Key result
Plasma PRCP levels and activity were increased in patients with acute myocardial infarction, and experimental models showed PRCP protects against myocardial ischemia/reperfusion injury by regulating cardiomyocyte mitophagy.
Why the study?
The role of prolylcarboxypeptidase (PRCP) in myocardial ischaemia/reperfusion injury was unclear.
Does the PRCP-Ang-(1-7)/BK-(1-9) axis mitigate myocardial ischemia/reperfusion injury in acute myocardial infarction?
Does the PRCP-Ang-(1-7)/BK-(1-9) axis mitigate myocardial ischemia/reperfusion injury in acute myocardial infarction?
The PRCP-Ang-(1-7)/BK-(1-9) axis protects against myocardial ischemia/reperfusion injury by regulating cardiomyocyte mitophagy, highlighting a potential novel therapeutic pathway for acute myocardial infarction.
Elevated plasma PRCP in AMI patients was associated with the PRCP–Ang-(1–7)/BK-(1–9) axis; leaves open its protective role in I/R injury.
The role of prolylcarboxypeptidase (PRCP) in myocardial ischaemia/reperfusion (I/R) injury is unclear. Herein, we aimed to evaluate the protective effect of the PRCP–angiotensin-(1–7) [Ang-(1–7)]/bradykinin-(1–9) [BK-(1–9)] axis on myocardial I/R injury and identify the mechanisms involved. Plasma PRCP level and activity, as well as Ang-(1–7) and BK-(1–9) levels, were compared in healthy subjects, patients with unstable angina, and those with ST-segment–elevated acute myocardial infarction (AMI). Thereafter, the effects of PRCP overexpression and knockdown on left ventricular function, mitophagy and levels of Ang-(1–7) and BK-(1–9) were examined in rats during myocardial I/R. Finally, the effects of Ang-(1–7) and BK-(1–9) on I/R-induced mitophagy and the signaling pathways involved were investigated in vitro in rat cardiomyocytes. AMI patients showed increased plasma level and activity of PRCP and levels of Ang-(1–7) and BK-(1–9) as compared with healthy subjects and those with unstable angina. PRCP protected against myocardial I/R injury in rats by paradoxical regulation of cardiomyocyte mitophagy during the ischaemia and reperfusion phases, which was mediated by downstream Ang-(1–7) and BK-(1–9). We further depicted a possible role of activation of AMPK in mitophagy induction during ischaemia and activation of Akt in mitophagy inhibition during reperfusion in the beneficial effects of Ang-(1–7) and BK-(1–9). Thus, the PRCP–Ang-(1–7)/BK-(1–9) axis may protect against myocardial I/R injury by paradoxical regulation of cardiomyocyte mitophagy during ischaemia and reperfusion phases.
No takes yet. Share an insight, caveat, or question.
Hao et al. (2020) studied Acute Myocardial Infarction and Myocardial Ischemia/Reperfusion Injury (n=275). Prolylcarboxypeptidase (PRCP) vs. Healthy subjects and patients with unstable angina was evaluated on Plasma PRCP level and activity. Plasma PRCP levels and activity were increased in patients with acute myocardial infarction, and experimental models showed PRCP protects against myocardial ischemia/reperfusion injury by regulating cardiomyocyte mitophagy.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: