Alpha-1 Adrenergic Receptor Agonist Phenylephrine Inhibits Sepsis-Induced Cardiomyocyte Apoptosis and Cardiac Dysfunction via Activating ERK1/2 Signal Pathway

Autor: Xiangxu Tang, Hongmei Li, Hua-dong Wang, Duomeng Yang, Da-xiang Lu, Yun Xing
Rok vydání: 2019
Předmět:
Lipopolysaccharides
Male
Lipopolysaccharide
p38 mitogen-activated protein kinases
Blotting
Western

Apoptosis
Enzyme-Linked Immunosorbent Assay
030204 cardiovascular system & hematology
Pharmacology
Critical Care and Intensive Care Medicine
p38 Mitogen-Activated Protein Kinases
Rats
Sprague-Dawley

Phenylephrine
03 medical and health sciences
chemistry.chemical_compound
0302 clinical medicine
NF-KappaB Inhibitor alpha
Troponin T
Sepsis
In Situ Nick-End Labeling
medicine
Prazosin
Animals
Myocytes
Cardiac

Phosphorylation
bcl-2-Associated X Protein
Alpha-1 adrenergic receptor
biology
Tumor Necrosis Factor-alpha
Cytochrome c
Cytochromes c
030208 emergency & critical care medicine
Rats
IκBα
Proto-Oncogene Proteins c-bcl-2
chemistry
Caspases
Emergency Medicine
biology.protein
Adrenergic alpha-1 Receptor Agonists
Signal Transduction
medicine.drug
Zdroj: Shock. 52:122-133
ISSN: 1540-0514
1073-2322
DOI: 10.1097/shk.0000000000001205
Popis: It was demonstrated that α1 adrenergic receptor (α1-AR) activation by phenylephrine (PE) attenuated cardiac dysfunction in lipopolysaccharide (LPS)-challenged mice. However, it is unclear whether PE suppresses sepsis-induced cardiomyocyte apoptosis. Here, we investigated the effects of PE on cardiomyocyte apoptosis in LPS-treated adult rat ventricular myocytes (ARVMs) and septic rats induced by cecal ligation and puncture. Cardiomyocyte apoptosis and caspase activity were detected by TUNEL and spectrophotometrical assay, respectively. Bax, Bcl-2 and cytochrome c (Cyt c) levels as well as IκBα, ERK1/2, p38 MAPK, JNK and cardiac troponin I (cTnI) phosphorylation were analyzed by Western blotting, and TNF-α concentration was analyzed by ELISA. PE inhibited LPS-induced caspase-3 activation in ARVMs, which was reversed by prazosin (a membrane permeable α1-AR antagonist), but not by CGP12177A (a membrane impermeable α1-AR antagonist). PE upregulated phosphorylated ERK1/2 and Bcl-2 contents, decreased TNF-α and Bax levels, Cyt c release, caspase-8/-9 activities as well as IκBα, p38MAPK and JNK phosphorylation in LPS-treated ARVMs, all of which were abolished by prazosin. Treatment with U0126 (a specific ERK1/2 inhibitor) reversed the effects of PE on IκBα, p38MAPK and JNK phosphorylation as well as caspase-3/-8/-9 activation in LPS-treated ARVMs. In septic rats, PE not only inhibited myocardial apoptosis as well as IκBα, p38MAPK, and JNK phosphorylation, but also upregulated myocardial phosphorylated ERK1/2. Furthermore, PE inhibited myocardial cTnI phosphorylation and improved cardiac function in septic rats. Taken together, our data suggest that α1-AR activation by PE inhibits sepsis-induced cardiomyocyte apoptosis and cardiac dysfunction via activating ERK1/2 signal pathway.
Databáze: OpenAIRE