Key result
Cardiac-specific mTOR knockout hearts exhibited significantly better functional recovery after ex vivo ischemia-reperfusion injury compared to control hearts (51.5% vs 33.3% LVDP recovery, p<0.01).
Why the study?
The mechanisms underlying the role of cardiac mTOR in cardiac function following ischemia-reperfusion injury were not well-understood.
Absolute Event Rate: 51.5% vs 33.3%
p-value: p=<0.01
Cardiac mTOR plays a vital role in excitation-contraction coupling and cell survival following ischemia-reperfusion injury, with its deletion paradoxically improving functional recovery but causing irregular contractility due to altered calcium handling.
The mechanistic target of rapamycin (mTOR) is a key mediator of energy metabolism, cell growth, and survival. While previous studies using transgenic mice with cardiac-specific overexpression of mTOR (mTOR-Tg) demonstrated the protective effects of cardiac mTOR against ischemia-reperfusion (I/R) injury in both ex vivo and in vivo models, the mechanisms underlying the role of cardiac mTOR in cardiac function following I/R injury are not well-understood. Torin1, a pharmacological inhibitor of mTOR complex (mTORC) 1 and mTORC2, significantly decreased functional recovery of LV developed pressure in ex vivo I/R models (p < 0.05). To confirm the role of mTOR complexes in I/R injury, we generated cardiac-specific mTOR-knockout (CKO) mice. In contrast to the effects of Torin1, CKO hearts recovered better after I/R injury than control hearts (p < 0.05). Interestingly, the CKO hearts had exhibited irregular contractions during the reperfusion phase. Calcium is a major factor in Excitation-Contraction (EC) coupling via Sarcoplasmic Reticulum (SR) calcium release. Calcium is also key in opening the mitochondrial permeability transition pore (mPTP) and cell death following I/R injury. Caffeine-induced SR calcium release in isolated CMs showed that total SR calcium content was lower in CKO than in control CMs. Western blotting showed that a significant amount of mTOR localizes to the SR/mitochondria and that GSK3-β phosphorylation, a key factor in SR calcium mobilization, was decreased. These findings suggest that cardiac mTOR located to the SR/mitochondria plays a vital role in EC coupling and cell survival in I/R injury.
No takes yet. Share an insight, caveat, or question.
Shimada et al. (2021) studied Ischemia-reperfusion injury. Cardiac-specific mTOR knockout vs. Control mice (Cre-) was evaluated on Percent left ventricular developed pressure (%LVDP) recovery at 40 min of reperfusion (p=<0.01). Cardiac-specific mTOR knockout hearts exhibited significantly better functional recovery after ex vivo ischemia-reperfusion injury compared to control hearts (51.5% vs 33.3% LVDP recovery, p<0.01).
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: