Histone deacetylase inhibition reduces myocardial ischemia-reperfusion injury in mice

FASEB J. 2008 Oct;22(10):3549-60. doi: 10.1096/fj.08-108548. Epub 2008 Jul 7.


Limitation of infarct size is a major goal of therapy for acute coronary syndromes, and research has focused on achieving rapid patency of infarct-related vessels. However, new understandings of epigenetic modifications during ischemia suggest additional targeted approaches that have not been extensively explored. Here, we show that ischemia induces histone deacetylase (HDAC) activity in the heart with deacetylation of histones H3/4 in vitro and in vivo. We show, utilizing a standard murine model of ischemia-reperfusion, that chemical HDAC inhibitors significantly reduce infarct area, even when delivered 1 h after the ischemic insult. We demonstrate that HDAC inhibitors prevent ischemia-induced activation of gene programs that include hypoxia inducible factor-1alpha, cell death, and vascular permeability in vivo and in vitro, thus providing potential mechanisms to explain reduced vascular leak and myocardial injury. In vitro, siRNA knockdown experiments implicate HDAC4 as a mediator of the effects in ischemic cardiac myocytes. These results demonstrate that HDAC inhibitors alter the response to ischemic injury in the heart and reduce infarct size, suggesting novel therapeutic approaches for acute coronary syndromes.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Capillary Permeability / drug effects
  • Cell Survival / drug effects
  • Cytoprotection*
  • Disease Models, Animal
  • Enzyme Inhibitors / administration & dosage*
  • Gene Expression
  • Histone Deacetylase Inhibitors*
  • Histone Deacetylases / genetics
  • Histone Deacetylases / metabolism
  • Hypoxia-Inducible Factor 1, alpha Subunit / metabolism
  • Mice
  • Myocardial Reperfusion Injury / enzymology*
  • Myocardial Reperfusion Injury / genetics
  • Myocardial Reperfusion Injury / pathology*
  • Myocytes, Cardiac / drug effects
  • Myocytes, Cardiac / enzymology
  • Myocytes, Cardiac / pathology
  • RNA, Small Interfering / genetics
  • Vascular Endothelial Growth Factor A / antagonists & inhibitors


  • Enzyme Inhibitors
  • Hif1a protein, mouse
  • Histone Deacetylase Inhibitors
  • Hypoxia-Inducible Factor 1, alpha Subunit
  • RNA, Small Interfering
  • Vascular Endothelial Growth Factor A
  • vascular endothelial growth factor A, mouse
  • Hdac5 protein, mouse
  • Histone Deacetylases