PMID- 22166638 OWN - NLM STAT- MEDLINE DCOM- 20120425 LR - 20191210 IS - 2542-5641 (Electronic) IS - 0366-6999 (Linking) VI - 123 IP - 24 DP - 2010 Dec TI - Neuregulin-1 preconditioning protects the heart against ischemia/reperfusion injury through a PI3K/Akt-dependent mechanism. PG - 3597-604 AB - BACKGROUND: Neuregulin-1 (NRG-1), the ligand of the myocardial ErbB receptor, is a protein mediator with regulatory actions in the heart. This study investigated whether NRG-1 preconditioning has protective effects on myocardial ischemia/reperfusion (I/R) injury and its potential mechanism. METHODS: We worked with an in vivo rat model with induced myocardial ischemia (45 minutes) followed by reperfusion (3 hours). NRG-1 message was detected in the heart using RT-PCR and the protein levels of NRG-1 and ErbB4 were detected by Western blotting analysis. Infarct size was assessed using the staining agent triphenyltetrazolium chloride and cardiac function was continuously monitored. The levels of creatine kinase and lactate dehydrogenase in plasma were analyzed to assess the degree of cardiac injury. The extent of cardiac apoptosis was evaluated by terminal deoxynucleotidyl transferase-mediated dUTP nick end labeling (TUNEL) assay and by Western blotting analysis of cleaved caspase-3. We examined the phosphorylation of Akt in the myocardium and the effect of PI3K/Akt inhibition on NRG-1-induced cardioprotection. RESULTS: Transcription and expression of NRG-1 and phosphorylation of its ErbB4 receptor were significantly upregulated in the I/R hearts. NRG-1 pretreatment reduced the infarct size following cardiac I/R in a concentration-dependent manner with an optimal concentration of 4 microg/kg in vivo. NRG-1 pretreatment with 4 microg/kg, i.v. markedly reduced the plasma creatine kinase and lactate dehydrogenase levels. Pretreatment with NRG-1 also significantly reduced the percentage of TUNEL positive myocytes and the level of cleaved caspase-3 in the I/R hearts. Pretreatment with NRG-1 significantly increased phosphorylation of Akt following I/R. Furthermore, the cardioprotective effect limiting the infarct size that was induced by NRG-1 was abolished by co-administration of the PI3K inhibitor LY294002. CONCLUSIONS: The concentration of NRG-1, a new autacoid, was rapidly upregulated after myocardial I/R. NRG-1 preconditioning has cardioprotective effects against I/R injury through a PI3K/Akt-dependent mechanism in vivo. FAU - Fang, Shan-Juan AU - Fang SJ AD - Department of Cardiology, Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, China. FAU - Wu, Xue-Si AU - Wu XS FAU - Han, Zhi-Hong AU - Han ZH FAU - Zhang, Xiao-Xia AU - Zhang XX FAU - Wang, Chun-Mei AU - Wang CM FAU - Li, Xin-Yan AU - Li XY FAU - Lu, Ling-Qiao AU - Lu LQ FAU - Zhang, Jing-Lan AU - Zhang JL LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - China TA - Chin Med J (Engl) JT - Chinese medical journal JID - 7513795 RN - 0 (Neuregulin-1) RN - 0 (Phosphoinositide-3 Kinase Inhibitors) RN - EC 1.1.1.27 (L-Lactate Dehydrogenase) RN - EC 2.7.10.1 (ErbB Receptors) RN - EC 2.7.10.1 (Erbb4 protein, rat) RN - EC 2.7.10.1 (Receptor, ErbB-4) RN - EC 2.7.11.1 (Proto-Oncogene Proteins c-akt) RN - EC 3.4.22.- (Caspase 3) SB - IM MH - Animals MH - Apoptosis/drug effects MH - Caspase 3/metabolism MH - Dose-Response Relationship, Drug MH - ErbB Receptors/analysis MH - *Ischemic Preconditioning, Myocardial MH - L-Lactate Dehydrogenase/blood MH - Male MH - Myocardial Reperfusion Injury/*prevention & control MH - Neuregulin-1/analysis/*pharmacology MH - Phosphatidylinositol 3-Kinases/*physiology MH - Phosphoinositide-3 Kinase Inhibitors MH - Phosphorylation MH - Proto-Oncogene Proteins c-akt/*physiology MH - Rats MH - Rats, Sprague-Dawley MH - Receptor, ErbB-4 EDAT- 2011/12/15 06:00 MHDA- 2012/04/26 06:00 CRDT- 2011/12/15 06:00 PHST- 2011/12/15 06:00 [entrez] PHST- 2011/12/15 06:00 [pubmed] PHST- 2012/04/26 06:00 [medline] PST - ppublish SO - Chin Med J (Engl). 2010 Dec;123(24):3597-604.