Key result
KDM3A reduces myocardial ischemia/reperfusion injury by preventing endothelial pyroptosis via PI3K/Akt activation.
Why the study?
Cardiac microvascular endothelial cell ischemia-reperfusion injury frequently impairs cardiac function after revascularization, but the specific role of KDM3A in this injury was not fully established.
Does KDM3A overexpression ameliorate cardiac microvascular endothelial cell pyroptosis and ischemia-reperfusion injury?
Does KDM3A overexpression ameliorate cardiac microvascular endothelial cell pyroptosis and ischemia-reperfusion injury?
KDM3A protects against myocardial ischemia-reperfusion injury by reducing cardiac microvascular endothelial cell pyroptosis through activation of the PI3K/Akt signaling pathway.
Should not change clinical practice for myocardial I/R injury; leaves open KDM3A as a therapeutic target pending human studies.
Cardiac microvascular endothelial cell ischemia‐reperfusion (CMEC I/R) injury occurs in approximately 50% of acute myocardial infarction patients subjected to successful revascularization therapy. This injury leads to cardiac microcirculatory system dysfunctions, which seriously affect cardiac functions and long‐term prognostic outcomes. Previously, we elucidated the role of lysine‐specific demethylase 3A (KDM3A) in protecting cardiomyocytes from I/R injury; however, its roles in CMEC I/R injuries have yet to be fully established. In this study, hypoxia/reoxygenation (H/R) treatment significantly impaired CMEC functions and induced their pyroptosis, accompanied by KDM3A downregulation. Then, gain‐ and loss‐of‐function assays were performed to investigate the roles of KDM3A in CMEC H/R injury in vitro . KDM3A knockout enhanced CMEC malfunctions and accelerated the expressions of pyroptosis‐associated proteins, such as NLRP3, cleaved‐caspase‐1, ASC, IL‐1 β , GSDMD‐N, and IL‐18. Conversely, KDM3A overexpression developed ameliorated alternations in CMEC H/R injury. In vivo , KDM3A knockout resulted in the deterioration of cardiac functions and decreased the no‐reflow area as well as capillary density. Mechanistically, KDM3A activated the PI3K/Akt signaling pathway and ameliorated I/R‐mediated CMEC pyroptosis. In conclusion, KDM3A is a promising treatment target for alleviating CMEC I/R injury.
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Zhang et al. (2022) studied Myocardial ischemia-reperfusion (I/R) injury. KDM3A overexpression or knockout vs. Wild-type or Ad-GFP control was evaluated on Cardiac microvascular endothelial cell (CMEC) pyroptosis, cardiac function (LVEF/LVFS), and myocardial infarct size. KDM3A attenuated myocardial ischemia/reperfusion injury and protected cardiac microvascular endothelial cells from hypoxia/reoxygenation-induced pyroptosis via PI3K/Akt activation.
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