The expression of overexpressed PTEN enhanced IR-induced apoptosis of myocardial cells
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Updated: Jan 23, 2026

Myocardial Infarction and Functional Outcome Assessment in Pigs
Published on: April 25, 2014
1Department of Cardiovascular Surgery II, Beijing Children's ospital, Capital Medical University, National Center for Children's Health, Beijing, China. chongdejia8865na@126.com.
Objective:
Myocardial cell apoptosis is an important pathologic basis of ischemia-reperfusion injury (I/R). PI3K/Akt signaling pathway involves in cell growth, survival, and apoptosis regulation, thus playing an important role in the protection of I/R injury. PTEN is a negative regulatory factor of PI3K/Akt signaling pathway. This study established rat I/R injury model after AMI and myocardial cell I/R injury model to explore the regulatory role of PTEN-PI3K/Akt signaling pathway in myocardial I/R injury in vivo and in vitro.
Materials And Methods:
Rat myocardial I/R injury model was established. PTEN and p-Akt expressions in myocardial tissue were compared. H9C2 cells were incubated in I/R condition for 12 h, followed by reoxygenation for 12 h. H9C2 cells were divided into three groups, including I/R+pSicoR-Blank, I/R+pSicoR-PTEN, and I/R+pSicoR-PTEN+VO-Ohpic. PTEN, p-Akt, Bcl-2, and Bax expressions were detected. Cell apoptosis was measured by flow cytometry.
Results:
PTEN expression significantly increased, while p-Akt level markedly declined in myocardial tissue in I/R group compared with Sham group. Temporary PTEN downregulation and p-Akt elevation appeared at 2 h after I/R. I/R treatment markedly enhanced PTEN and Bax expressions, increased cell apoptosis, and reduced p-Akt and Bcl-2 levels. PTEN overexpression significantly enhanced Bax expression and cell apoptosis, while declined p-Akt and Bcl-2 in H9C2 after I/R. PTEN inhibited by VO-Ohpic markedly downregulated p-Akt and Bcl-2 expressions, whereas reduced Bax level and cell apoptosis.
Conclusions:
The overexpression of PTEN aggravated myocardial cell apoptosis after I/R. The blockage of PTEN enhanced PI3K/Akt signaling pathway and attenuated cell apoptosis induced by I/R.
Insights
PTEN overexpression worsens heart cell apoptosis after ischemia-reperfusion injury. Blocking PTEN activates the PI3K/Akt pathway, reducing this cell death and protecting the heart.
Area of Science:
- Cardiovascular Biology
- Cellular Signaling
- Molecular Medicine
Background:
- Myocardial ischemia-reperfusion (I/R) injury is a significant cause of heart damage.
- Myocardial cell apoptosis plays a crucial role in the pathology of I/R injury.
- The PI3K/Akt signaling pathway is vital for cell survival and apoptosis regulation, offering potential therapeutic targets.
Purpose of the Study:
- To investigate the role of PTEN in regulating the PI3K/Akt signaling pathway in myocardial I/R injury.
- To explore the therapeutic potential of targeting PTEN in mitigating I/R-induced cardiac damage.
Main Methods:
- Established rat myocardial I/R injury and H9C2 cell I/R models.
- Assessed PTEN, p-Akt, Bcl-2, and Bax protein expression levels.
- Quantified apoptosis using flow cytometry.
- Utilized PTEN overexpression and inhibition strategies.
Main Results:
- I/R injury led to increased PTEN and Bax, decreased p-Akt and Bcl-2, and enhanced apoptosis.
- PTEN overexpression exacerbated apoptosis and suppressed the PI3K/Akt pathway.
- PTEN inhibition activated PI3K/Akt signaling, reducing apoptosis and Bax, while increasing Bcl-2.
Conclusions:
- PTEN acts as a negative regulator of the PI3K/Akt pathway in myocardial I/R injury.
- Overexpression of PTEN aggravates myocardial cell apoptosis.
- Inhibiting PTEN protects against I/R injury by activating the PI3K/Akt pathway and reducing apoptosis.
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