Department of Cardiology, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430000, Hubei Province, China.
Department of Cardiology, Renmin Hospital of Wuhan University, Wuhan, China.
Int Immunopharmacol. 2020 Jun;83:105910. doi: 10.1016/j.intimp.2019.105910. Epub 2020 Mar 26.
Apoptosis, reactive oxidative stress (ROS) and inflammation act as the pivotal pathogenesis of myocardial ischemia/reperfusion (I/R) injury (MIRI). Our prior study and other investigation have demonstrated the participations of src homology 2 (SH2) B adaptor protein 1 (SH2B1) in ischemic injury and cardiac hypertrophy; whereas, the involvements of SH2B1 in MIRI and underlying mechanisms are completely unknown.
In present study, MIRI model in vivo was induced by 30 min of ligation of LAD coronary artery and 24 h of reperfusion, and primary cultured cardiomyocytes were challenged with 2 h of hypoxia followed by 4 h of reoxygenation (H/R) to mimic MIRI in vitro. Adenovirus encoding for SH2B1 or GFP were pre-transfected into myocardium prior to MIRI both in vivo and in vitro. The myocardial damage, cardiac function, apoptosis, ROS and inflammation were evaluated systematically. Immunofluorescence staining and western blotting were alternatively performed to detect protein expression.
The results exhibited that H/R or I/R significantly reduced SH2B1 in cardiomyocytes, followed by impaired cell survival and function, which were strongly reversed after the adenovirus-mediated SH2B1 up-regulation. Meanwhile, I/R- and H/R-elevated inflammation, apoptosis and ROS were also alleviated by SH2B1 up-regulation. A mechanistic study suggested that the protective contributions of SH2B1 on H/R-suffered cardiomyocytes were based on the activation of the PI3K/AKT pathway. The abolishment of the PI3K/AKT via a pharmacological inhibitor (LY294002) repressed anti-H/R capabilities of SH2B1.
Therefore, SH2B1 prevents cardiomyocytes from inflammation, apoptosis and ROS in MIRI partially through the PI3K/AKT-dependent avenues. It may provide a novel therapeutic target for the treatment of MIRI.
细胞凋亡、活性氧应激(ROS)和炎症是心肌缺血/再灌注(I/R)损伤(MIRI)的关键发病机制。我们之前的研究和其他研究表明,Src 同源 2(SH2)B 衔接蛋白 1(SH2B1)参与了缺血性损伤和心肌肥厚;然而,SH2B1 在 MIRI 中的作用及其潜在机制尚不清楚。
在本研究中,通过结扎左前降支冠状动脉 30 分钟和再灌注 24 小时,在体内诱导 MIRI 模型,并用 2 小时缺氧后 4 小时复氧(H/R)在体外模拟 MIRI,对原代培养的心肌细胞进行处理。在体内和体外 MIRI 之前,用编码 SH2B1 或 GFP 的腺病毒预先转染心肌细胞。系统评估心肌损伤、心功能、细胞凋亡、ROS 和炎症。免疫荧光染色和 Western blot 交替检测蛋白表达。
结果表明,H/R 或 I/R 可显著降低心肌细胞中的 SH2B1,随后导致细胞存活和功能受损,而用腺病毒介导的 SH2B1 上调可强烈逆转这种情况。同时,I/R 和 H/R 增加的炎症、细胞凋亡和 ROS 也被 SH2B1 上调所缓解。一项机制研究表明,SH2B1 对 H/R 损伤心肌细胞的保护作用是基于 PI3K/AKT 通路的激活。通过药理学抑制剂(LY294002)阻断 PI3K/AKT 通路,抑制了 SH2B1 的抗 H/R 能力。
因此,SH2B1 通过 PI3K/AKT 依赖途径部分防止 MIRI 中的心肌细胞炎症、细胞凋亡和 ROS。它可能为 MIRI 的治疗提供一个新的治疗靶点。