Diabetes mellitus (DM) and its associated
complications are considered
one of the major health risks globally. Among numerous complications,
diabetic cardiomyopathy (DCM) is characterized by increased accumulation
of lipids and reduced glucose utilization following abnormal lipid
metabolism in the myocardium along with oxidative stress, myocardial
fibrosis, and inflammation that eventually result in cardiac dysfunction.
The abnormal metabolism of lipids plays a fundamental role in cardiac
lipotoxicity following the occurrence and development of DCM. Recently,
it has been revealed that cannabinoid type-2 (CB2) receptors, an essential
component of the endocannabinoid system, play a crucial role in the
pathogenesis of obesity, hyperlipidemia, and DM. Provided the role
of CB2R in regulating the glucolipid metabolic dysfunction and its
antioxidant as well as anti-inflammatory activities, we carried out
the current study to investigate the protective effects of a selective
CB2R agonist, β-caryophyllene (BCP), a natural dietary cannabinoid
in the murine model of DCM and elucidated the underlying pharmacological
and molecular mechanisms. Mice were fed a high-fat diet for 4 weeks
followed by a single intraperitoneal injection of streptozotocin (100
mg/kg) to induce the model of DCM. BCP (50 mg/kg body weight) was
given orally for 12 weeks. AM630, a CB2R antagonist, was given 30
min before BCP treatment to demonstrate the CB2R-dependent mechanism
of BCP. DCM mice exhibited hyperglycemia, increased serum lactate
dehydrogenase, impaired cardiac function, and hypertrophy. In addition,
DCM mice showed alternations in serum lipids and increased oxidative
stress concomitant to reduced antioxidant defenses and enhanced cardiac
lipid accumulation in the diabetic heart. DCM mice also exhibited
activation of TLR4/NF-κB/MAPK signaling and triggered the production
of inflammatory cytokines and inflammatory enzyme mediators. However,
treatment with BCP exerted remarkable protective effects by favorable
modulation of the biochemical and molecular parameters, which were
altered in DCM mice. Interestingly, pretreatment with AM630 abrogated
the protective effects of BCP in DCM mice. Taken together, the findings
of the present study demonstrate that BCP possesses the capability
to mitigate the progression of DCM by inhibition of lipotoxicity-mediated
cardiac oxidative stress and inflammation and favorable modulation
of TLR4/NF-κB/MAPK signaling pathways mediating the CB2R-dependent
mechanism.