Document Detail

NDRG2: a newly identified mediator of insulin cardioprotection against myocardial ischemia-reperfusion injury.
MedLine Citation:
PMID:  23463182     Owner:  NLM     Status:  MEDLINE    
The N-myc downstream-regulated gene 2 (NDRG2) is involved in cell apoptosis and survival. Although reported to be highly expressed in the cardiac tissue, the biological function of NDRG2 in the heart remains to be established. Insulin exerts protective effects against myocardial ischemia/reperfusion (I/R) injury through the PI3K/Akt pathway. Here, we examined the changes in phosphorylation of NDRG2, a novel substrate and phosphoprotein of Akt, in insulin-induced protection against myocardial I/R. Rat hearts were subjected to 30 min regional ischemia followed by reperfusion with or without insulin at the onset of reperfusion. Reperfusion with insulin inhibited myocardial apoptosis and reduced infarct size, as well as significantly up-regulated myocardial Akt and NDRG2 phosphorylation levels compared with the I/R group. These effects of insulin were blocked by pretreatment with the PI3K inhibitor wortmannin or Akt inhibitor. To further ascertain the role of NDRG2 in insulin-induced cardioprotection, cardiomyocytes were transduced with a lentivirus encoding shRNA targeting NDRG2 (loss-of-function), which rendered the cells more susceptible to I/R injury and significantly blunted the anti-apoptotic effect of insulin. Moreover, the NDRG2 shRNA lentivirus was tested in vivo, and NDRG2 knockdown aggravated myocardial I/R injury and attenuated the insulin-mediated cardioprotection against I/R injury. Taken together, these results suggest a novel role of PI3K/Akt/NDRG2 signaling in the cardioprotective effect of insulin.
Zhongchan Sun; Guang Tong; Nan Ma; Jianying Li; Xiujuan Li; Shuang Li; Jingyu Zhou; Lize Xiong; Feng Cao; Libo Yao; Haichang Wang; Lan Shen
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2013-03-06
Journal Detail:
Title:  Basic research in cardiology     Volume:  108     ISSN:  1435-1803     ISO Abbreviation:  Basic Res. Cardiol.     Publication Date:  2013 May 
Date Detail:
Created Date:  2013-03-06     Completed Date:  2013-08-16     Revised Date:  2014-08-20    
Medline Journal Info:
Nlm Unique ID:  0360342     Medline TA:  Basic Res Cardiol     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  341     Citation Subset:  IM    
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MeSH Terms
Animals, Newborn
Apoptosis / drug effects
Cardiotonic Agents / pharmacology*
Cells, Cultured
Disease Models, Animal
Insulin / pharmacology*
Myocardial Contraction / drug effects
Myocardial Infarction / metabolism,  pathology,  physiopathology,  prevention & control*
Myocardial Reperfusion Injury / metabolism,  pathology,  physiopathology,  prevention & control*
Myocardium / metabolism*,  pathology
Nerve Tissue Proteins / genetics,  metabolism*
Phosphatidylinositol 3-Kinase / antagonists & inhibitors,  metabolism
Protein Kinase Inhibitors / pharmacology
Proto-Oncogene Proteins c-akt / antagonists & inhibitors,  metabolism
RNA Interference
Rats, Sprague-Dawley
Signal Transduction / drug effects
Stroke Volume / drug effects
Time Factors
Ventricular Function, Left / drug effects*
Reg. No./Substance:
0/Cardiotonic Agents; 0/Insulin; 0/Ndrg2 protein, rat; 0/Nerve Tissue Proteins; 0/Protein Kinase Inhibitors; EC 3-Kinase; EC Proteins c-akt

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

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