Related Experiment Video
Updated: Aug 15, 2026

In vitro Assessment of Myocardial Protection following Hypothermia-Preconditioning in a Human Cardiac Myocytes Model
Published on: October 27, 2020
Role of apoptosis-inducing factor in myocardial cell death by ischemia-reperfusion
Gi-Tae Kim1, Yang-Sook Chun, Jong-Wan Park
1Department of Pharmacology, Seoul National University College of Medicine, 28 Yongon-dong, Chongno-gu, Seoul 110-799, South Korea.
Abstract:
Although apoptosis contributes to myocardial cell death in the ischemia-reperfused heart, the molecular basis of apoptosis is poorly understood. Apoptosis-inducing factor (AIF) has been characterized as a caspase-independent death effector. Upon the induction of apoptosis, mitochondrial AIF is released to the cytoplasm and then enters the nucleus, in which it induces chromatin condensation and 50 kbp DNA fragmentation. In the present study, we examined the role of AIF in ischemia-reperfusion injury in isolated rat hearts. AIF was detected in the cytosolic and nuclear fractions of hearts subjected to ischemia-reperfusion, whereas it was detected only in the mitochondria of control hearts. Moreover, AIF release increased in a reperfusion time-dependent manner. Pulse field gel electrophoresis revealed that 50 kbp DNA fragments were produced by ischemia/reperfusion. In contrast, cytochrome c release and the activation of caspase-3 did not occur to a significant extent. Moreover, ischemic preconditioning attenuated the AIF release and the 50 kbp DNA fragmentation. These results suggest that AIF-dependent apoptosis is likely to attribute to myocardial cell death in the ischemia-reperfused heart and that it is related with the protective effect of ischemic preconditioning.
Insights
Apoptosis-inducing factor (AIF) drives heart cell death after ischemia-reperfusion injury. This process, independent of caspase-3, is reduced by ischemic preconditioning, suggesting a key role for AIF in heart attack recovery.
Area of Science:
- Cardiovascular Biology
- Cell Death Mechanisms
- Molecular Cardiology
Background:
- Myocardial cell death during ischemia-reperfusion injury is a significant clinical concern.
- The precise molecular pathways driving apoptosis in the heart remain incompletely understood.
- Apoptosis-inducing factor (AIF) is a known caspase-independent cell death effector, translocating from mitochondria to the nucleus.
Purpose of the Study:
- To investigate the role of AIF in myocardial cell death following ischemia-reperfusion injury in isolated rat hearts.
- To determine if AIF-dependent apoptosis contributes to cardiac damage and if it is modulated by ischemic preconditioning.
Main Methods:
- Isolated rat hearts were subjected to ischemia-reperfusion protocols.
- Western blotting and subcellular fractionation were used to detect AIF localization (mitochondrial, cytosolic, nuclear).
- Pulse-field gel electrophoresis assessed DNA fragmentation, and caspase-3 activation/cytochrome c release were evaluated.
Main Results:
- AIF translocated from mitochondria to cytosolic and nuclear fractions following ischemia-reperfusion.
- AIF release and 50 kbp DNA fragmentation increased in a reperfusion time-dependent manner.
- Significant cytochrome c release or caspase-3 activation was not observed; ischemic preconditioning attenuated AIF release and DNA fragmentation.
Conclusions:
- AIF-dependent apoptosis is a likely mechanism of myocardial cell death in ischemia-reperfusion injury.
- The findings highlight AIF as a potential therapeutic target for protecting the heart during reperfusion.
- Ischemic preconditioning exerts protective effects, at least partly, by inhibiting AIF-mediated cell death pathways.
Related Concept Videos
Overview of Cell Death
Cell death was observed in the early 19th century, but there was no experimental evidence to prove it. In 1842, Carl Vogt first discovered cell death in a metamorphic toad; however, it was not termed ‘cell death.’ Scientists discovered different cell death pathways only in the 20th century...
Apoptosis
The Extrinsic Apoptotic Pathway
The Intrinsic Apoptotic Pathway
Cellular Injury IV: Necrosis
Cellular Injury V: Apoptosis and Autophagy

