蛋白酶激活受体 2 缺乏是心肌缺血/再灌注损伤期间心肌细胞凋亡的保护因素。

Proteinase‑activated receptor 2 deficiency is a protective factor against cardiomyocyte apoptosis during myocardial ischemia/reperfusion injury.

机构信息

Department of Cardiology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, P.R. China.

Department of Anesthesiology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, P.R. China.

出版信息

Mol Med Rep. 2019 Oct;20(4):3764-3772. doi: 10.3892/mmr.2019.10618. Epub 2019 Aug 26.

Abstract

Previous studies have established that proteinase‑​activated receptor 2 (PAR2) activation protects against myocardial ischemia/reperfusion injury (MI/RI). However, the role of PAR2 deficiency in MI/RI remains unclear. The aim of the present study was to examine the effect of PAR2 deficiency on cardiomyocyte apoptosis and to clarify the potential molecular mechanisms for its protective effect against MI/RI. Using a mouse model of MI/RI, cardiac function was evaluated by echocardiography, infarct size was assessed by triphenyltetrazolium chloride staining, and myocardial cell apoptosis was measured by terminal deoxynucleotide transferase‑mediated dUTP nick end‑labeling staining. Annexin V/propidium iodide staining, and expression of Bcl‑2 and cleaved PARP were determined to assess apoptosis in myocardial H9c2 cells exposed to hypoxia/reoxygenation (H/R) injury‑simulating MI/RI. Phosphorylated ERK1/2, JNK, and p38 MAPK protein expression levels were analyzed by western blotting. The findings indicated that PAR2 deficiency markedly reduced cardiomyocyte apoptosis in the MI/RI mouse model, as well as in myocardial H9c2 cells exposed to H/R. Furthermore, PAR2 knockdown clearly prevented phosphorylation of ERK1/2 and JNK in myocardial H9c2 cells. The results revealed that PAR2 deficiency alleviated MI/RI‑associated apoptosis by inhibiting phosphorylation of ERK1/2 and JNK. Therefore, targeted PAR2 silencing may be a potential therapeutic approach for alleviation of MI/RI.

摘要

先前的研究已经证实蛋白酶激活受体 2(PAR2)的激活可防止心肌缺血/再灌注损伤(MI/RI)。然而,PAR2 缺乏在 MI/RI 中的作用仍不清楚。本研究旨在探讨 PAR2 缺乏对心肌细胞凋亡的影响,并阐明其对 MI/RI 保护作用的潜在分子机制。使用 MI/RI 的小鼠模型,通过超声心动图评估心脏功能,通过氯化三苯基四氮唑染色评估梗塞面积,通过末端脱氧核苷酸转移酶介导的 dUTP 缺口末端标记染色测量心肌细胞凋亡。通过 Annexin V/碘化丙啶染色以及 Bcl-2 和裂解的 PARP 的表达来评估暴露于模拟 MI/RI 的缺氧/复氧(H/R)损伤的心肌 H9c2 细胞中的凋亡。通过 Western blot 分析磷酸化 ERK1/2、JNK 和 p38 MAPK 蛋白表达水平。研究结果表明,PAR2 缺乏可明显减少 MI/RI 小鼠模型以及暴露于 H/R 的心肌 H9c2 细胞中的心肌细胞凋亡。此外,PAR2 敲低明显阻止了心肌 H9c2 细胞中 ERK1/2 和 JNK 的磷酸化。结果表明,PAR2 缺乏通过抑制 ERK1/2 和 JNK 的磷酸化缓解与 MI/RI 相关的凋亡。因此,靶向 PAR2 沉默可能是缓解 MI/RI 的一种潜在治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd21/6755170/796dc8551638/MMR-20-04-3764-g00.jpg

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