Key result
Kynurenic acid reduces myocardial infarct size ~14% vs vehicle in ischemia/reperfusion injury.
Why the study?
Kynurenic acid has shown cardioprotective effects, but the mechanisms underlying its protection against myocardial ischemia/reperfusion injury remain unclear.
Does kynurenic acid reduce myocardial ischemia/reperfusion injuries in preclinical models?
Does kynurenic acid reduce myocardial ischemia/reperfusion injuries in preclinical models?
Absolute Event Rate: 53.3% vs 62.2%
p-value: p=0.023
Kynurenic acid reduces myocardial ischemia/reperfusion injury in preclinical models, associated with enhanced mitophagy and antioxidant defense.
KYNA reduces infarct size in rat I/R injury; hypothesis-generating for cardioprotection, with clinical translation untested.
BACKGROUND: Myocardial infarction is one of the leading causes of mortality worldwide; hence, there is an urgent need to discover novel cardioprotective strategies. Kynurenic acid (KYNA), a metabolite of the kynurenine pathway, has been previously reported to have cardioprotective effects. However, the mechanisms by which KYNA may be protective are still unclear. The current study addressed this issue by investigating KYNA's cardioprotective effect in the context of myocardial ischemia/reperfusion. METHODS: H9C2 cells and rats were exposed to hypoxia/reoxygenation or myocardial infarction, respectively, in the presence or absence of KYNA. In vitro, cell death was quantified using flow cytometry analysis of propidium iodide staining. In vivo, TTC-Evans Blue staining was performed to evaluate infarct size. Mitochondrial respiratory chain complex activities were measured using spectrophotometry. Protein expression was evaluated by Western blot, and mRNA levels by RT-qPCR. RESULTS: KYNA treatment significantly reduced H9C2-relative cell death as well as infarct size. KYNA did not exhibit any effect on the mitochondrial respiratory chain complex activity. SOD2 mRNA levels were increased by KYNA. A decrease in p62 protein levels together with a trend of increase in PARK2 may mark a stimulation of mitophagy. Additionally, ERK1/2, Akt, and FOXO3α phosphorylation levels were significantly reduced after the KYNA treatment. Altogether, KYNA significantly reduced myocardial ischemia/reperfusion injuries in both in vitro and in vivo models. CONCLUSION: Here we show that KYNA-mediated cardioprotection was associated with enhanced mitophagy and antioxidant defense. A deeper understanding of KYNA's cardioprotective mechanisms is necessary to identify promising novel therapeutic targets and their translation into the clinical arena.
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Kamel et al. (2023) studied Myocardial ischemia/reperfusion injury. Kynurenic Acid (KYNA) vs. Vehicle (NaOH 1 M in vivo, DMSO in vitro) was evaluated on Infarct size (Area of necrosis as a percentage of area at risk, AN%AAR) (p=0.023). Kynurenic acid treatment significantly reduced myocardial infarct size compared to vehicle (53.3% vs 62.2%, p=0.023) in a rat model of ischemia/reperfusion injury.
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