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@ARTICLE{Chen:166579,
author = {J. Chen and T. Fleming and S. Katz and M. Dewenter and K.
Hofmann and A. Saadatmand and M. Kronlage and M. P. Werner
and B. Pokrandt and F. Schreiter and J. Lin and D. Katz and
J. Morgenstern and A. Elwakiel and P. Sinn and H.-J.
Gröne$^*$ and H.-P. Hammes and P. P. Nawroth and B.
Isermann and C. Sticht and B. Brügger and H. A. Katus and
M. Hagenmueller and J. Backs},
title = {{C}a{M} {K}inase {II}-δ is {R}equired for {D}iabetic
{H}yperglycemia and {R}etinopathy but not {N}ephropathy.},
journal = {Diabetes},
volume = {70},
number = {2},
issn = {1939-327X},
address = {Alexandria, Va},
publisher = {Assoc.},
reportid = {DKFZ-2020-03022},
pages = {616-626},
year = {2021},
note = {2021 Feb;70(2):616-626},
abstract = {Type 2 diabetes has become a pandemic and leads to late
diabetic complications of organs including kidney and eye.
Lowering hyperglycemia is the typical therapeutic goal in
clinical medicine. However, hyperglycemia may only be a
symptom of diabetes but not the sole cause of late diabetic
complications, Instead, other diabetes-related alterations
could be causative. Here, we studied the role of CaM Kinase
II δ (CaMKIIδ) that is known to be activated through
diabetic metabolism. CaMKIIδ is expressed ubiquitously and
might therefore affect several different organ systems. We
crossed diabetic leptin receptor mutant mice to mice lacking
CaMKIIδ globally. Remarkably, CaMKIIδ-deficient diabetic
mice did not develop hyperglycemia. As potential underlying
mechanisms, we provide evidence for improved insulin sensing
with increased glucose transport into skeletal muscle but
also reduced hepatic glucose production. Despite
normoglycemia, CaMKIIδ-deficient diabetic mice developed
the full picture of diabetic nephropathy but diabetic
retinopathy was prevented. We also unmasked a
retina-specific gene expression signature that might
contribute to CaMKII-dependent retinal diabetic
complications. These data challenge the clinical concept of
normalizing hyperglycemia in diabetes as a causative
treatment strategy for late diabetic complications and call
for a more detailed analysis of intracellular metabolic
signals in different diabetic organs.},
cin = {G130},
ddc = {610},
cid = {I:(DE-He78)G130-20160331},
pnm = {311 - Zellbiologie und Tumorbiologie (POF4-311)},
pid = {G:(DE-HGF)POF4-311},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:33239449},
doi = {10.2337/db19-0659},
url = {https://inrepo02.dkfz.de/record/166579},
}