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Stimulation of Erythrocyte Soluble Guanylyl Cyclase Induces cGMP Export and Cardioprotection in Type 2 Diabetes.

Abstract
Reduced nitric oxide (NO) bioactivity in red blood cells (RBCs) is critical for augmented myocardial ischemia-reperfusion injury in type 2 diabetes. This study identified the nature of "NO bioactivity" by stimulating the intracellular NO receptor soluble guanylyl cyclase (sGC) in RBCs. sGC stimulation in RBCs from patients with type 2 diabetes increased export of cyclic guanosine monophosphate from RBCs and activated cardiac protein kinase G, thereby attenuating ischemia-reperfusion injury. These results provide novel insight into RBC signaling by identifying cyclic guanosine monophosphate from RBC as a mediator of protection against cardiac ischemia-reperfusion injury induced by sGC stimulation in RBCs.
AuthorsTong Jiao, Aida Collado, Ali Mahdi, John Tengbom, Yahor Tratsiakovich, G Todd Milne, Michael Alvarsson, Jon O Lundberg, Zhichao Zhou, Jiangning Yang, John Pernow
JournalJACC. Basic to translational science (JACC Basic Transl Sci) Vol. 8 Issue 8 Pg. 907-918 (Aug 2023) ISSN: 2452-302X [Electronic] United States
PMID37719424 (Publication Type: Journal Article)
Copyright© 2023 The Authors.

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