PMID- 35584327 OWN - NLM STAT- MEDLINE DCOM- 20221111 LR - 20231102 IS - 1522-1563 (Electronic) IS - 0363-6143 (Print) IS - 0363-6143 (Linking) VI - 323 IP - 5 DP - 2022 Nov 1 TI - Chaperone-mediated autophagy protects cardiomyocytes against hypoxic-cell death. PG - C1555-C1575 LID - 10.1152/ajpcell.00369.2021 [doi] AB - Chaperone-mediated autophagy (CMA) is a chaperone-dependent process of selective cytosolic protein turnover that targets specific proteins to lysosomes for degradation. Enhancing protein degradation mechanisms has been shown to be beneficial in multiple models of cardiac disease, including myocardial infarction (MI) and ischemia-reperfusion (I/R) injury. However, the causal role of CMA in cardiomyocyte injury and death is largely unknown. Hypoxia is an important contributor to both MI and I/R damage, which are major, precedent causes of heart failure. Upregulating CMA was hypothesized to protect against hypoxia-induced cardiomyocyte death. Lysosome-associated membrane protein 2a (Lamp2a) overexpression and knockdown were used to causally study CMA's role in hypoxically stressed cardiomyocytes. LAMP2a protein levels were used as both a primary indicator and driver of CMA function. Hypoxic stress was stimulated by CoCl(2) treatment, which increased LAMP2a protein levels (+1.4-fold) and induced cardiomyocyte apoptosis (+3.2-4.0-fold). Lamp2a siRNA knockdown (-3.2-fold) of control cardiomyocytes increased apoptosis (+1.8-fold) suggesting that loss of CMA is detrimental for cardiomyocyte survival. However, there was neither an additive nor a synergistic effect on cell death when Lamp2a-silenced cells were treated with CoCl(2). Conversely, Lamp2a overexpression (+3.0-fold) successfully reduced hypoxia-induced apoptosis by approximately 50%. LAMP2a was also significantly increased (+1.7-fold) in ischemic heart failure patient samples, similar to hypoxically stressed cardiomyocytes. The failing ischemic hearts may have had insufficient CMA activation. To our knowledge, this study for the first time establishes a protective role for CMA (via Lamp2a overexpression) against hypoxia-induced cardiomyocyte loss and reveals the intriguing possibility that CMA activation may offer a cardioprotective treatment for ischemic heart disease. FAU - Ghosh, Rajeshwary AU - Ghosh R AD - Division of Basic Biomedical Sciences, Sanford School of Medicine, University of South Dakota, Vermillion, South Dakota. AD - Department of Nutrition and Integrative Physiology Program in Molecular Medicine, University of Utah, Salt Lake City, Utah. FAU - Gillaspie, Jennifer Jason AU - Gillaspie JJ AD - Division of Basic Biomedical Sciences, Sanford School of Medicine, University of South Dakota, Vermillion, South Dakota. FAU - Campbell, Kenneth S AU - Campbell KS AUID- ORCID: 0000-0001-5615-5958 AD - Department of Physiology, College of Medicine, University of Kentucky, Lexington, Kentucky. FAU - Symons, J David AU - Symons JD AD - Department of Nutrition and Integrative Physiology Program in Molecular Medicine, University of Utah, Salt Lake City, Utah. FAU - Boudina, Sihem AU - Boudina S AD - Department of Nutrition and Integrative Physiology Program in Molecular Medicine, University of Utah, Salt Lake City, Utah. FAU - Pattison, James Scott AU - Pattison JS AUID- ORCID: 0000-0003-2920-1909 AD - Division of Basic Biomedical Sciences, Sanford School of Medicine, University of South Dakota, Vermillion, South Dakota. LA - eng GR - R01 HL149870/HL/NHLBI NIH HHS/United States GR - U54 GM115458/GM/NIGMS NIH HHS/United States GR - R01 HL149164/HL/NHLBI NIH HHS/United States GR - R01 HL141540/HL/NHLBI NIH HHS/United States GR - R01 HL148785/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 - 20220518 PL - United States TA - Am J Physiol Cell Physiol JT - American journal of physiology. Cell physiology JID - 100901225 RN - 0 (Lysosomal-Associated Membrane Protein 2) RN - EVS87XF13W (cobaltous chloride) SB - IM MH - Humans MH - Lysosomal-Associated Membrane Protein 2/genetics/metabolism MH - Myocytes, Cardiac/metabolism MH - *Chaperone-Mediated Autophagy MH - Autophagy/genetics MH - Lysosomes/metabolism MH - Hypoxia/metabolism MH - Apoptosis MH - *Heart Failure/metabolism PMC - PMC9829466 OTO - NOTNLM OT - cardiomyocytes OT - cell death OT - chaperone-mediated autophagy OT - hypoxia OT - ischemic heart failure COIS- No conflicts of interest, financial or otherwise, are declared by the authors. EDAT- 2022/05/19 06:00 MHDA- 2022/11/15 06:00 PMCR- 2023/11/01 CRDT- 2022/05/18 15:53 PHST- 2022/05/19 06:00 [pubmed] PHST- 2022/11/15 06:00 [medline] PHST- 2022/05/18 15:53 [entrez] PHST- 2023/11/01 00:00 [pmc-release] AID - C-00369-2021 [pii] AID - 10.1152/ajpcell.00369.2021 [doi] PST - ppublish SO - Am J Physiol Cell Physiol. 2022 Nov 1;323(5):C1555-C1575. doi: 10.1152/ajpcell.00369.2021. Epub 2022 May 18.