Cardioprotection from emulsified isoflurane postconditioning is lost in rats with streptozotocin-induced diabetes due to the impairment of Brg1/Nrf2/STAT3 signalling

Y Wang, H Li, H Huang, S Liu, X Mao, S Wang…�- Clinical�…, 2016 - portlandpress.com
Y Wang, H Li, H Huang, S Liu, X Mao, S Wang, SS Wong, Z Xia, MG Irwin
Clinical Science, 2016portlandpress.com
Isoflurane postconditioning (IsoPostC) attenuates myocardial ischaemia/reperfusion injury
(IRI). Signal transducer and activator of transcription-3 (STAT3) is critical in ischaemic
postconditioning cardioprotection, which can be regulated by the Brahma-related gene
(Brg1) and nuclear factor-erythroid 2-related factor 2 (Nrf2), although they are both reduced
in diabetic hearts. We hypothesized that reduced Brg1/Nrf2 and STAT3 activation may
jeopardize IsoPostC-mediated cardioprotection in diabetic hearts. In the present study�…
Isoflurane postconditioning (IsoPostC) attenuates myocardial ischaemia/reperfusion injury (IRI). Signal transducer and activator of transcription-3 (STAT3) is critical in ischaemic postconditioning cardioprotection, which can be regulated by the Brahma-related gene (Brg1) and nuclear factor-erythroid 2-related factor 2 (Nrf2), although they are both reduced in diabetic hearts. We hypothesized that reduced Brg1/Nrf2 and STAT3 activation may jeopardize IsoPostC-mediated cardioprotection in diabetic hearts. In the present study, Langendorff-perfused, non-diabetic (control) and 8-week-old streptozotocin-induced Type�1 diabetic rat hearts were subjected to 30�min of global ischaemia and 120�min of reperfusion without or with IsoPostC, which was achieved by administering emulsified isoflurane (2.0%, v/v) in Krebs–Henseleit (KH) solution immediately at the onset of reperfusion for 10�min and switching to KH solution perfusion alone thereafter. Cultured H9C2 cells were exposed to normal glucose (NG, 5.5�mM) or high glucose (HG, 30�mM) and subjected to hypoxia/reoxygenation (HR) in the presence or absence of IsoPostC. Diabetic rats displayed larger post-ischaemic myocardial infarction and more severe haemodynamic dysfunction, associated with increased myocardial oxidative stress and reduced cardiac Brg1, Nrf2 and STAT3 phosphorylation/activation (p-STAT3), compared with controls. These changes were reversed/prevented by IsoPostC in control but not in diabetic rats. In H9C2 cells exposed to NG but not HG, IsoPostC significantly attenuated HR-induced cellular injury and superoxide anion production with increased Brg1, Nrf2 and p-STAT3. These beneficial effects of IsoPostC were abolished by Brg1, Nrf2 or STAT3 gene knockdown. Brg1 or Nrf2 gene knockdown abolished IsoPostC-induced STAT3 activation. N-acetylcysteine restored Brg1, Nrf2 and p-STAT3, and IsoPostC-induced protection in H9C2 cells exposed to HG and HR. In conclusion, IsoPostC confers cardioprotection through Brg1/Nrf2/STAT3 signalling, and impairment of this pathway may be responsible for the loss of IsoPostC cardioprotection in diabetes.
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