Key result
AMPKα2 overexpression reduces cardiomyocyte hypoxia-reoxygenation injury via Sirt3/PGC1α.
Why the study?
Cardiac ischemia-reperfusion injury is associated with mitochondrial dysfunction, which is determined by mitochondrial dynamics, but whether AMPKα2 mediates mitochondrial dynamics in this setting was unknown.
AMPKα2 overexpression protects cardiomyocytes from ischemia-reperfusion injury by normalizing mitochondrial dynamics via the Sirt3/PGC1α pathway.
No immediate clinical implications for ischemia-reperfusion injury; leaves open translational studies on AMPKα2 modulation.
Cardiac ischemia-reperfusion (I/R) injury is associated with mitochondrial dysfunction. Recent studies have reported that mitochondrial function is determined by mitochondrial dynamics. Here, we hypothesized that AMPKα2 functions as an upstream mediator that sustains mitochondrial dynamics in cardiac I/R injury and cardiomyocyte hypoxia-reoxygenation (H/R) in vitro. To test this, we analyzed cardiomyocyte viability and survival along with mitochondrial dynamics and function using western blots, qPCR, immunofluorescence, and ELISA. Our results indicated that both AMPKα2 transcription and translation were reduced by H/R injury in cardiomyocytes. Decreased AMPKα2 levels were associated with cardiomyocyte dysfunction and apoptosis. Adenovirus-mediated AMPKα2 overexpression dramatically inhibited H/R-mediated cardiomyocyte damage, possibly by increasing mitochondrial membrane potential, inhibiting cardiomyocyte oxidative stress, attenuating intracellular calcium overload, and inhibiting mitochondrial apoptosis. At the molecular level, AMPKα2 overexpression alleviated abnormal mitochondrial division and improved mitochondrial fusion through activation of the Sirt3/PGC1α pathway. This suggests AMPKα2 contributes to maintaining normal mitochondrial dynamics. Indeed, induction of mitochondrial dynamics disorder abolished the cardioprotective effects afforded by AMPKα2 overexpression. Thus, cardiac I/R-related mitochondrial dynamics disorder can be reversed by AMPKα2 overexpression in a manner dependent on the activation of Sirt3/PGC1α signaling.
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Deng et al. (2020) studied Cardiac ischemia-reperfusion (I/R) injury. Adenovirus-mediated AMPKα2 overexpression vs. Control (hypoxia/reoxygenation injury without overexpression) was evaluated on Cardiomyocyte viability and mitochondrial dynamics (p=<0.05). Adenovirus-mediated AMPKα2 overexpression significantly reduced cardiomyocyte hypoxia-reoxygenation injury and apoptosis by normalizing mitochondrial dynamics via the Sirt3/PGC1α pathway.
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