PMID- 25888509 OWN - NLM STAT- MEDLINE DCOM- 20150921 LR - 20200930 IS - 1522-1539 (Electronic) IS - 0363-6135 (Linking) VI - 308 IP - 12 DP - 2015 Jun 15 TI - TNF-alpha antagonism ameliorates myocardial ischemia-reperfusion injury in mice by upregulating adiponectin. PG - H1583-91 LID - 10.1152/ajpheart.00346.2014 [doi] AB - Tumor necrosis factor-alpha (TNF-alpha) antagonism alleviates myocardial ischemia-reperfusion (MI/R) injury. However, the mechanisms by which the downstream mediators of TNF-alpha change after acute antagonism during MI/R remain unclear. Adiponectin (APN) exerts anti-ischemic effects, but it is downregulated during MI/R. This study was conducted to investigate whether TNF-alpha is responsible for the decrease of APN, and whether antagonizing TNF-alpha affects MI/R injury by increasing APN. Male adult wild-type (WT), APN knockout (APN KO) mice, and those with cardiac knockdowns of APN receptors via siRNA injection were subjected to 30 min of MI followed by reperfusion. The TNF-alpha antagonist etanercept or globular domain of APN (gAD) was injected 10 min before reperfusion. Etanercept ameliorated MI/R injury in WT mice as evidenced by improved cardiac function, and reduced infarct size and cardiomyocyte apoptosis. APN concentrations were augmented in response to etanercept, followed by an increase in AMP-activated protein kinase phosphorylation. Etanercept still increased cardiac function and reduced infarct size and apoptosis in both APN KO and APN receptors knockdown mice. However, its potential was significantly weakened in these mice compared with the WT mice. TNF-alpha is responsible for the decrease in APN during MI/R. The cardioprotective effects of TNF-alpha neutralization are partially due to the upregulation of APN. The results provide more insight into the TNF-alpha-mediated signaling effects during MI/R and support the need for clinical trials to validate the efficacy of acute TNF-alpha antagonism in the treatment of MI/R injury. CI - Copyright (c) 2015 the American Physiological Society. FAU - Gao, Chao AU - Gao C AD - Department of Cardiology, Xijing Hospital, The Fourth Military Medical University, Xi'an, China; FAU - Liu, Yi AU - Liu Y AD - Department of Cardiology, Xijing Hospital, The Fourth Military Medical University, Xi'an, China; FAU - Yu, Qiujun AU - Yu Q AD - Department of Cardiology, Xijing Hospital, The Fourth Military Medical University, Xi'an, China; FAU - Yang, Qiang AU - Yang Q AD - Department of Cardiology, Xijing Hospital, The Fourth Military Medical University, Xi'an, China; FAU - Li, Bing AU - Li B AD - Department of Dermatology, Xijing Hospital, The Fourth Military Medical University, Xi'an, China; FAU - Sun, Lu AU - Sun L AD - Department of Cardiology, Xijing Hospital, The Fourth Military Medical University, Xi'an, China; FAU - Yan, Wenjun AU - Yan W AD - Department of Cardiology, Xijing Hospital, The Fourth Military Medical University, Xi'an, China; FAU - Cai, Xiaoqing AU - Cai X AD - Department of Physiology, The Fourth Military Medical University, Xi'an, China; and. FAU - Gao, Erhe AU - Gao E AD - Department of Physiology, The Fourth Military Medical University, Xi'an, China; and Department of Physiology, The Fourth Military Medical University, Xi'an, China; and. FAU - Xiong, Lize AU - Xiong L AD - Department of Anesthesiology, Xijing Hospital, The Fourth Military Medical University, Xi'an, China; FAU - Wang, Haichang AU - Wang H AD - Department of Cardiology, Xijing Hospital, The Fourth Military Medical University, Xi'an, China; FAU - Tao, Ling AU - Tao L AD - Department of Cardiology, Xijing Hospital, The Fourth Military Medical University, Xi'an, China; lingtao2006@gmail.com. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20150417 PL - United States TA - Am J Physiol Heart Circ Physiol JT - American journal of physiology. Heart and circulatory physiology JID - 100901228 RN - 0 (Adiponectin) RN - 0 (Adipoq protein, mouse) RN - 0 (Immunoglobulin G) RN - 0 (Protective Agents) RN - 0 (Receptors, Adiponectin) RN - 0 (Receptors, Tumor Necrosis Factor) RN - 0 (Tumor Necrosis Factor-alpha) RN - 0 (adiponectin receptor 1, mouse) RN - 0 (adiponectin receptor 2, mouse) RN - EC 2.7.11.31 (AMP-Activated Protein Kinases) RN - OP401G7OJC (Etanercept) SB - IM MH - AMP-Activated Protein Kinases/metabolism MH - Adiponectin/deficiency/genetics/*metabolism MH - Animals MH - Apoptosis/drug effects MH - Cytoprotection MH - Disease Models, Animal MH - Etanercept MH - Immunoglobulin G/*pharmacology MH - Male MH - Mice, Inbred C57BL MH - Mice, Knockout MH - Myocardial Infarction/genetics/immunology/metabolism/pathology/physiopathology/*prevention & control MH - Myocardial Reperfusion Injury/genetics/immunology/metabolism/pathology/physiopathology/*prevention & control MH - Myocardium/immunology/*metabolism/pathology MH - Phosphorylation MH - Protective Agents/*pharmacology MH - Receptors, Adiponectin/genetics/metabolism MH - Receptors, Tumor Necrosis Factor MH - Time Factors MH - Tumor Necrosis Factor-alpha/*antagonists & inhibitors/immunology/metabolism MH - Up-Regulation OTO - NOTNLM OT - adiponectin knockout mice OT - etanercept OT - globular domain of adiponectin EDAT- 2015/04/19 06:00 MHDA- 2015/09/22 06:00 CRDT- 2015/04/19 06:00 PHST- 2014/05/20 00:00 [received] PHST- 2015/03/23 00:00 [accepted] PHST- 2015/04/19 06:00 [entrez] PHST- 2015/04/19 06:00 [pubmed] PHST- 2015/09/22 06:00 [medline] AID - ajpheart.00346.2014 [pii] AID - 10.1152/ajpheart.00346.2014 [doi] PST - ppublish SO - Am J Physiol Heart Circ Physiol. 2015 Jun 15;308(12):H1583-91. doi: 10.1152/ajpheart.00346.2014. Epub 2015 Apr 17.