Related Experiment Video
Updated: May 11, 2026

In vitro Assessment of Myocardial Protection following Hypothermia-Preconditioning in a Human Cardiac Myocytes Model
Published on: October 27, 2020
Cardioprotection by modulation of mitochondrial respiration during ischemia-reperfusion: role of apoptosis-inducing
Aijun Xu1, Karol Szczepanek, Ying Hu
1Department of Internal Medicine (Division of Cardiology), Virginia Commonwealth University, Richmond, VA 23298, USA.
Abstract:
The transient, reversible blockade of electron transport (BET) during ischemia or at the onset of reperfusion protects mitochondria and decreases cardiac injury. Apoptosis inducing factor (AIF) is located within the mitochondrial intermembrane space. A release of AIF from mitochondria into cytosol and nucleus triggers caspase-independent cell death. We asked if BET prevents the loss of AIF from mitochondria as a mechanism of protection in the buffer perfused heart. BET during ischemia with amobarbital, a rapidly reversible inhibitor of mitochondrial complex I, attenuated a release of AIF from mitochondria into cytosol, in turn decreasing the formation of cleaved and activated PARP-1. These results suggest that BET-mediated protection may occur through prevention of the loss of AIF from mitochondria during ischemia-reperfusion. In order to further clarify the role of mitochondrial AIF in BET-mediated protection, Harlequin (Hq) mice, a genetic model with mitochondrial AIF deficiency, were used to test whether BET could still decrease cell injury in Hq mouse hearts during reperfusion. BET during ischemia protected Hq mouse hearts against ischemia-reperfusion injury and improved mitochondrial function in these hearts during reperfusion. Thus, cardiac injury can still be decreased in the presence of down-regulated mitochondrial AIF content. Taken together, BET during ischemia protects both hearts with normal mitochondrial AIF content and hearts with mitochondrial AIF deficiency. Although preservation of mitochondrial AIF content plays a key role in reducing cell injury during reperfusion, the protection derived from the BET is not fully dependent on AIF-driven mechanisms.
Insights
Transient, reversible blockade of electron transport (BET) protects the heart by preventing the release of apoptosis-inducing factor (AIF) from mitochondria during ischemia-reperfusion injury. This mechanism reduces cardiac damage, even in models with reduced AIF levels.
Area of Science:
- Cardiovascular Science
- Mitochondrial Biology
- Cell Death Mechanisms
Background:
- Mitochondrial dysfunction and apoptosis-inducing factor (AIF) release contribute to cardiac injury during ischemia-reperfusion.
- Transient, reversible blockade of electron transport (BET) is a known cardioprotective strategy.
Purpose of the Study:
- To investigate if BET prevents AIF release from mitochondria as a mechanism of cardioprotection.
- To determine if BET-mediated protection is dependent on mitochondrial AIF levels.
Main Methods:
- Utilized amobarbital, a mitochondrial complex I inhibitor, to induce BET in buffer-perfused rat hearts.
- Assessed AIF release, cleaved PARP-1 formation, and cardiac injury.
- Employed Harlequin (Hq) mice, a genetic model with mitochondrial AIF deficiency, to test BET's efficacy in AIF-deficient hearts.
Main Results:
- BET significantly attenuated the release of AIF from mitochondria into the cytosol during ischemia.
- BET decreased the formation of cleaved and activated PARP-1, indicating reduced apoptosis.
- BET provided significant cardioprotection in Hq mouse hearts, reducing ischemia-reperfusion injury and improving mitochondrial function, despite AIF deficiency.
Conclusions:
- BET-mediated cardioprotection involves the prevention of mitochondrial AIF loss during ischemia-reperfusion.
- While AIF preservation contributes to BET's protective effects, the mechanism is not solely dependent on AIF-driven pathways.
- BET offers protection against cardiac injury irrespective of normal or deficient mitochondrial AIF content.
Related Concept Videos
The Intrinsic Apoptotic Pathway
Cellular Injury V: Apoptosis and Autophagy
Cellular Injury IV: Necrosis
The Extrinsic Apoptotic Pathway
Apoptosis
Cellular Injury I: Introduction

