Key result
Egr-1 knockdown protected cardiomyocytes from ischemia/hypoxia-induced injury by promoting autophagy and reducing apoptosis via the Egr-1/Bim/Beclin-1 pathway.
Why the study?
To explore whether the Egr-1/Bim/Beclin-1 pathway regulates autophagy and apoptosis in cardiomyocytes exposed to ischemia/hypoxia.
The Egr-1/Bim/Beclin-1 pathway regulates ischemia/hypoxia-induced cardiomyocyte autophagy and apoptosis, presenting a potential therapeutic target for microvascular obstruction.
Answers are grounded in this paper and cite their sources.
Egr-1 pathway merits exploration as ischemia target; leaves open translation to microvascular obstruction therapies.
BACKGROUND: Myocardial injury caused by microvascular obstruction (MVO) is characterized by persistent ischemia/hypoxia (IH) of cardiomyocytes after microembolization. Autophagy and Egr-1 were closely associated with various cardiovascular diseases, including MVO. Bim and Beclin-1 are the important genes for autophagy and apoptosis. We aimed to explore whether the Egr-1/Bim/Beclin-1 pathway is involved in regulating autophagy and apoptosis in IH-exposed cardiomyocytes. METHODS: were transfected with lentivirus expressing Egr-1 or Egr-1 shRNA, or further treated with 3-methyladenine (3-MA). The expressions of autophagy and apoptosis-associated genes were evaluated using RT-qPCR and Western blots assays. Autophagic vacuoles and autophagic flux were detected by transmission electron microscopy (TEM) and confocal microscope, respectively. Cell injury was assessed by lactate dehydrogenase (LDH) leakage, and apoptosis was determined by flow cytometry. RESULTS: IH exposure elevated Egr-1 and Bim expressions, and decreased Beclin-1 expression in rat cardiomyocytes. Egr-1 overexpression in IH-exposed cardiomyocytes significantly up-regulated the levels of Egr-1 and Bim, and down-regulated the level of Beclin-1. Egr-1 knockdown resulted in down-regulated expressions of Egr-1 and Bim, as well as up-regulated expression of Beclin-1. In addition, Egr-1 knockdown induced autophagy was suppressed by 3-MA treatments. TEM and autophagic flux experiments also confirmed that Egr-1 inhibited autophagy progression in IH-exposed cardiomyocytes. Egr-1 suppression protected cardiomyocytes from IH-induced injury, as evidenced by the positive correlations between Egr-1 expression and LDH leakage or apoptosis index in IH-exposed cardiomyocytes. CONCLUSIONS: IH-induced cardiomyocyte autophagy and apoptosis are regulated by the Egr-1/Bim/Beclin-1 pathway, which is a potential target for treating cardiomyocyte injury caused by MVO in the IH environment.
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Su et al. (2020) studied Ischemia/hypoxia-induced cardiomyocyte injury (n=60). Egr-1 knockdown via shRNA vs. Ischemia/hypoxia + negative control shRNA was evaluated on Cardiomyocyte autophagy and apoptosis (LDH leakage, apoptosis index) (p=<0.05). Egr-1 knockdown protected cardiomyocytes from ischemia/hypoxia-induced injury by promoting autophagy and reducing apoptosis via the Egr-1/Bim/Beclin-1 pathway.
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