Abstract
            Purpose: Among varied ω-3 polyunsaturated fatty acid types, the therapeutic properties of  docosahexaenoic acid (DHA) have been indicated under diabetic conditions in different cell  lineages. Here, we investigated the anti-diabetic properties of DHA in rats with type 2 diabetes  mellitus (D2M) focusing on autophagy-controlling factors.  
  Methods: D2M was induced in male Wistar rats using a single dose of streptozocin (STZ) and a  high-fat diet for 8 weeks. On week 2, diabetic rats received DHA 950 mg/kg/d until the end of  the study. After that, rats were euthanized, and aortic and cardiac tissue samples were stained  with H&E staining for histological assessment. The expression of adhesion molecules, ICAM-1 and VCAM-1, was measured in heart samples using real-time PCR analysis. Using western  blotting, protein levels of BCLN1, LC3, and P62 were measured in D2M rats pre- and post-DHA  treatment.  
  Results: Data showed intracellular lipid vacuoles inside the vascular cells, and cardiomyocytes, after  induction of D2M and DHA reduced intracellular lipid droplets and in situ inflammatory response.  DHA can diminish increased levels of ICAM-1 in diabetic conditions (PControl vs. D2M rats=0.005) and  reach near-to-control values (PControl vs. D2M rats=0.28; PD2M rats vs. D2M rats+DHA=0.033). Based on western  blotting, D2M slightly increased the BCLN1 and LC3-II/I ratio without affecting P62. DHA promoted  the LC3II/I ratio (P=0.303) and reduced P62 (PControl vs. D2M rats+DHA =0.0433; PD2M vs. D2M rats+DHA=0.096),  leading to the completion of autophagy flux under diabetic conditions.  
  Conclusion: DHA can reduce lipotoxicity of cardiovascular cells possibly via the activation of  adaptive autophagy response in D2D rats.