It has been reported that 80% of diabetic patients die due to
cardiovascular diseases. We previously demonstrated that activated
hypoxia-inducible factor-1α (HIF-1 α)/
insulin-like growth factor binding protein-3 (IGFBP-3) signaling by
reactive oxygen species (ROS)-regulated
prolyl hydroxylase domain-containing
protein (PHD) is involved in high-
glucose (HG)-induced cardiac apoptosis.
Diallyl trisulfide (DATS), a garlic component, shows the strongest inhibitory effect on
diabetic cardiomyopathy. In this study, we investigated whether HIF-1α/
IGFBP-3 signaling governs the antiapoptotic effect by DATS on HG-exposed cardiomyocytes. It was observed that significantly increased levels of cell apoptosis and decreased Akt phosphorylation were reversed by DATS in HG-exposed cardiac cells. H2O2 and PHD
small interfering RNA treatments increased HIF-1α and
IGFBP-3 protein levels, which were decreased by DATS treatment. Overexpression of HIF-1α and
IGFBP-3 increased HG-induced cell apoptosis, which was suppressed by DATS. The coimmunoprecipitation assay results showed that DATS not only increased the
IGF-1 level and reduced
IGFBP-3 level but also suppressed their extracellular association for cardiac cells exposed to HG. Experiments using neonatal cardiomyocytes and hearts showed similar results. These findings indicate that the effect of ROS-regulated PHD on the activation of HIF-1α/
IGFBP-3 signaling governs the antiapoptotic effect by DATS on HG-exposed cardiomyocytes.