Hyperglycemic memory in the rat bladder detrusor is associated with a persistent hypomethylated state

Abstract Hyperglycemic memory is associated with several complications of diabetes. Although there is some physiological evidence that this phenomenon occurs with diabetic bladder dysfunction (DBD), there have been no studies in bladder that provide evidence of hyperglycemic memory at the molecular/...

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Main Authors: Yi Wang, Moses T. Tar, Kelvin P. Davies
Format: Article
Language:English
Published: Wiley 2020-11-01
Series:Physiological Reports
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Online Access:https://doi.org/10.14814/phy2.14614
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author Yi Wang
Moses T. Tar
Kelvin P. Davies
author_facet Yi Wang
Moses T. Tar
Kelvin P. Davies
author_sort Yi Wang
collection DOAJ
description Abstract Hyperglycemic memory is associated with several complications of diabetes. Although there is some physiological evidence that this phenomenon occurs with diabetic bladder dysfunction (DBD), there have been no studies in bladder that provide evidence of hyperglycemic memory at the molecular/biochemical level. In the present studies, we determined the effects of long‐term diabetes on the metabolome of bladder detrusor in a rat model of streptozotocin‐induced type‐1‐diabetes and the ability of insulin treatment to normalize metabolic changes. These studies demonstrated that although insulin reversed a majority of the metabolic changes caused by diabetes, with long‐term diabetes there was a persistent decrease in the methylation index (indicated by a reduced ratio of S‐adenosylmethionine to S‐adenosyl homocysteine) after insulin treatment. We confirmed a “hypomethylated environment” develops in diabetic detrusor by demonstrating an overall reduction in methylated detrusor DNA that is only partially reversed with glycemic control. Furthermore, we confirmed that this hypomethylated environment is associated with epigenetic changes in the detrusor genome, which are again mostly, but not completely, reversed with glycemic control. Overall our studies provide strong molecular evidence for a mechanism by which diabetes alters methylation status and gene expression in the detrusor genome, and that these epigenetic modifications contribute to hyperglycemic memory. Our work suggests novel treatment strategies for diabetic patients who have attained glycemic control but continue to experience DBD. For example, epigenomic data can be used to identify “actionable gene targets” for its treatment and would also support a rationale for approaches that target the hypomethylation index.
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spelling doaj-art-92ecfebf38314f4488585250889992172025-08-20T03:14:31ZengWileyPhysiological Reports2051-817X2020-11-01822n/an/a10.14814/phy2.14614Hyperglycemic memory in the rat bladder detrusor is associated with a persistent hypomethylated stateYi Wang0Moses T. Tar1Kelvin P. Davies2Department of Urology Albert Einstein College of Medicine Bronx NY USADepartment of Urology Albert Einstein College of Medicine Bronx NY USADepartment of Urology Albert Einstein College of Medicine Bronx NY USAAbstract Hyperglycemic memory is associated with several complications of diabetes. Although there is some physiological evidence that this phenomenon occurs with diabetic bladder dysfunction (DBD), there have been no studies in bladder that provide evidence of hyperglycemic memory at the molecular/biochemical level. In the present studies, we determined the effects of long‐term diabetes on the metabolome of bladder detrusor in a rat model of streptozotocin‐induced type‐1‐diabetes and the ability of insulin treatment to normalize metabolic changes. These studies demonstrated that although insulin reversed a majority of the metabolic changes caused by diabetes, with long‐term diabetes there was a persistent decrease in the methylation index (indicated by a reduced ratio of S‐adenosylmethionine to S‐adenosyl homocysteine) after insulin treatment. We confirmed a “hypomethylated environment” develops in diabetic detrusor by demonstrating an overall reduction in methylated detrusor DNA that is only partially reversed with glycemic control. Furthermore, we confirmed that this hypomethylated environment is associated with epigenetic changes in the detrusor genome, which are again mostly, but not completely, reversed with glycemic control. Overall our studies provide strong molecular evidence for a mechanism by which diabetes alters methylation status and gene expression in the detrusor genome, and that these epigenetic modifications contribute to hyperglycemic memory. Our work suggests novel treatment strategies for diabetic patients who have attained glycemic control but continue to experience DBD. For example, epigenomic data can be used to identify “actionable gene targets” for its treatment and would also support a rationale for approaches that target the hypomethylation index.https://doi.org/10.14814/phy2.14614detrusordiabetic bladder dysfunctionepigeneticshyperglycemic memorymetabolismmetabolomics
spellingShingle Yi Wang
Moses T. Tar
Kelvin P. Davies
Hyperglycemic memory in the rat bladder detrusor is associated with a persistent hypomethylated state
Physiological Reports
detrusor
diabetic bladder dysfunction
epigenetics
hyperglycemic memory
metabolism
metabolomics
title Hyperglycemic memory in the rat bladder detrusor is associated with a persistent hypomethylated state
title_full Hyperglycemic memory in the rat bladder detrusor is associated with a persistent hypomethylated state
title_fullStr Hyperglycemic memory in the rat bladder detrusor is associated with a persistent hypomethylated state
title_full_unstemmed Hyperglycemic memory in the rat bladder detrusor is associated with a persistent hypomethylated state
title_short Hyperglycemic memory in the rat bladder detrusor is associated with a persistent hypomethylated state
title_sort hyperglycemic memory in the rat bladder detrusor is associated with a persistent hypomethylated state
topic detrusor
diabetic bladder dysfunction
epigenetics
hyperglycemic memory
metabolism
metabolomics
url https://doi.org/10.14814/phy2.14614
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AT mosesttar hyperglycemicmemoryintheratbladderdetrusorisassociatedwithapersistenthypomethylatedstate
AT kelvinpdavies hyperglycemicmemoryintheratbladderdetrusorisassociatedwithapersistenthypomethylatedstate