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Murine Isolated Heart Model of Myocardial Stunning Associated with Cardioplegic Arrest
Published on: August 6, 2015
Cardioprotection by H2S engages a cGMP-dependent protein kinase G/phospholamban pathway
Sofia-Iris Bibli1, Ioanna Andreadou2, Athanasia Chatzianastasiou3
1Faculty of Pharmacy, University of Athens, Panepistimiopolis, Zografou, Athens 15771, Greece.
Insights
Hydrogen sulfide (H2S) protects the heart via a cGMP/PKG/PLN pathway. This cardioprotective effect is species-specific, with nitric oxide playing a role in mice but not rabbits.
Area of Science:
- Cardiovascular Physiology
- Molecular Cardiology
- Biochemistry
Background:
- Hydrogen sulfide (H2S) is recognized for its cardioprotective properties.
- The precise molecular mechanisms underlying H2S-mediated cardioprotection in vivo are not fully elucidated.
- Understanding these pathways is crucial for developing novel therapeutic strategies against myocardial injury.
Purpose of the Study:
- To investigate the role of cyclic guanosine monophosphate (cGMP)-regulated pathways in H2S-induced infarct limitation.
- To determine the contribution of specific signaling molecules, such as protein kinase G (PKG) and phospholamban (PLN), to H2S cardioprotection.
- To assess the species-specific differences in H2S-mediated cardioprotection, particularly concerning the involvement of nitric oxide (NO).
Main Methods:
- Myocardial ischemia/reperfusion (I/R) injury was induced in anesthetized rabbits and mice.
- Animals were treated with sodium hydrosulfide (NaHS), a H2S donor, or vehicle.
- Pharmacological inhibitors of cGMP-dependent protein kinase (PKG-I), KATP channels, and endothelial nitric oxide synthase (eNOS) were used.
- Western blotting was employed to assess protein phosphorylation.
- Studies were conducted in wild-type and PLN knockout (PLN KO) mice.
Main Results:
- Sodium hydrosulfide (NaHS) administration significantly reduced infarct size in rabbits and increased cardiac cGMP levels.
- The protective effect of NaHS in rabbits was abrogated by a PKG-I inhibitor but not by an l-NAME control.
- NaHS enhanced phospholamban (PLN) phosphorylation in a PKG-dependent manner, and cardioprotection was lost in PLN KO mice.
- In contrast to rabbits, the infarct-limiting effect of NaHS in mice was abolished by eNOS inhibition, indicating a species-specific role for NO.
Conclusions:
- Cardioprotection induced by NaHS is mediated through a cGMP/PKG/PLN signaling cascade.
- The involvement of nitric oxide in H2S-induced cardioprotection is species-dependent.
- These findings highlight a conserved cGMP/PKG/PLN pathway but divergent roles of NO in H2S cardioprotection across species.
Aims:
H2S is known to confer cardioprotection; however, the pathways mediating its effects in vivo remain incompletely understood. The purpose of the present study is to evaluate the contribution of cGMP-regulated pathways in the infarct-limiting effect of H2S in vivo.
Methods And Results:
Anaesthetized rabbits were subjected to myocardial ischaemia (I)/reperfusion (R), and infarct size was determined in control or H2S-exposed groups. The H2S donor sodium hydrosulfide (NaHS, an agent that generates H2S) increased cardiac cGMP and reduced the infarct size. The cGMP-dependent protein kinase (PKG)-I inhibitor DT2 abrogated the protective effect of NaHS, whereas the control peptide TAT or l-nitroarginine methyl ester (l-NAME) did not alter the effect of NaHS. Moreover, the KATP channel inhibitor, glibenclamide, partially reversed the effects of NaHS, whereas inhibition of mitochondrial KATP did not modify the NaHS response. NaHS enhanced phosphorylation of phospholamban (PLN), in a PKG-dependent manner. To further investigate the role of PLN in H2S-mediated cardioprotection, wild-type and PLN KO mice underwent I/R. NaHS did not exert cardioprotection in PLN KO mice. Unlike what was observed in rabbits, genetic or pharmacological inhibition of eNOS abolished the infarct-limiting effect of NaHS in mice.
Conclusions:
Our findings demonstrate (i) that administration of NaHS induces cardioprotection via a cGMP/PKG/PLN pathway and (ii) contribution of nitric oxide to the H2S response is species-specific.
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