PMID- 29483579 OWN - NLM STAT- MEDLINE DCOM- 20181121 LR - 20190926 IS - 2041-1723 (Electronic) IS - 2041-1723 (Linking) VI - 9 IP - 1 DP - 2018 Feb 26 TI - Hypoxia-inducible factor 2-alpha-dependent induction of amphiregulin dampens myocardial ischemia-reperfusion injury. PG - 816 LID - 10.1038/s41467-018-03105-2 [doi] LID - 816 AB - Myocardial ischemia-reperfusion injury (IRI) leads to the stabilization of the transcription factors hypoxia-inducible factor 1-alpha (HIF1-alpha) and hypoxia-inducible factor 2-alpha (HIF2-alpha). While previous studies implicate HIF1-alpha in cardioprotection, the role of HIF2-alpha remains elusive. Here we show that HIF2-alpha induces the epithelial growth factor amphiregulin (AREG) to elicit cardioprotection in myocardial IRI. Comparing mice with inducible deletion of Hif1a or Hif2a in cardiac myocytes, we show that loss of Hif2-alpha increases infarct sizes. Microarray studies in genetic models or cultured human cardiac myocytes implicate HIF2-alpha in the myocardial induction of AREG. Likewise, AREG increases in myocardial tissues from patients with ischemic heart disease. Areg deficiency increases myocardial IRI, as does pharmacologic inhibition of Areg signaling. In contrast, treatment with recombinant Areg provides cardioprotection and reconstitutes mice with Hif2a deletion. These studies indicate that HIF2-alpha induces myocardial AREG expression in cardiac myocytes, which increases myocardial ischemia tolerance. FAU - Koeppen, Michael AU - Koeppen M AD - Department of Anaesthesiology and Intensive Care Medicine, Tubingen University Hospital, Eberhard-Karls University Tubingen, Tubingen, Germany. Michael.koeppen@med.uni-tuebingen.de. AD - Department of Anaesthesiology, Ludwig-Maximilians-University, Muenchen, Germany. Michael.koeppen@med.uni-tuebingen.de. FAU - Lee, Jae W AU - Lee JW AD - Department of Anesthesiology, The University of Texas Health Science Center at Houston, McGovern Medical School, Houston, TX, USA. FAU - Seo, Seong-Wook AU - Seo SW AD - Department of Anesthesiology, University of New Mexico School of Medicine, Albuquerque, NM, USA. FAU - Brodsky, Kelley S AU - Brodsky KS AD - Division of Cardiology, Department of Medicine, University of Colorado School of Medicine, Aurora, CO, USA. FAU - Kreth, Simone AU - Kreth S AD - Department of Anaesthesiology, Ludwig-Maximilians-University, Muenchen, Germany. FAU - Yang, Ivana V AU - Yang IV AD - Division of Pulmonary Science and Critical Care Medicine, Department of Medicine, University of Colorado School of Medicine, Aurora, CO, USA. FAU - Buttrick, Peter M AU - Buttrick PM AD - Division of Cardiology, Department of Medicine, University of Colorado School of Medicine, Aurora, CO, USA. FAU - Eckle, Tobias AU - Eckle T AD - Department of Anesthesiology, University of Colorado School of Medicine, Aurora, CO, USA. FAU - Eltzschig, Holger K AU - Eltzschig HK AD - Department of Anesthesiology, The University of Texas Health Science Center at Houston, McGovern Medical School, Houston, TX, USA. LA - eng GR - R01 HL122472/HL/NHLBI NIH HHS/United States GR - R01 DK097075/DK/NIDDK NIH HHS/United States GR - R01 HL133900/HL/NHLBI NIH HHS/United States GR - P01 HL114457/HL/NHLBI NIH HHS/United States GR - R01 HL119837/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20180226 PL - England TA - Nat Commun JT - Nature communications JID - 101528555 RN - 0 (Amphiregulin) RN - 0 (Areg protein, mouse) RN - 0 (Basic Helix-Loop-Helix Transcription Factors) RN - 0 (Hif1a protein, mouse) RN - 0 (Hypoxia-Inducible Factor 1, alpha Subunit) RN - 0 (RNA, Small Interfering) RN - 1B37H0967P (endothelial PAS domain-containing protein 1) RN - EC 2.7.7.- (Cre recombinase) RN - EC 2.7.7.- (Integrases) RN - EC 3.6.4.1 (Myosins) SB - IM MH - Amphiregulin/*genetics/metabolism/pharmacology MH - Animals MH - Basic Helix-Loop-Helix Transcription Factors/antagonists & inhibitors/*genetics/metabolism MH - Cell Line MH - Gene Expression Regulation MH - Humans MH - Hypoxia-Inducible Factor 1, alpha Subunit/antagonists & inhibitors/*genetics/metabolism MH - Integrases/genetics/metabolism MH - Male MH - Mice MH - Mice, Transgenic MH - Microarray Analysis MH - Myocardial Reperfusion Injury/*genetics/metabolism/pathology/prevention & control MH - Myocardium/*metabolism/pathology MH - Myocytes, Cardiac/drug effects/*metabolism/pathology MH - Myosins/genetics/metabolism MH - RNA, Small Interfering/genetics/metabolism MH - Signal Transduction PMC - PMC5827027 COIS- The authors declare no competing financial interests. EDAT- 2018/02/28 06:00 MHDA- 2018/11/22 06:00 PMCR- 2018/02/26 CRDT- 2018/02/28 06:00 PHST- 2015/10/15 00:00 [received] PHST- 2018/01/19 00:00 [accepted] PHST- 2018/02/28 06:00 [entrez] PHST- 2018/02/28 06:00 [pubmed] PHST- 2018/11/22 06:00 [medline] PHST- 2018/02/26 00:00 [pmc-release] AID - 10.1038/s41467-018-03105-2 [pii] AID - 3105 [pii] AID - 10.1038/s41467-018-03105-2 [doi] PST - epublish SO - Nat Commun. 2018 Feb 26;9(1):816. doi: 10.1038/s41467-018-03105-2.