Diazoxide-mediated preconditioning against apoptosis involves activation of cAMP-response element-binding protein

Roman A Eliseev1, Beth Vanwinkle, Randy N Rosier

  • 1Musculo-Skeletal Research Unit, University of Rochester School of Medicine, Rochester, New York 14642, USA.

Insights

Diazoxide preconditioning protects cells from apoptosis by activating transcription factors CREB and NF-kappaB, leading to increased levels of survival proteins like cytochrome c and Bcl-xl.

Area of Science:

  • Cell Biology
  • Molecular Biology
  • Biochemistry

Background:

  • Mitochondrial ATP-sensitive K+ channel openers, such as diazoxide, are known to precondition cells against injury and inhibit apoptosis.
  • The precise molecular mechanisms underlying diazoxide-mediated preconditioning remain incompletely understood.

Purpose of the Study:

  • To investigate the effects of diazoxide pretreatment on mitochondrial function and morphology in HL60 cells.
  • To elucidate the role of diazoxide in modulating cellular susceptibility to apoptosis.

Main Methods:

  • HL60 cells were pretreated with diazoxide, followed by exposure to etoposide to induce apoptosis.
  • Mitochondrial morphology, function (oxidative phosphorylation, membrane potential), and protein/mRNA levels (cytochrome c, Bcl-xl) were assessed.
  • Activation of transcription factors cAMP-response element-binding protein (CREB) and NF-kappaB was analyzed.
  • Specific inhibitors of mitochondrial K+ channels (5-hydroxydecanoate) and NF-kappaB (SN50) were used to confirm pathway specificity.

Main Results:

  • Diazoxide pretreatment inhibited etoposide-induced apoptosis and mitochondrial dysfunction.
  • Diazoxide induced moderate mitochondrial swelling and release of cytochrome c, alongside increased expression of cytochrome c and Bcl-xl.
  • Activation of CREB and NF-kappaB was observed, correlating with increased prosurvival protein levels and resistance to apoptosis.
  • Inhibitor studies confirmed the involvement of mitochondrial K+ channels and NF-kappaB in diazoxide's protective effects.

Conclusions:

  • Diazoxide-mediated preconditioning against apoptosis involves the activation of pro-survival transcription factors CREB and NF-kappaB.
  • This activation leads to the upregulation of key proteins like cytochrome c and Bcl-xl, conferring cellular resistance to apoptotic stimuli.
  • The observed effects are likely initiated by an increase in cytosolic calcium following diazoxide treatment.

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