PMID- 34938777 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20231002 IS - 2297-055X (Print) IS - 2297-055X (Electronic) IS - 2297-055X (Linking) VI - 8 DP - 2021 TI - Diazoxide Post-conditioning Activates the HIF-1/HRE Pathway to Induce Myocardial Protection in Hypoxic/Reoxygenated Cardiomyocytes. PG - 711465 LID - 10.3389/fcvm.2021.711465 [doi] LID - 711465 AB - Background: Previous studies have shown that diazoxide can protect against myocardial ischemia-reperfusion injury (MIRI). The intranuclear hypoxia-inducible factor-1 (HIF-1)/hypoxia-response element (HRE) pathway has been shown to withstand cellular damage caused by MIRI. It remains unclear whether diazoxide post-conditioning is correlated with the HIF-1/HRE pathway in protective effect on cardiomyocytes. Methods: An isolated cardiomyocyte model of hypoxia-reoxygenation injury was established. Prior to reoxygenation, cardiomyocytes underwent post-conditioning treatment by diazoxide, and 5-hydroxydecanoate (5-HD), N-(2-mercaptopropionyl)-glycine (MPG), or dimethyloxallyl glycine (DMOG) followed by diazoxide. At the end of reoxygenation, ultrastructural morphology; mitochondrial membrane potential; interleukin-6 (IL-6), tumor necrosis factor alpha (TNF-alpha), reactive oxygen species (ROS), and HIF-1alpha levels; and downstream gene mRNA and protein levels were analyzed to elucidate the protective mechanism of diazoxide post-conditioning. Results: Diazoxide post-conditioning enabled activation of the HIF-1/HRE pathway to induce myocardial protection. When the mitoK(ATP) channel was inhibited and ROS cleared, the diazoxide effect was eliminated. DMOG was able to reverse the effect of ROS absence to restore the diazoxide effect. MitoK(ATP) and ROS in the early reoxygenation phase were key to activation of the HIF-1/HRE pathway. Conclusion: Diazoxide post-conditioning promotes opening of the mitoK(ATP) channel to generate a moderate ROS level that activates the HIF-1/HRE pathway and subsequently induces myocardial protection. CI - Copyright (c) 2021 Chen, Wang, Cheng, Wang, Deng, Yu, Wang and Zhou. FAU - Chen, Xi-Yuan AU - Chen XY AD - Department of Anesthesiology, The Affiliated Hospital of Zunyi Medical University, Guizhou, China. AD - Department of Anesthesiology, The Xinqiao Hospital of Army Medical University, Chongqing, China. FAU - Wang, Jia-Qi AU - Wang JQ AD - Department of Anesthesiology, The Affiliated Hospital of Zunyi Medical University, Guizhou, China. FAU - Cheng, Si-Jing AU - Cheng SJ AD - Department of Anesthesiology, The Affiliated Hospital of Zunyi Medical University, Guizhou, China. FAU - Wang, Yan AU - Wang Y AD - Department of Anesthesiology, The Affiliated Hospital of Zunyi Medical University, Guizhou, China. FAU - Deng, Meng-Yuan AU - Deng MY AD - Department of Anesthesiology, The Affiliated Hospital of Zunyi Medical University, Guizhou, China. FAU - Yu, Tian AU - Yu T AD - Guizhou Key Laboratory of Anesthesia and Organ Protection, Affiliated Hospital of Zunyi Medical University, Guizhou, China. FAU - Wang, Hai-Ying AU - Wang HY AD - Department of Anesthesiology, The Affiliated Hospital of Zunyi Medical University, Guizhou, China. FAU - Zhou, Wen-Jing AU - Zhou WJ AD - Department of Anesthesiology, The Affiliated Hospital of Zunyi Medical University, Guizhou, China. AD - Guizhou Key Laboratory of Anesthesia and Organ Protection, Affiliated Hospital of Zunyi Medical University, Guizhou, China. LA - eng PT - Journal Article DEP - 20211206 PL - Switzerland TA - Front Cardiovasc Med JT - Frontiers in cardiovascular medicine JID - 101653388 EIN - Front Cardiovasc Med. 2023 Sep 13;10:1281995. PMID: 37781299 PMC - PMC8687117 OTO - NOTNLM OT - HIF-1/HRE pathway OT - cardiomyocytes OT - diazoxide OT - hypoxic reoxygenation injury OT - myocardial protection COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2021/12/24 06:00 MHDA- 2021/12/24 06:01 PMCR- 2021/01/01 CRDT- 2021/12/23 05:53 PHST- 2021/05/18 00:00 [received] PHST- 2021/11/16 00:00 [accepted] PHST- 2021/12/23 05:53 [entrez] PHST- 2021/12/24 06:00 [pubmed] PHST- 2021/12/24 06:01 [medline] PHST- 2021/01/01 00:00 [pmc-release] AID - 10.3389/fcvm.2021.711465 [doi] PST - epublish SO - Front Cardiovasc Med. 2021 Dec 6;8:711465. doi: 10.3389/fcvm.2021.711465. eCollection 2021.