Key result
Ischemic preconditioning significantly improved end-reperfusion +dP/dtmax in wild-type hearts (2783 vs 880 mmHg/s, p<0.001) but failed to protect myocardial function in STAT-3 knockout hearts, demonstrating STAT-3 is essential for effective IPC.
Why the study?
Does ischemic preconditioning improve cardiac function recovery following ischemia-reperfusion in mice lacking cardiomyocyte STAT-3?
Does ischemic preconditioning improve cardiac function recovery following ischemia-reperfusion in mice lacking cardiomyocyte STAT-3?
Absolute Event Rate: 2783% vs 880%
p-value: p=<0.001
JAK-STAT signaling via STAT-3 is essential for effective ischemic preconditioning, and compensatory activation of STAT-5 and -6 cannot substitute for its loss.
STAT-3 is required for IPC protection in mice; leaves open its therapeutic targeting in human ischemia-reperfusion.
The role of other STAT subtypes in conferring ischemic tolerance is unclear. We hypothesized that in STAT-3 deletion alternative STAT subtypes would protect myocardial function against ischemia-reperfusion injury. Wild-type (WT) male C57BL/6 mice or mice with cardiomyocyte STAT-3 knockout (KO) underwent baseline echocardiography. Langendorff-perfused hearts underwent ischemic preconditioning (IPC) or no IPC before ischemia-reperfusion. Following ex vivo perfusion, hearts were analyzed for STAT-5 and -6 phosphorylation by Western blot analysis of nuclear fractions. Echocardiography and postequilibration cardiac performance revealed no differences in cardiac function between WT and KO hearts. Phosphorylated STAT-5 and -6 expression was similar in WT and KO hearts before perfusion. Contractile function in WT and KO hearts was significantly impaired following ischemia-reperfusion in the absence of IPC. In WT hearts, IPC significantly improved the recovery of the maximum first derivative of developed pressure (+dP/dtmax) compared with that in hearts without IPC. IPC more effectively improved end-reperfusion dP/dtmax in WT hearts compared with KO hearts. Preconditioned and nonpreconditioned KO hearts exhibited increased phosphorylated STAT-5 and -6 expression compared with WT hearts. The increased subtype activation did not improve the efficacy of IPC in KO hearts. In conclusion, baseline cardiac performance is preserved in hearts with cardiac-restricted STAT-3 deletion. STAT-3 deletion attenuates preconditioning and is not associated with a compensatory upregulation of STAT-5 and -6 subtypes. The activation of STAT-5 and -6 in KO hearts following ischemic challenge does not provide functional compensation for the loss of STAT-3. JAK-STAT signaling via STAT-3 is essential for effective IPC.
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Goodman et al. (2010) studied Ischemia-reperfusion injury (n=25). Ischemic preconditioning vs. Ischemia-reperfusion without preconditioning was evaluated on End-reperfusion maximum first derivative of developed pressure (+dP/dtmax) (p=<0.001). Ischemic preconditioning significantly improved end-reperfusion +dP/dtmax in wild-type hearts (2783 vs 880 mmHg/s, p<0.001) but failed to protect myocardial function in STAT-3 knockout hearts, demonstrating STAT-3 is essential for effective IPC.
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