Key result
Zinc deficiency triggers ER stress and calcium leak, activating the CaMKII/STAT3 pathway to promote ZIP9 zinc transporter expression as an endogenous protective mechanism against ischemia/reperfusion injury.
Why the study?
Zinc homeostasis is known to play a role in myocardial ischemia/reperfusion injury, but the molecular mechanisms regulating ZIP transporter expression during reperfusion remain unclear.
The ER Stress/CaMKII/STAT3 axis acts as an endogenous protective mechanism during myocardial ischemia/reperfusion by regulating zinc homeostasis via ZIP9 expression.
Hypothesis-generating in animal models; leaves open whether ZIP9 modulation confers human cardioprotection in ischemia/reperfusion.
Zinc homeostasis has been known to play a role in myocardial ischemia/reperfusion (I/R) injury, but the precise molecular mechanisms regulating the expression of ZIP transporters during reperfusion are still unclear. The aim of this study was to determine whether ER Stress/CaMKII/STAT3 pathway plays a role in the regulation of cellular zinc homeostasis. Zinc deficiency increased mRNA and protein expressions of the ER stress relevant markers Chop and Bip, and STAT3 phosphorylation in H9c2 or HL-1 cells, an effect that was abolished by ZnCl 2 . ER calcium concentration [(Ca 2+ ) ER ] was decreased and cytosolic calcium concentration [(Ca 2+ ) I ] was increased at the condition of normoxia or ischemia/reperfusion, indicating that zinc deficiency triggers ER stress and Ca 2+ leak. Further studies showed that upregulation of STAT3 phosphorylation was reversed by Ca 2+ chelator, indicating that intracellular Ca 2+ is important for zinc deficiency-induced STAT3 activation. In support, zinc deficiency enhanced ryanodine receptors (RyR), a channel in the ER that mediate Ca 2+ release, and Ca 2+ -calmodulin-dependent protein kinase (CaMKII) phosphorylation, implying that zinc deficiency provoked Ca 2+ leak from ER via RyR and p-CaMKII is involved in STAT3 activation. Moreover, inhibition of STAT3 activation blocked zinc deficiency induced ZIP9 expression, and resulted in increased Zn 2+ loss in cardiomyocytes, further confirming that STAT3 activation during reperfusion promotes the expression of ZIP9 zinc transporter to correct the imbalance in zinc homeostasis. In addition, suppressed STAT3 activation aggravated reperfusion injury. These data suggest that the ER Stress/CaMKII/STAT3 axis may be an endogenous protective mechanism, which increases the resistance of the heart to I/R.
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Zhao et al. (2022) studied Myocardial ischemia/reperfusion injury. Zinc deficiency vs. Normal zinc homeostasis / ZnCl2 was evaluated on ER stress markers, STAT3 phosphorylation, and ZIP9 expression. Zinc deficiency triggers ER stress and calcium leak, activating the CaMKII/STAT3 pathway to promote ZIP9 zinc transporter expression as an endogenous protective mechanism against ischemia/reperfusion injury.
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