PMID- 23331861 OWN - NLM STAT- MEDLINE DCOM- 20130815 LR - 20230124 IS - 1600-6143 (Electronic) IS - 1600-6135 (Linking) VI - 13 IP - 3 DP - 2013 Mar TI - Differential effects of pharmacological HIF preconditioning of donors versus recipients in rat cardiac allografts. PG - 600-10 LID - 10.1111/ajt.12064 [doi] AB - Ischemia-reperfusion injury (IRI) induces hypoxia-inducible factor-1 (HIF-1) in the myocardium, but the consequences remain elusive. We investigated HIF-1 activation during cold and warm ischemia and IRI in rat hearts and cardiac syngrafts. We also tested the effect of HIF-alpha stabilizing prolyl hydroxylase inhibitor (FG-4497) on IRI or allograft survival. Ex vivo ischemia of the heart increased HIF-1alpha expression in a time- and temperature-dependent fashion. Immunohistochemistry localized HIF-1alpha to all cardiac cell types. After reperfusion, HIF-1alpha immunoreactivity persisted in smooth muscle cells and cardiomyocytes in the areas with IRI. This was accompanied with a transient induction of protective HIF-1 downstream genes. Donor FG-4497 pretreatment for 4 h enhanced IRI in cardiac allografts as evidenced by an increase in cardiac troponin T release, cardiomyocyte apoptosis, and activation of innate immunity. Recipient FG-4497 pretreatment for 4 h decreased infiltration of ED1(+) macrophages, and mildly improved the long-term allograft survival. In syngrafts donor FG-4497 pretreatment increased activation of innate immunity, but did not induce myocardial damage. We conclude that the HIF-1 pathway is activated in heart transplants. We suggest that pharmacological HIF-alpha preconditioning of cardiac allografts donors would not lead to clinical benefit, while in recipients it may result in antiinflammatory effects and prolonged allograft survival. CI - (c) Copyright 2013 The American Society of Transplantation and the American Society of Transplant Surgeons. FAU - Keranen, M A I AU - Keranen MA AD - Transplantation Laboratory, Haartman Institute, University of Helsinki and HUSLAB, Helsinki University Central Hospital, Helsinki, Finland. FAU - Tuuminen, R AU - Tuuminen R FAU - Syrjala, S AU - Syrjala S FAU - Krebs, R AU - Krebs R FAU - Walkinshaw, G AU - Walkinshaw G FAU - Flippin, L A AU - Flippin LA FAU - Arend, M AU - Arend M FAU - Koskinen, P K AU - Koskinen PK FAU - Nykanen, A I AU - Nykanen AI FAU - Lemstrom, K B AU - Lemstrom KB LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20130117 PL - United States TA - Am J Transplant JT - American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons JID - 100968638 RN - 0 (Biomarkers) RN - 0 (Enzyme Inhibitors) RN - 0 (Hypoxia-Inducible Factor 1) RN - EC 1.14.11.2 (Procollagen-Proline Dioxygenase) SB - IM MH - Animals MH - Apoptosis/drug effects MH - Biomarkers/analysis MH - Enzyme Inhibitors/*pharmacology MH - Heart/*physiopathology MH - *Heart Transplantation MH - Hypoxia-Inducible Factor 1/*metabolism MH - Inflammation/diagnosis/metabolism MH - *Ischemic Preconditioning MH - Macrophages/metabolism/pathology MH - Male MH - Myocytes, Cardiac/drug effects/pathology MH - Procollagen-Proline Dioxygenase/*antagonists & inhibitors MH - Rats MH - Rats, Inbred WF MH - Reperfusion Injury/metabolism/pathology/*prevention & control MH - Transplantation, Homologous EDAT- 2013/01/22 06:00 MHDA- 2013/08/16 06:00 CRDT- 2013/01/22 06:00 PHST- 2012/04/17 00:00 [received] PHST- 2012/11/08 00:00 [revised] PHST- 2012/11/08 00:00 [accepted] PHST- 2013/01/22 06:00 [entrez] PHST- 2013/01/22 06:00 [pubmed] PHST- 2013/08/16 06:00 [medline] AID - S1600-6135(22)25849-3 [pii] AID - 10.1111/ajt.12064 [doi] PST - ppublish SO - Am J Transplant. 2013 Mar;13(3):600-10. doi: 10.1111/ajt.12064. Epub 2013 Jan 17.