Rhein protects the myocardiac cells against hypoxia/reoxygention-induced injury by suppressing GSK3β activity

Phytomedicine. 2018 Dec 1:51:1-6. doi: 10.1016/j.phymed.2018.06.029. Epub 2018 Jun 21.

Abstract

Background: Rhein, an anthraquinone compound isolated from rhubarb, has been shown to protect the pancreatic β cells from hyperglycemia induced apoptosis in our previous studies.

Purpose: In the present study, we examined whether rhein can protect myocardial cells against ischemia reperfusion (I/R)-induced apoptosis and investigated the underlying mechanism.

Methods: We used an in vitro model of myocardial hypoxia/reoxygenation (H/R) injury. H9c2 cells were incubated with rhein for 1 h and then subjected to hypoxia for 6 h, followed by reoxygenation for 2 h. Cells viability, apoptosis and ROS were assayed for the treated cells. AKT, p-AKT, GSK3β, p- GSK3β, P38 and p-P38 proteins were analyzed using Western blotting. PI3K/AKT inhibitor, LY294002, and GSK3β siRNA were also used to determine the signaling pathways involved in the protection by rhein.

Results: Rhein increased viability, decreased apoptosis and ROS production, of the cells that were exposed to H/R. Rhein also increased the phosphorylation of AKT and GSK3β, an effect that was eliminated by LY294002. GSK3β silencing by siRNA showed similar effect as LY294002. The p-P38 level was upregulated by H/R and downregulated in the presence of rhein; however, the p-P38 downregulation was completely abolished by GSK3β silencing.

Conclusion: Rhein protects myocardial H9c2 cells against hypoxia/reoxygenation induced injury via AKT/ GSK3β/p38 pathway.

Keywords: H9c2 cells; Hypoxia/reoxygenation; Myocardial cells; PI3K/AKT; Rhein.

MeSH terms

  • Animals
  • Anthraquinones / pharmacology*
  • Apoptosis / drug effects
  • Cardiotonic Agents / pharmacology*
  • Cell Hypoxia / drug effects
  • Cell Survival / drug effects
  • Chromones / pharmacology
  • Glycogen Synthase Kinase 3 beta / metabolism*
  • Morpholines / pharmacology
  • Myocytes, Cardiac / drug effects*
  • Phosphatidylinositol 3-Kinases / metabolism
  • Phosphorylation
  • Proto-Oncogene Proteins c-akt / metabolism
  • Rats
  • Reperfusion Injury / prevention & control*
  • Signal Transduction / drug effects*
  • Up-Regulation
  • p38 Mitogen-Activated Protein Kinases / metabolism

Substances

  • Anthraquinones
  • Cardiotonic Agents
  • Chromones
  • Morpholines
  • 2-(4-morpholinyl)-8-phenyl-4H-1-benzopyran-4-one
  • Phosphatidylinositol 3-Kinases
  • Glycogen Synthase Kinase 3 beta
  • Gsk3b protein, rat
  • Proto-Oncogene Proteins c-akt
  • p38 Mitogen-Activated Protein Kinases
  • rhein