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Updated: Jul 4, 2025

Improved Rodent Model of Myocardial Ischemia and Reperfusion Injury
Published on: March 7, 2022
Rap1GAP exacerbates myocardial infarction by regulating the AMPK/SIRT1/NF-κB signaling pathway
Tiantian Shan1, Xiaoying Li2, Wenzhi Xie3
1Department of Cardiology, Jinan Central Hospital, Shandong University, Jinan 250013, China; Research Center of Translational Medicine, Central Hospital Affiliated Shandong First Medical University, Jinan 250013, China.
Abstract:
Rap1 GTPase-activating protein (Rap1GAP) is an important tumor suppressor. The purpose of this study was to investigate the role of Rap1GAP in myocardial infarction (MI) and its potential mechanism. Left anterior descending coronary artery ligation was performed on cardiac-specific Rap1GAP conditional knockout (Rap1GAP-CKO) mice and control mice with MI. Seven days after MI, Rap1GAP expression in the hearts of control mice peaked, the expression of proapoptotic markers (Bax and cleaved caspase-3) increased, the expression of antiapoptotic factors (Bcl-2) decreased, and the expression of the inflammatory factors IL-6 and TNF-α increased; thus, apoptosis occurred, inflammation, infarct size, and left ventricular dysfunction increased, while the heart changes caused by MI were alleviated in Rap1GAP-CKO mice. Mouse heart tissue was obtained for transcriptome sequencing, and gene set enrichment analysis (GSEA) was used to analyze Gene Ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathways. We found that Rap1GAP was associated with the AMPK and NF-κB signaling pathways and that Rap1GAP inhibited AMPK/SIRT1 and activated the NF-κB signaling pathway in model animals. Similar results were observed in primary rat myocardial cells subjected to oxygen-glucose deprivation (OGD) to induce ischemia and hypoxia. Activating AMPK with the AMPK activator 5-aminoimidazole-4-carboxamide ribonucleoside (AICAR) reversed the damage caused by Rap1GAP overexpression in cardiomyocytes. In addition, the coimmunoprecipitation results showed that exogenous Rap1GAP interacted with AMPK. Rap1GAP was verified to regulate the AMPK SIRT1/NF-κB signaling pathway and exacerbate the damage to myocardial cells caused by ischemia and hypoxia. In conclusion, our results suggest that Rap1GAP promotes MI by modulating the AMPK/SIRT1/NF-κB signaling pathway and that Rap1GAP may be a therapeutic target for MI treatment in the future.
Insights
Rap1 GTPase-activating protein (Rap1GAP) worsens myocardial infarction (MI) by inhibiting the AMPK/SIRT1 pathway and activating NF-κB. Reducing Rap1GAP protects the heart from MI damage, suggesting it as a therapeutic target.
Area of Science:
- Cardiovascular Biology
- Molecular Medicine
- Cellular Signaling
Background:
- Rap1 GTPase-activating protein (Rap1GAP) is a known tumor suppressor.
- The role of Rap1GAP in myocardial infarction (MI) and its underlying mechanisms remain largely unexplored.
Purpose of the Study:
- To investigate the role of Rap1GAP in myocardial infarction (MI).
- To elucidate the molecular mechanisms by which Rap1GAP influences MI progression.
Main Methods:
- Cardiac-specific Rap1GAP conditional knockout (Rap1GAP-CKO) mice underwent myocardial infarction induction.
- Transcriptome sequencing and Gene Set Enrichment Analysis (GSEA) were performed on heart tissues.
- Primary rat myocardial cells were subjected to oxygen-glucose deprivation (OGD) to mimic ischemia and hypoxia.
Main Results:
- Rap1GAP expression increased post-MI, correlating with increased apoptosis, inflammation, infarct size, and cardiac dysfunction.
- Rap1GAP-CKO mice showed alleviated cardiac damage.
- Rap1GAP was found to inhibit the AMPK/SIRT1 pathway and activate the NF-κB signaling pathway, exacerbating ischemia-reperfusion injury.
- Activating AMPK with AICAR reversed Rap1GAP-induced cardiomyocyte damage.
Conclusions:
- Rap1GAP promotes myocardial infarction by modulating the AMPK/SIRT1/NF-κB signaling pathway.
- Rap1GAP may represent a potential therapeutic target for treating myocardial infarction.
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