Document Detail


Indices of apoptosis activation after blood cardioplegia and cardiopulmonary bypass.
MedLine Citation:
PMID:  16820582     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Cardioplegic arrest (CA) using cold blood cardioplegia (CBC) has been reported to reduce ischemia-reperfusion (IR)-induced myocardial injury via apoptosis. We studied key apoptotic mediators via the caspase-dependent and intrinsic pathways as well as poly(ADP)-ribosylating protein (PARP) activity in myocardial and peripheral tissues after CA and cardiopulmonary bypass (CBP). METHODS AND RESULTS: Right atrial (RA) and skeletal muscle(SM) was harvested from cardiac surgical patients with similar baseline characteristics (N =6) before and after CPB and CBC. Total and modified caspase-3, Bcl-2, Bad, apoptosis-inducing factor (AIF), and PARP were quantified by immunoblotting. Terminal caspase-3 activity was assessed and immunohistochemistry was performed for PARP and AIF. TUNEL staining was used for identification of apoptotic cells. Microarray gene expression analysis was performed using Affymetrix U95 GeneChip. In RA tissue, CA with CBC significantly increased phosphorylation of Bcl-2 (Ser70), Bad (Ser112) (2.63+/-0.4 and 1.77+/-0.3-fold respectively; P<0.05), and cleavage of the downstream caspase 3 (1.45+/-0.1-fold; P<0.05). There was no significant change in total protein levels. Also, there was an increase in mature AIF (57 kDa) levels (1.22+/-0.01-fold; P<0.05) and a trend toward nuclear translocation on histological staining. Caspase 3 activity was increased 1.5+/-0.14-fold (P<0.05). The number of apoptotic cells in atrial tissue increased after compared with before CPB/CA using TUNEL staining (1.55+/-0.66 versus 0.325+/-0.05%, respectively; P=0.03). In contrast, SM samples did not show any of the changes observed in RA tissue after CPB. CONCLUSIONS: Despite optimal current surgical myocardial protection, we found that CA with CBC induced both programmed cell death and survival signaling in myocardial tissue.
Authors:
Basel Ramlawi; Jun Feng; Shigetoshi Mieno; Csaba Szabo; Zsuzsanna Zsengeller; Richard Clements; Neel Sodha; Munir Boodhwani; Cesario Bianchi; Frank W Sellke
Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  Circulation     Volume:  114     ISSN:  1524-4539     ISO Abbreviation:  Circulation     Publication Date:  2006 Jul 
Date Detail:
Created Date:  2006-07-05     Completed Date:  2006-08-18     Revised Date:  2010-04-29    
Medline Journal Info:
Nlm Unique ID:  0147763     Medline TA:  Circulation     Country:  United States    
Other Details:
Languages:  eng     Pagination:  I257-63     Citation Subset:  AIM; IM    
Affiliation:
Division of Cardiothoracic Surgery, Department of Surgery, Beth Israel Deaconess MedicalCenter, LMOB 2A, 110 Francis St, Boston, Massachusetts 02215, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Aged
Apoptosis*
Apoptosis Inducing Factor / analysis
Atrial Appendage / chemistry,  pathology
Blood*
Cardiopulmonary Bypass / adverse effects*
Caspase 3
Caspases / analysis
Cell Hypoxia
Female
Gene Expression Profiling
Heart Arrest, Induced / adverse effects,  methods*
Humans
In Situ Nick-End Labeling
Male
Middle Aged
Muscle Proteins / biosynthesis,  genetics
Muscle, Skeletal / chemistry,  pathology
Myocardial Reperfusion
Oligonucleotide Array Sequence Analysis
Oxidative Stress
Phosphorylation
Poly(ADP-ribose) Polymerases / analysis
Protein Processing, Post-Translational
Protein Transport
Proto-Oncogene Proteins c-bcl-2 / analysis
Tyrosine / analogs & derivatives,  analysis
bcl-Associated Death Protein / analysis
Grant Support
ID/Acronym/Agency:
HL-46716/HL/NHLBI NIH HHS; HL-69024/HL/NHLBI NIH HHS; HL04095-06/HL/NHLBI NIH HHS
Chemical
Reg. No./Substance:
0/AIFM1 protein, human; 0/Apoptosis Inducing Factor; 0/BAD protein, human; 0/Muscle Proteins; 0/Proto-Oncogene Proteins c-bcl-2; 0/bcl-Associated Death Protein; 3604-79-3/3-nitrotyrosine; 55520-40-6/Tyrosine; EC 2.4.2.30/Poly(ADP-ribose) Polymerases; EC 3.4.22.-/CASP3 protein, human; EC 3.4.22.-/Caspase 3; EC 3.4.22.-/Caspases

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  A novel strategy for myocardial protection by combined antibody therapy inhibiting both P-selectin a...
Next Document:  Pacing-induced dys-synchrony preconditions rabbit myocardium against ischemia/reperfusion injury.