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Updated: May 11, 2026

In vitro Assessment of Myocardial Protection following Hypothermia-Preconditioning in a Human Cardiac Myocytes Model
Published on: October 27, 2020
PEP-1-CAT protects hypoxia/reoxygenation-induced cardiomyocyte apoptosis through multiple sigaling pathways
Lei Zhang1, Shuang Wei, Jun-Ming Tang
1Institute of Clinical Medicine, Renmin Hospital, Hubei University of Medicine, Shiyan, Hubei 442000, China.
Background:
Catalase (CAT) breaks down H2O2 into H2O and O2 to protects cells from oxidative damage. However, its translational potential is limited because exogenous CAT cannot enter living cells automatically. This study is aimed to investigate if PEP-1-CAT fusion protein can effectively protect cardiomyocytes from oxidative stress due to hypoxia/reoxygenation (H/R)-induced injury.
Methods:
H9c2 cardomyocytes were pretreated with catalase (CAT) or PEP-1-CAT fusion protein followed by culturing in a hypoxia and re-oxygenation condition. Cell apoptosis were measured by Annexin V and PI double staining and Flow cytometry. Intracellular superoxide anion level was determined, and mitochondrial membrane potential was measured. Expression of apoptosis-related proteins including Bcl-2, Bax, Caspase-3, PARP, p38 and phospho-p38 was analyzed by western blotting.
Results:
PEP-1-CAT protected H9c2 from H/R-induced morphological alteration and reduced the release of lactate dehydrogenase (LDH) and malondialdehyde content. Superoxide anion production was also decreased. In addition, PEP-1-CAT inhibited H9c2 apoptosis and blocked the expression of apoptosis stimulator Bax while increased the expression of Bcl-2, leading to an increased mitochondrial membrane potential. Mechanistically, PEP-1-CAT inhibited p38 MAPK while activating PI3K/Akt and Erk1/2 signaling pathways, resulting in blockade of Bcl2/Bax/mitochondrial apoptotic pathway.
Conclusion:
Our study has revealed a novel mechanism by which PEP-1-CAT protects cardiomyocyte from H/R-induced injury. PEP-1-CAT blocks Bcl2/Bax/mitochondrial apoptotic pathway by inhibiting p38 MAPK while activating PI3K/Akt and Erk1/2 signaling pathways.
Insights
PEP-1-CAT fusion protein protects cardiomyocytes from hypoxia/reoxygenation injury by entering cells and activating protective pathways. This novel approach enhances cell survival and reduces oxidative damage.
Area of Science:
- Cardiovascular Biology
- Cellular Stress Response
- Biotechnology
Background:
- Catalase (CAT) mitigates oxidative damage but struggles with cellular entry.
- Hypoxia/reoxygenation (H/R) induces significant cardiomyocyte injury.
- PEP-1-CAT fusion protein aims to overcome delivery limitations for enhanced cellular protection.
Purpose of the Study:
- To investigate the protective effects of PEP-1-CAT fusion protein against H/R-induced injury in cardiomyocytes.
- To elucidate the underlying molecular mechanisms of PEP-1-CAT-mediated cardioprotection.
Main Methods:
- H9c2 cardiomyocytes were treated with CAT or PEP-1-CAT before H/R exposure.
- Apoptosis, superoxide anion levels, and mitochondrial membrane potential were assessed.
- Western blotting analyzed key apoptosis-related proteins and signaling pathways (MAPK, PI3K/Akt, Erk1/2).
Main Results:
- PEP-1-CAT significantly reduced H/R-induced cell damage, LDH release, and malondialdehyde levels.
- PEP-1-CAT inhibited apoptosis by modulating Bcl-2/Bax expression and preserving mitochondrial membrane potential.
- PEP-1-CAT suppressed p38 MAPK while activating PI3K/Akt and Erk1/2 signaling pathways.
Conclusions:
- PEP-1-CAT effectively protects cardiomyocytes from H/R injury.
- The fusion protein acts by blocking the Bcl2/Bax/mitochondrial apoptotic pathway.
- PEP-1-CAT activates PI3K/Akt and Erk1/2 signaling, offering a novel cardioprotective strategy.
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