Department of Emergency Medicine, Beijing Key Laboratory of Cardiopulmonary Cerebral Resuscitation, Beijing Chao-Yang Hospital, Capital Medical University, Beijing 100020, China.
Department of Cardiology, Institute of Cardiovascular Diseases, First Affiliated Hospital of Dalian Medical University, Dalian 116011, China.
Oxid Med Cell Longev. 2022 May 12;2022:6196173. doi: 10.1155/2022/6196173. eCollection 2022.
Myocardial ischemia/reperfusion injury (I/RI) is closely associated with energy substrate metabolism. Fibronectin 1 (Fn1) was markedly elevated in the heart of I/R pigs and ischemic patients, but its role in myocardial I/RI is controversial and the precise mechanism involved remains elusive. Herein, we tested whether blockage of Fn1 with its inhibitor (fibronectin tetrapeptide, RGDS) would alleviate myocardial I/RI. Wild-type (WT) mice were administered with RGDS once 3 h before I/R operation and once at 24 or 48 h postreperfusion, and sacrificed at 24 or 72 h post-I/R, respectively. Cardiac function was evaluated by echocardiography. Myocardial infarction size, apoptosis, fibrosis, and inflammation were examined via histological staining. Uptake of glucose and fatty acids were detected by positron emission tomography (PET) and computer tomography (CT) with [F]-2-fluoro-2-deoxy-D-glucose (FDG) and [F]-fluoro-6-thia-heptadecanoic acid (FTHA), respectively. Our results showed that administration of RGDS to mice remarkably limited the I/R-induced myocardial infarct size, myocyte apoptosis, inflammation, oxidative stress, and fibrosis and improved cardiac contractile dysfunction. These protective effects were associated with upregulation of the AMP/ATP ratio and the activation of LKB1-AMPK signaling, which subsequently increased AS160-GLUT4-mediated glucose and fatty acid uptake, improved mitochondrial dynamic imbalance, and inactivated TGF- and NF-B signals in the I/R heart. In conclusion, the current study identified that blocking Fn1 protects against myocardial I/RI likely through activating the LKB1-AMPK-dependent signals and highlights that inhibition of Fn1 may be a novel therapeutic option for treating ischemic heart diseases.
心肌缺血/再灌注损伤(I/RI)与能量底物代谢密切相关。纤连蛋白 1(Fn1)在 I/R 猪和缺血患者的心脏中显著升高,但它在心肌 I/RI 中的作用存在争议,其涉及的确切机制仍不清楚。在此,我们测试了用其抑制剂(纤连蛋白四肽,RGDS)阻断 Fn1 是否会减轻心肌 I/RI。野生型(WT)小鼠在 I/R 手术前 3 小时给予 RGDS 一次,再灌注后 24 或 48 小时各给予一次,并分别在 I/R 后 24 或 72 小时处死。通过超声心动图评估心功能。通过组织学染色检查心肌梗死面积、细胞凋亡、纤维化和炎症。通过正电子发射断层扫描(PET)和计算机断层扫描(CT)用 [F]-2-氟-2-脱氧-D-葡萄糖(FDG)和 [F]-氟-6-硫代十七烷酸(FTHA)分别检测葡萄糖和脂肪酸的摄取。我们的结果表明,RGDS 给药可显著限制 I/R 引起的心肌梗死面积、心肌细胞凋亡、炎症、氧化应激和纤维化,并改善心脏收缩功能障碍。这些保护作用与 AMP/ATP 比值的上调和 LKB1-AMPK 信号的激活有关,这随后增加了 AS160-GLUT4 介导的葡萄糖和脂肪酸摄取,改善了线粒体动态失衡,并使 I/R 心脏中的 TGF-和 NF-B 信号失活。总之,本研究确定阻断 Fn1 可能通过激活 LKB1-AMPK 依赖性信号来保护心肌免受 I/RI,这突出表明抑制 Fn1 可能是治疗缺血性心脏病的一种新的治疗选择。