1st Hospital of Shanxi Medical University, Shanxi Medical University, Taiyuan, Shanxi, China.
School of Public Health, Shanxi Medical University, Taiyuan, Shanxi, China.
Sci Rep. 2023 Feb 4;13(1):2045. doi: 10.1038/s41598-023-27611-6.
A large number of data suggest that caloric restriction (CR) has a protective effect on myocardial ischemia/reperfusion injury (I/R) in the elderly. However, the mechanism is still unclear. In this study, we created the I/R model in vivo by ligating the mice left coronary artery for 45 min followed by reperfusion. C57BL/6J wild-type mice were randomly divided into a young group fed ad libitum (y-AL), aged fed ad libitum (a-AL) and aged calorie restriction group (a-CR, 70% diet restriction), and fed for 6 weeks. The area of myocardial infarction was measured by Evan's blue-TTC staining, plasma cholesterol content quantified by ELISA, fatty acids and glucose measured by Langendorff working system, as well as protein expression of AMPK/SIRT/PGC signaling pathway related factors in myocardial tissue detected by immunoblotting. Our results showed that CR significantly reduced infarct size in elderly mice after I/R injury, promoted glycolysis regardless of I/R injury, and restored myocardial glucose uptake in elderly mice. Compared with a-AL group, CR significantly promoted the expression of p-AMPK, SIRT, p-PGC, and SOD, but decreased PPARγ expression in aged mice. In conclusion, our results suggest that CR protects elderly mice from I/R injury by altering myocardial substrate energy metabolism via the AMPK/SIRT/PGC pathway.
大量数据表明,热量限制(CR)对老年人心肌缺血/再灌注损伤(I/R)具有保护作用。然而,其机制尚不清楚。在本研究中,我们通过结扎小鼠左冠状动脉 45 分钟后再灌注,在体内创建了 I/R 模型。C57BL/6J 野生型小鼠被随机分为自由进食的年轻组(y-AL)、自由进食的老年组(a-AL)和老年热量限制组(a-CR,70%饮食限制),并喂养 6 周。通过 Evan's blue-TTC 染色测量心肌梗死面积,通过 ELISA 定量测定血浆胆固醇含量,通过 Langendorff 工作系统测量脂肪酸和葡萄糖,并用免疫印迹检测心肌组织中 AMPK/SIRT/PGC 信号通路相关因子的蛋白表达。我们的结果表明,CR 可显著减少 I/R 损伤后老年小鼠的梗死面积,促进糖酵解,且可恢复老年小鼠的心肌葡萄糖摄取。与 a-AL 组相比,CR 可显著促进老年小鼠中 p-AMPK、SIRT、p-PGC 和 SOD 的表达,但降低 PPARγ 的表达。总之,我们的结果表明,CR 通过改变 AMPK/SIRT/PGC 通路改变心肌底物能量代谢,从而保护老年小鼠免受 I/R 损伤。