Unfolded protein response plays a critical role in heart damage after myocardial ischemia/reperfusion in rats

PLoS One. 2017 Jun 7;12(6):e0179042. doi: 10.1371/journal.pone.0179042. eCollection 2017.

Abstract

The unfolded protein response (UPR) plays a critical role in cell death mediated by ischemia/reperfusion (I/R) injury. However, little is known about the exact mechanism of UPR signaling pathways after myocardial I/R injury in rats. An attempt was therefore made to assess whether the myocardial I/R induced UPR, and which branch of UPR (ATF6, IRE1 and PERK) signal pathway was activated. Sprague-Dawley rats were pretreated with UPR stimulator dithiothreitol (DTT) and UPR inhibitor 4-phenylbutyrate (4PBA) and then subjected to myocardial I/R surgery. Compared with sham-operated group, the expression of GRP78, ATF6, CHOP and sXBP1 in the I/R injured group is significantly increased at transcript and protein levels, which indicated that all the three signal pathways of UPR were activated in the myocardial I/R injury. Compared with the I/R injured group, treatment with 4PBA effectively decreased myocardium infarct size, reduced myocardial apoptosis, down-regulated caspase-12 expression, diminished serum creatine kinase and lactate dehydrogenase levels. In contrast, these effects were reversed in DTT treated group. In summary, these results demonstrated that myocardial I/R injury activates UPR and inhibiting cell UPR possesses a cardioprotective effect through the suppression of ER stress-induced apoptosis. Therefore, inhibition of UPR might be used as a therapeutic target during myocardial I/R injury.

MeSH terms

  • Activating Transcription Factor 6 / genetics
  • Animals
  • Apoptosis / genetics
  • Caspase 12 / blood
  • Creatine Kinase / blood
  • Endoplasmic Reticulum Chaperone BiP
  • Endoplasmic Reticulum Stress / genetics
  • Heat-Shock Proteins / genetics
  • Humans
  • L-Lactate Dehydrogenase / blood
  • Myocardial Infarction / genetics*
  • Myocardial Infarction / physiopathology
  • Myocardial Reperfusion Injury / genetics*
  • Myocardial Reperfusion Injury / physiopathology
  • Rats
  • Signal Transduction
  • Transcription Factor CHOP / genetics
  • Unfolded Protein Response / genetics*
  • X-Box Binding Protein 1 / genetics

Substances

  • Activating Transcription Factor 6
  • Atf6 protein, rat
  • Ddit3 protein, rat
  • Endoplasmic Reticulum Chaperone BiP
  • GRP78 protein, rat
  • HSPA5 protein, human
  • Heat-Shock Proteins
  • X-Box Binding Protein 1
  • Xbp1 protein, rat
  • Transcription Factor CHOP
  • L-Lactate Dehydrogenase
  • Creatine Kinase
  • Caspase 12

Grants and funding

The authors received no specific funding for this work.