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心肌后适应的梗死挽救效应依赖于蛋白激酶C信号通路。

Infarct-sparing effect of myocardial postconditioning is dependent on protein kinase C signalling.

作者信息

Zatta Amanda J, Kin Hajime, Lee George, Wang Ningping, Jiang Rong, Lust Robert, Reeves James G, Mykytenko James, Guyton Robert A, Zhao Zhi-Qing, Vinten-Johansen Jakob

机构信息

Department of Cardiothoracic Surgery, Carlyle Fraser Heart Centre/Crawford Long Hospital, Emory University School of Medicine, Atlanta, GA 30308-2225, United States.

出版信息

Cardiovasc Res. 2006 May 1;70(2):315-24. doi: 10.1016/j.cardiores.2005.11.030. Epub 2006 Jan 27.

DOI:10.1016/j.cardiores.2005.11.030
PMID:16443207
Abstract

OBJECTIVE

Using non-selective and selective protein kinase C (PKC) epsilon and delta isoform inhibitors, we tested the hypothesis that the cardioprotective phenotype invoked by postconditioning (postcon) is dependent on PKC signalling. Furthermore, we determined whether postconditioning alters pPKCepsilon and/or pPKCdelta in cytosolic and mitochondrial fractions.

METHODS

Male Sprague-Dawley rats underwent 30 min left coronary artery (LCA) occlusion followed by 3 h of reperfusion. Rats were randomised to the following groups: Untreated, no intervention either before or after LCA occlusion; Postcon, 3 cycles of 10-s full reperfusion and 10-s re-occlusion, initiated immediately at the onset of reperfusion; Chelerythrine (non-selective PKC inhibitor, 5 mg/kg)+/-postcon; Rottlerin (PKCdelta inhibitor, 0.3 mg/kg)+/-postcon; KIE1-1 (PKCepsilon inhibitor, 3.8 mg/kg)+/-postcon. A subset of rats was employed to assess pPKCepsilon and/or pPKCdelta in sham, Isch/RP (30-min LCA occlusion followed by 30-min reperfusion), and postcon-treated hearts.

RESULTS

Infarct size, expressed as area of necrosis as a percentage of the area at risk, AN/AAR (%), was significantly reduced by postcon compared to control (untreated) rats (39+/-2% vs. 53+/-1% in control, P<0.001). Treatment with chelerythrine alone or the PKCepsilon antagonist KIE1-1 alone at reperfusion had no effect on infarct size compared to control. In contrast, the infarct-sparing effect of postcon was abrogated by non-selective PKC inhibition and PKCepsilon antagonism (50+/-2% and 50+/-1%, respectively, P<0.002). Inhibition of PKCdelta reduced infarct size to values comparable to that in postcon group (36+/-3% vs. 39+/-2%). However, postcon in the presence of PKCdelta inhibitor did not enhance the infarct-sparing effects (38+/-2%). In addition, pPKCepsilon in postcon hearts was significantly higher in the total cell homogenate (10338+/-1627 vs. 4165+/-608 in Isch/RP, arbitrary units), and pPKCdelta translocation to mitochondria was significantly less (>2-fold decrease) compared to Isch/RP.

CONCLUSION

These data suggest that postcon modulates PKC during early reperfusion by increasing PKCepsilon expression and translocation to a site other than the outer mitochondrial membrane, and limits translocation of PKCdelta to mitochondria and associated deleterious signalling.

摘要

目的

使用非选择性和选择性蛋白激酶C(PKC)ε和δ亚型抑制剂,我们检验了如下假设:后适应(postcon)所引发的心脏保护表型依赖于PKC信号传导。此外,我们确定后适应是否会改变细胞溶质和线粒体组分中的磷酸化PKCε和/或磷酸化PKCδ。

方法

雄性Sprague-Dawley大鼠经历30分钟左冠状动脉(LCA)闭塞,随后再灌注3小时。大鼠被随机分为以下几组:未处理组,LCA闭塞前后均无干预;后适应组,在再灌注开始时立即进行3个周期的10秒完全再灌注和10秒再闭塞;白屈菜红碱(非选择性PKC抑制剂,5mg/kg)+/-后适应;rottlerin(PKCδ抑制剂,0.3mg/kg)+/-后适应;KIE1-1(PKCε抑制剂,3.8mg/kg)+/-后适应。使用一部分大鼠评估假手术组、缺血/再灌注组(30分钟LCA闭塞,随后30分钟再灌注)和后适应处理心脏中的磷酸化PKCε和/或磷酸化PKCδ。

结果

梗死面积以坏死面积占危险面积的百分比表示,即AN/AAR(%),与对照(未处理)大鼠相比,后适应显著降低了梗死面积(对照为53±1%,后适应为39±2%,P<0.001)。与对照相比,再灌注时单独使用白屈菜红碱或单独使用PKCε拮抗剂KIE1-1对梗死面积没有影响。相反,非选择性PKC抑制和PKCε拮抗作用消除了后适应的梗死面积缩小效应(分别为50±2%和50±1%,P<0.002)。抑制PKCδ可将梗死面积降低至与后适应组相当的值(36±..

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