心肌梗死后心力衰竭小鼠心肌组织内质网应激相关凋亡途径的研究

目的:探讨心肌梗死后心力衰竭小鼠心肌组织内质网应激介导的凋亡途径。方法:结扎小鼠左冠状动脉前降支建立心肌梗死后心力衰竭(心衰)模型,32只小鼠利用随机数字法分4组:假手术组、心肌梗死后2周组、4周组和6周组,采用超声心动图检查观察心室扩张及心功能变化情况,Western blotting检测内质网分子伴侣GRP78蛋白以及内质网应激相关凋亡蛋白CCAAT/增强子结合蛋白ε(CCAAT/enhancer-binding proteinε,CHOP)、c-Jun氨基端激酶(c-Jun N-terminal kinase,JNK)及其磷酸化水平、caspase-12及其活性剪切片段的表达。采用TUNEL法观察心肌细胞的凋亡情况。结果:与假手术组相比较,心肌梗死后心力衰竭的小鼠左心室扩大,心功能下降。小鼠心肌组织GRP78、CHOP蛋白表达增高(P0.05)。JNK、caspase-12蛋白表达没有明显变化,但其活化形式磷酸化JNK及剪切后的caspase-12表达增高(P0.05)。TUNEL染色显示心肌梗死后心力衰竭的小鼠心肌组织凋亡明显增多(P0.05)。结论:心肌梗死后心力衰竭诱导内质网应激反应,并伴随着其相关的CHOP、JNK、caspase-12三条通路的激活,提示内质网应激可能参与了心梗后心衰中心肌细胞的凋亡。

Effect of endoplasmic reticulum stress on cardiac myocyte apoptosis in mouse congestive heart failure induced by myocardial infraction

AIM: To explore the effect of endoplasmic reticulum stress on cardiac myocyte apoptosis in mouse congestive heart failure induced by myocardial infraction.METHODS: The mouse model of heart failure was established by ligating the left anterior descending coronary to produce acute myocardial infarction. Thirty-two mice were divided into 4 groups: sham group and groups of post-operation at time points of 2, 4 or 6 weeks, respectively. The ventricular dilatation and left ventricular functions were assessed by echocardiography. The expression of GRP78, CHOP, caspase-12, cleaved caspase-12, JNK and phosphorylated-JNK was detected by Western blotting. The cardiac myocyte apoptosis was determined by terminal deoxynucleotidyl transferase mediated dUTP-biotin nick end labeling (TUNEL).RESULTS: The cardiac expression of endoplasmic reticulum chaperones GRP78 was significantly increased in the hearts with functional failure. The upregulated expression of CHOP, phosphorylated-JNK and cleaved caspase-12 illuminated that the CHOP-JNK- caspase-12 dependent pathways for endoplasmic reticulum-initiated apoptosis were activated in the heart with functional failure by myocardial infraction. CONCLUSION: These findings suggest that the congestive heart failure induced by myocardial infraction is associated with endoplasmic reticulum stress and activation of CHOP, JNK, caspase-12 dependent pathways for endoplasmic reticulum-initiated apoptosis.