and animal models.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>RESULTS:<\/jats:title>\n            <jats:p>\n              High glucose promoted translocation of MondoA into the nucleus, which upregulated\n              <jats:italic toggle=\"yes\">Arrdc4<\/jats:italic>\n              transcriptional expression, increased lysosomal GLUT1 trafficking, and blocked glucose transport in cardiomyocytes, forming a feedback mechanism. This role of\n              <jats:italic toggle=\"yes\">ARRDC4<\/jats:italic>\n              was confirmed in human muscular cells from type 2 diabetic patients. Prolonged hyperglycemia upregulated myocardial\n              <jats:italic toggle=\"yes\">Arrdc4<\/jats:italic>\n              expression in multiple types of mouse models of diabetes. We analyzed hyperglycemia-induced cardiac and skeletal muscle abnormalities in insulin-deficient mice. Hyperglycemia increased advanced glycation end-products and elicited oxidative and endoplasmic reticulum stress leading to apoptosis in the heart and peripheral muscle. Deletion of\n              <jats:italic toggle=\"yes\">Arrdc4<\/jats:italic>\n              augmented tissue glucose transport and mitochondrial respiration, protecting the heart and muscle from tissue damage. Stress hemodynamic analysis and treadmill exhaustion test uncovered that\n              <jats:italic toggle=\"yes\">Arrdc4<\/jats:italic>\n              -knockout mice had greater cardiac inotropic\/chronotropic reserve with higher exercise endurance than wild-type animals under diabetes. While multiple organs were involved in the mechanism, cardiac-specific overexpression using an adenoassociated virus suggests that high levels of myocardial\n              <jats:italic toggle=\"yes\">ARRDC4<\/jats:italic>\n              have the potential to contribute to exercise intolerance by interfering with cardiac metabolism through its interaction with GLUT1 in diabetes. Importantly, the\n              <jats:italic toggle=\"yes\">ARRDC4<\/jats:italic>\n              mutation mouse line exhibited greater exercise tolerance, showing the potential therapeutic impact on diabetic cardiomyopathy by disrupting the interaction between ARRDC4 and GLUT1.\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>CONCLUSIONS:<\/jats:title>\n            <jats:p>ARRDC4 regulates hyperglycemia-induced toxicities toward cardiac and skeletal muscle, revealing a new molecular framework that connects hyperglycemia to cardiac\/skeletal myopathy to exercise intolerance.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/circresaha.123.323158","type":"journal-article","created":{"date-parts":[[2024,7,1]],"date-time":"2024-07-01T05:00:30Z","timestamp":1719810030000},"page":"416-433","update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Systemic Deletion of ARRDC4 Improves Cardiac Reserve and Exercise Capacity in Diabetes"],"prefix":"10.1161","volume":"135","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0818-4145","authenticated-orcid":true,"given":"Yoshinobu","family":"Nakayama","sequence":"first","affiliation":[{"name":"Department of Molecular, Cellular and Biomedical Sciences, City University of New York School of Medicine, City College of New York, New York, NY (Y.N., A.M., S.A.A.,A.M.P.B.S., J.Y.)."},{"name":"Department of Anesthesiology and Intensive Care, Kindai University Faculty of Medicine, Osaka, Japan (Y.N.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4390-5726","authenticated-orcid":true,"given":"Satoru","family":"Kobayashi","sequence":"additional","affiliation":[{"name":"Department of Biomedical Sciences, New York Institute of Technology College of Osteopathic Medicine, Old Westbury, NY (S.K., Q.L.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aliya","family":"Masihuddin","sequence":"additional","affiliation":[{"name":"Department of Molecular, Cellular and Biomedical Sciences, City University of New York School of Medicine, City College of New York, New York, NY (Y.N., A.M., S.A.A.,A.M.P.B.S., J.Y.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Syed Amir","family":"Abdali","sequence":"additional","affiliation":[{"name":"Department of Molecular, Cellular and Biomedical Sciences, City University of New York School of Medicine, City College of New York, New York, NY (Y.N., A.M., S.A.A.,A.M.P.B.S., J.Y.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1250-5861","authenticated-orcid":true,"given":"A.M. Pramodh Bandara","family":"Seneviratne","sequence":"additional","affiliation":[{"name":"Department of Molecular, Cellular and Biomedical Sciences, City University of New York School of Medicine, City College of New York, New York, NY (Y.N., A.M., S.A.A.,A.M.P.B.S., J.Y.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sachiyo","family":"Ishii","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Critical Care, Kyoto Prefectural University of Medicine, Kyoto, Japan (S.I., J.I.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jun","family":"Iida","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Critical Care, Kyoto Prefectural University of Medicine, Kyoto, Japan (S.I., 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