Department of Surgery, Buddhist Tzu Chi General Hospital, Hualien 97002, Taiwan.
School of Medicine, Tzu Chi University, Hualien 97004, Taiwan.
Cells. 2019 Jun 9;8(6):564. doi: 10.3390/cells8060564.
It has been documented that reactive oxygen species (ROS) contribute to oxidative stress, leading to diseases such as ischemic heart disease. Recently, increasing evidence has indicated that short-term intermittent hypoxia (IH), similar to ischemia preconditioning, could yield cardioprotection. However, the underlying mechanism for the IH-induced cardioprotective effect remains unclear. The aim of this study was to determine whether IH exposure can enhance antioxidant capacity, which contributes to cardioprotection against oxidative stress and ischemia/reperfusion (I/R) injury in cardiomyocytes. Primary rat neonatal cardiomyocytes were cultured in IH condition with an oscillating O concentration between 20% and 5% every 30 min. An MTT assay was conducted to examine the cell viability. Annexin V-FITC and SYTOX green fluorescent intensity and caspase 3 activity were detected to analyze the cell death. Fluorescent images for DCFDA, Fura-2, Rhod-2, and TMRM were acquired to analyze the ROS, cytosol Ca, mitochondrial Ca, and mitochondrial membrane potential, respectively. RT-PCR, immunocytofluorescence staining, and antioxidant activity assay were conducted to detect the expression of antioxidant enzymes. Our results show that IH induced slight increases of O and protected cardiomyocytes against HO- and I/R-induced cell death. Moreover, HO-induced Ca imbalance and mitochondrial membrane depolarization were attenuated by IH, which also reduced the I/R-induced Ca overload. Furthermore, treatment with IH increased the expression of Cu/Zn SOD and Mn SOD, the total antioxidant capacity, and the activity of catalase. Blockade of the IH-increased ROS production abolished the protective effects of IH on the Ca homeostasis and antioxidant defense capacity. Taken together, our findings suggest that IH protected the cardiomyocytes against HO- and I/R-induced oxidative stress and cell death through maintaining Ca homeostasis as well as the mitochondrial membrane potential, and upregulation of antioxidant enzymes.
已经有文献证明,活性氧(ROS)会导致氧化应激,从而引发缺血性心脏病等疾病。最近,越来越多的证据表明,类似于缺血预处理的短期间歇性低氧(IH)可以产生心脏保护作用。然而,IH 诱导的心脏保护作用的潜在机制尚不清楚。本研究旨在确定 IH 暴露是否可以增强抗氧化能力,从而有助于对抗氧化应激和缺血/再灌注(I/R)损伤的心肌细胞保护作用。原代培养的新生大鼠心肌细胞在 IH 条件下培养,O 浓度在 20%和 5%之间每 30 分钟波动一次。通过 MTT 法检测细胞活力。通过 Annexin V-FITC 和 SYTOX 绿色荧光强度和 caspase 3 活性分析细胞死亡。通过 DCFDA、Fura-2、Rhod-2 和 TMRM 的荧光图像分别分析 ROS、胞质 Ca、线粒体 Ca 和线粒体膜电位。通过 RT-PCR、免疫细胞荧光染色和抗氧化活性测定检测抗氧化酶的表达。我们的结果表明,IH 诱导了轻微的 O 增加,并保护心肌细胞免受 HO 和 I/R 诱导的细胞死亡。此外,IH 减弱了 HO 诱导的 Ca 失衡和线粒体膜去极化,还减少了 I/R 诱导的 Ca 超载。此外,IH 处理增加了 Cu/Zn SOD 和 Mn SOD 的表达、总抗氧化能力和过氧化氢酶的活性。阻断 IH 增加的 ROS 产生消除了 IH 对 Ca 稳态和抗氧化防御能力的保护作用。综上所述,我们的研究结果表明,IH 通过维持 Ca 稳态和线粒体膜电位以及上调抗氧化酶来保护心肌细胞免受 HO 和 I/R 诱导的氧化应激和细胞死亡。