PMID- 31275755 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220409 IS - 2167-8359 (Print) IS - 2167-8359 (Electronic) IS - 2167-8359 (Linking) VI - 7 DP - 2019 TI - Sevoflurane postconditioning alleviates hypoxia-reoxygenation injury of cardiomyocytes by promoting mitochondrial autophagy through the HIF-1/BNIP3 signaling pathway. PG - e7165 LID - 10.7717/peerj.7165 [doi] LID - e7165 AB - BACKGROUND: Sevoflurane postconditioning (SpostC) can alleviate hypoxia-reoxygenation injury of cardiomyocytes; however, the specific mechanism remains unclear. This study aimed to investigate whether SpostC promotes mitochondrial autophagy through the hypoxia-inducible factor-1 (HIF-1)/BCL2/adenovirus E1B 19-kDa-interacting protein 3 (BNIP3) signaling pathway to attenuate hypoxia-reoxygenation injury in cardiomyocytes. METHODS: The H9C2 cardiomyocyte hypoxia/reoxygenation model was established and treated with 2.4% sevoflurane at the beginning of reoxygenation. Cell damage was determined by measuring cell viability, lactate dehydrogenase activity, and apoptosis. Mitochondrial ultrastructural and autophagosomes were observed by transmission electron microscope. Western blotting was used to examine the expression of HIF-1, BNIP3, and Beclin-1 proteins. The effects of BNIP3 on promoting autophagy were determined using interfering RNA technology to silence BNIP3. RESULTS: Hypoxia-reoxygenation injury led to accumulation of autophagosomes in cardiomyocytes, and cell viability was significantly reduced, which seriously damaged cells. Sevoflurane postconditioning could upregulate HIF-1alpha and BNIP3 protein expression, promote autophagosome clearance, and reduce cell damage. However, these protective effects were inhibited by 2-methoxyestradiol or sinBNIP3. CONCLUSION: Sevoflurane postconditioning can alleviate hypoxia-reoxygenation injury in cardiomyocytes, and this effect may be achieved by promoting mitochondrial autophagy through the HIF-1/BNIP3 signaling pathway. FAU - Yang, Long AU - Yang L AD - Department of Anesthesiology, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, China. FAU - Wu, Jianjiang AU - Wu J AD - Department of Anesthesiology, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, China. FAU - Xie, Peng AU - Xie P AD - Department of Anesthesiology, Zunyi Medical College, Guizhou Key Laboratory of Anesthesia and Organ Protection, Zunyi, Guizhou, China. FAU - Yu, Jin AU - Yu J AD - Chongqing Health Center for Women and Children, Department of Anesthesiology, Chongqing, Chongqing, China. FAU - Li, Xin AU - Li X AD - Department of Anesthesiology, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, China. FAU - Wang, Jiang AU - Wang J AD - Department of Anesthesiology, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, China. FAU - Zheng, Hong AU - Zheng H AD - Department of Anesthesiology, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, China. LA - eng PT - Journal Article DEP - 20190624 PL - United States TA - PeerJ JT - PeerJ JID - 101603425 PMC - PMC6596409 OTO - NOTNLM OT - Autophagy OT - Hypoxia-reoxygenation injury OT - Myocardial protection OT - Sevoflurane postconditioning COIS- The authors declare that they have no competing interests. EDAT- 2019/07/06 06:00 MHDA- 2019/07/06 06:01 PMCR- 2019/06/24 CRDT- 2019/07/06 06:00 PHST- 2019/01/17 00:00 [received] PHST- 2019/05/22 00:00 [accepted] PHST- 2019/07/06 06:00 [entrez] PHST- 2019/07/06 06:00 [pubmed] PHST- 2019/07/06 06:01 [medline] PHST- 2019/06/24 00:00 [pmc-release] AID - 7165 [pii] AID - 10.7717/peerj.7165 [doi] PST - epublish SO - PeerJ. 2019 Jun 24;7:e7165. doi: 10.7717/peerj.7165. eCollection 2019.