Key result
Helium inhalation boosts circulating exosomal Cav-3 ~8-fold but fails to protect against myocardial ischemia.
Why the study?
Helium induces cardioprotection in vivo, but the underlying molecular mechanisms remain unknown.
Does helium inhalation induce cardiac protection against ischemia-reperfusion injury through direct myocardial effects or via the release of circulating caveolin-enriched factors in mice?
Does helium inhalation induce cardiac protection against ischemia-reperfusion injury through direct myocardial effects or via the release of circulating caveolin-enriched factors in mice?
Helium preconditioning requires circulating blood factors—specifically secreted exosomes enriched in caveolin-3 that boost mitochondrial respiration—to confer cardioprotection, as isolated perfused hearts devoid of blood components lose this protective phenotype.
Answers are grounded in this paper and cite their sources.
Helium preconditioning may require circulating factors rather than direct myocardial effects; leaves open clinical translation in ischemia-reperfusion injury.
The noble gas helium (He) induces cardioprotection in vivo through unknown molecular mechanisms. He can interact with and modify cellular membranes. Caveolae are cholesterol and sphingolipid-enriched invaginations of the plasma-membrane-containing caveolin (Cav) proteins that are critical in protection of the heart. Mice (C57BL/6J) inhaled either He gas or adjusted room air. Functional measurements were performed in the isolated Langendorff perfused heart at 24 h post He inhalation. Electron paramagnetic resonance spectrometry (EPR) of samples was carried out at 24 h post He inhalation. Immunoblotting was used to detect Cav-1/3 expression in whole-heart tissue, exosomes isolated from platelet free plasma (PFP) and membrane fractions. Additionally, transmission electron microscopy analysis of cardiac tissue and serum function and metabolomic analysis were performed. In contrast to cardioprotection observed in in vivo models, the isolated Langendorff perfused heart revealed no protection after He inhalation. However, levels of Cav-1/3 were reduced 24 h after He inhalation in whole-heart tissue, and Cav-3 was increased in exosomes from PFP. Addition of serum to muscle cells in culture or naïve ventricular tissue increased mitochondrial metabolism without increasing reactive oxygen species generation. Primary and lipid metabolites determined potential changes in ceramide by He exposure. In addition to direct effects on myocardium, He likely induces the release of secreted membrane factors enriched in caveolae. Our results suggest a critical role for such circulating factors in He-induced organ protection.
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Weber et al. (2019) studied Cardiac ischemia-reperfusion injury. Helium inhalation vs. 30% oxygen in air at 5 L/min was evaluated on Caveolin-3 expression in exosomes isolated from platelet-free plasma at 24 hours (p=<0.05). Helium inhalation reduced cardiac Cav-1/3 levels and increased circulating exosomal Cav-3 at 24 h in mice, while failing to protect isolated Langendorff hearts.
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