Key result
Dexmedetomidine pretreatment significantly improved the beating rate of cardiomyocytes cocultured with cardiac fibroblasts after hypoxia/reoxygenation (87 vs 52 b.p.m., p < 0.05) by suppressing NLRP3 inflammasome activation.
Why the study?
The study investigated whether dexmedetomidine protects against myocardial ischemia-reperfusion injury by inhibiting the activation of the NLRP3 inflammasome in vitro.
Does dexmedetomidine reduce myocardial ischemia-reperfusion injury in primary rat cardiomyocytes and cardiac fibroblasts?
Does dexmedetomidine reduce myocardial ischemia-reperfusion injury in primary rat cardiomyocytes and cardiac fibroblasts?
Dexmedetomidine treatment suppresses hypoxia/reoxygenation-induced NLRP3 inflammasome activation in cardiac fibroblasts, alleviating myocardial ischemia-reperfusion injury in vitro.
Answers are grounded in this paper and cite their sources.
Hypothesis-generating for dexmedetomidine in ischemia-reperfusion injury; clinical trials required before any practice consideration.
BACKGROUND: Myocardial ischemia-reperfusion injury (MIRI) is the most common cause of death worldwide. The NOD-, LRR- and pyrin domain-containing protein 3 (NLRP3) inflammasome plays an important role in the inflammatory response to MIRI. Dexmedetomidine (DEX), a specific agonist of α2-adrenergic receptor, is commonly used for sedation and analgesia in anesthesia and critically ill patients. Several studies have shown that dexmedetomidine has a strong anti-inflammatory effect in many diseases. Here, we investigated whether dexmedetomidine protects against MIRI by inhibiting the activation of the NLRP3 inflammasome in vitro. METHODS: We established an MIRI model in cardiomyocytes (CMs) alone and in coculture with cardiac fibroblasts (CFs) by hypoxia/reoxygenation (H/R) in vitro. The cells were treated with dexmedetomidine with or without MCC950 (a potent selective NLRP3 inhibitor). The beating rate and cell viability of cardiomyocytes, NLRP3 localization, the expression of inflammatory cytokines and NLRP3 inflammasome-related proteins, and the expression of apoptosis-related proteins, including Bcl2 and BAX, were determined. RESULTS: Dexmedetomidine treatment increased the beating rates and viability of cardiomyocytes cocultured with cardiac fibroblasts. The expression of the NLRP3 protein was significantly upregulated in cardiac fibroblasts but not in cardiomyocytes after H/R and was significantly attenuated by dexmedetomidine treatment. Expression of the inflammatory cytokines IL-1β, IL-18 and TNF-α was significantly increased in cardiac fibroblasts after H/R and was attenuated by dexmedetomidine treatment. NLRP3 inflammasome activation induced the increased expression of cleaved caspase1, mature IL-1β and IL-18, while dexmedetomidine suppressed H/R-induced NLRP3 inflammasome activation in cardiac fibroblasts. In addition, dexmedetomidine reduced the expression of Bcl2 and BAX in cocultured cardiomyocytes by suppressing H/R-induced NLRP3 inflammasome activation in cardiac fibroblasts. CONCLUSION: Dexmedetomidine treatment can suppress H/R-induced NLRP3 inflammasome activation in cardiac fibroblasts, thereby alleviating MIRI by inhibiting the inflammatory response.
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Huang et al. (2021) studied Myocardial ischemia-reperfusion injury (in vitro model). Dexmedetomidine vs. Hypoxia/reoxygenation without dexmedetomidine was evaluated on Beating rate of cardiomyocytes after hypoxia/reoxygenation (p=<0.05). Dexmedetomidine pretreatment significantly improved the beating rate of cardiomyocytes cocultured with cardiac fibroblasts after hypoxia/reoxygenation (87 vs 52 b.p.m., p < 0.05) by suppressing NLRP3 inflammasome activation.
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