Nrf2-dependent upregulation of antioxidative enzymes: a novel pathway for hypoxic preconditioning-mediated delayed cardioprotection

Mol Cell Biochem. 2014 Jan;385(1-2):33-41. doi: 10.1007/s11010-013-1812-6. Epub 2013 Sep 19.

Abstract

It has been well demonstrated that hypoxic preconditioning (HPC) can attenuate hypoxia/reoxygenation (H/R)-induced oxidant stress and elicit delayed cardioprotection by upregulating the expression of multiple antioxidative enzymes such as heme oxygenase-1 (HO-1), manganese superoxide dismutase (MnSOD) and so on. However, the underlying mechanisms of HPC-induced upregulation of antioxidative enzymes are not fully understood. Nuclear factor erythroid 2-related factor 2 (Nrf2) is an essential transcription factor that regulates expression of several antioxidant genes via binding to the antioxidant response element (ARE) and plays a crucial role in cellular defence against oxidative stress. Here, we wondered whether activation of the Nrf2-ARE pathway is responsible for the induction of antioxidative enzymes by HPC and contributes to the delayed cardioprotection of HPC. Cellular model of HPC from rat heart-derived H9c2 cells was induced 24 h prior to H/R. The results showed that HPC efficiently attenuated H/R-induced viability loss and lactate dehydrogenase leakage. In addition, HPC increased nuclear translocation and ARE binding of Nrf2 during the late phase, upregulated the expression of antioxidative enzymes (HO-1 and MnSOD), inhibited H/R-induced oxidant stress. However, when Nrf2 was specifically knocked down by siRNA, the induction of antioxidative enzymes by HPC was completely abolished and, as a result, the inhibitory effect of HPC on H/R-induced oxidant stress was reversed, and the delayed cardioprotection induced by HPC was also abolished. These results suggest that HPC upregulates antioxidative enzymes through activating the Nrf2-ARE pathway and confers delayed cardioprotection against H/R-induced oxidative stress.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Antioxidant Response Elements / genetics
  • Antioxidants / metabolism*
  • Cardiotonic Agents / metabolism*
  • Cell Hypoxia
  • Cell Line
  • Cell Nucleus / metabolism
  • Gene Knockdown Techniques
  • Ischemic Preconditioning, Myocardial*
  • Myocytes, Cardiac / enzymology*
  • Myocytes, Cardiac / pathology*
  • NF-E2-Related Factor 2 / metabolism*
  • Protein Binding
  • Protein Transport
  • Rats
  • Signal Transduction
  • Stress, Physiological
  • Up-Regulation*

Substances

  • Antioxidants
  • Cardiotonic Agents
  • NF-E2-Related Factor 2