Conditioned medium from adipose-derived stem cells attenuates ischemia/reperfusion-induced cardiac injury through the microRNA-221/222/PUMA/ETS-1 pathway

Autor: Shu-Rung Lin, Chiang-Wen Lee, Yu-Chen Chen, Chi-Ming Pu, I-Ta Lee, Jaw-Shiun Tsai, Tzu-Lin Lee, Shu-Wha Lin, Yuh-Lien Chen, Tsai-Chun Lai
Rok vydání: 2021
Předmět:
Male
0301 basic medicine
p38 mitogen-activated protein kinases
Myocardial Infarction
Medicine (miscellaneous)
Apoptosis
Myocardial Reperfusion Injury
Ischemia/reperfusion injury
Proto-Oncogene Protein c-ets-1
Andrology
Mice
03 medical and health sciences
0302 clinical medicine
Reperfusion therapy
Annexin
Fibrosis
Puma
Animals
Medicine
Myocytes
Cardiac

p53 upregulated modulator of apoptosis
ADSC-CM
miR-221/222
Pharmacology
Toxicology and Pharmaceutics (miscellaneous)

Mice
Knockout

TUNEL assay
Cell Death
biology
business.industry
Myocardium
Stem Cells
Tumor Suppressor Proteins
fibrosis
Mesenchymal Stem Cells
medicine.disease
biology.organism_classification
Mice
Inbred C57BL

MicroRNAs
030104 developmental biology
Adipose Tissue
Culture Media
Conditioned

Reperfusion Injury
030220 oncology & carcinogenesis
Reperfusion
biology.protein
Apoptosis Regulatory Proteins
business
Research Paper
Zdroj: Theranostics
ISSN: 1838-7640
DOI: 10.7150/thno.52677
Popis: Rationale: Cardiovascular diseases, such as myocardial infarction (MI), are the leading causes of death worldwide. Reperfusion therapy is the common standard treatment for MI. However, myocardial ischemia/reperfusion (I/R) causes cardiomyocyte injury, including apoptosis and fibrosis. We aimed to investigate the effects of conditioned medium from adipose-derived stem cells (ADSC-CM) on apoptosis and fibrosis in I/R-treated hearts and hypoxia/reoxygenation (H/R)-treated cardiomyocytes and the underlying mechanisms. Methods: ADSC-CM was collected from ADSCs. The effects of intramuscular injection of ADSC-CM on cardiac function, cardiac apoptosis, and fibrosis examined by echocardiography, Evans blue/TTC staining, TUNEL assay, and Masson's trichrome staining in I/R-treated mice. We also examined the effects of ADSC-CM on apoptosis and fibrosis in H/R-treated H9c2 cells by annexin V/PI flow cytometry, TUNEL assay, and immunocytochemistry. Results: ADSC-CM treatment significantly reduced heart damage and fibrosis of I/R-treated mice and H/R-treated cardiomyocytes. In addition, the expression of apoptosis-related proteins, such as p53 upregulated modulator of apoptosis (PUMA), p-p53 and B-cell lymphoma 2 (BCL2), as well as the fibrosis-related proteins ETS-1, fibronectin and collagen 3, were significantly reduced by ADSC-CM treatment. Moreover, we demonstrated that ADSC-CM contains a large amount of miR-221/222, which can target and regulate PUMA or ETS-1 protein levels. Furthermore, the knockdown of PUMA and ETS-1 decreased the induction of apoptosis and fibrosis, respectively. MiR-221/222 overexpression achieved similar results. We also observed that cardiac I/R markedly increased apoptosis and fibrosis in miR-221/222 knockout (KO) mice, while ADSC-CM decreased these effects. The increased phosphorylation of p38 and NF‐κB not only mediated myocardial apoptosis through the PUMA/p53/BCL2 pathway but also regulated fibrosis through the ETS-1/fibronectin/collagen 3 pathway. Conclusions: Overall, our results show that ADSC-CM attenuates cardiac apoptosis and fibrosis by reducing PUMA and ETS-1 expression, respectively. The protective effect is mediated via the miR-221/222/p38/NF-κB pathway.
Databáze: OpenAIRE