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Published in: BMC Anesthesiology 1/2014

Open Access 01-12-2014 | Research article

Isoflurane reduces hypoxia/reoxygenation-induced apoptosis and mitochondrial permeability transition in rat primary cultured cardiocytes

Authors: Wanjun Wu, Xianju Zhou, Ping Liu, Weidong Fei, Li Li, Huifang Yun

Published in: BMC Anesthesiology | Issue 1/2014

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Abstract

Background

The volatile anesthetic isoflurane protects the heart from hypoxia/reperfusion (H/R) injury. However, it is still incompletely understood whether isoflurane exerts its protective role through preventing mitochondrial permeability transition pore (MPTP) opening.

Methods

Primary cultured cardiocytes were exposed to H/R in the absence or presence of isoflurane. Cell cytotoxicity and apoptosis were detected by MTT assay and TUNEL staining, respectively. MPTP function was monitored by confocal imaging after reoxygenation. ROS production and activation of caspase-3 were determined by fluorescent reader and western blot, respectively.

Results

As compared to the control group, H/R led to significant cell cytotoxicity and apoptosis, while application of isoflurane markedly reversed the effects. Furthermore, isoflurane significantly inhibits the formation of H/R-induced excess ROS production. Finally, isoflurane attenuated the onset of mitochondrial permeability transition pore (MPTP) occurred during hypoxia/reoxygenation, and in turn inhibited activation of caspase-3.

Conclusions

These data indicate that isoflurane has a protective effect on cardiocytes exposed to H/R by reducing excess ROS production, blocking open of MPTP and further reducing apoptosis.
Appendix
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Literature
1.
go back to reference Kehl F, Krolikowski JG, Mraovic B, Pagel PS, Warltier DC, Kersten JR: Is isoflurane-induced preconditioning dose related?. Anesthesiology. 2002, 96: 675-680. 10.1097/00000542-200203000-00025.CrossRefPubMed Kehl F, Krolikowski JG, Mraovic B, Pagel PS, Warltier DC, Kersten JR: Is isoflurane-induced preconditioning dose related?. Anesthesiology. 2002, 96: 675-680. 10.1097/00000542-200203000-00025.CrossRefPubMed
2.
go back to reference Obal D, Preckel B, Scharbatke H, Müllenheim J, Höterkes F, Thämer V, Schlack W: One MAC of sevoflurane provides protection against reperfusion injury in the rat heart in vivo. Br J Anaesth. 2001, 87: 905-911. 10.1093/bja/87.6.905.CrossRefPubMed Obal D, Preckel B, Scharbatke H, Müllenheim J, Höterkes F, Thämer V, Schlack W: One MAC of sevoflurane provides protection against reperfusion injury in the rat heart in vivo. Br J Anaesth. 2001, 87: 905-911. 10.1093/bja/87.6.905.CrossRefPubMed
3.
go back to reference Martini N, Preckel B, Thämer V, Schlack W: Can isoflurane mimic ischemia preconditioning in isolated rat?. Br J Anaesth. 2001, 86: 269-271. 10.1093/bja/86.2.269.CrossRefPubMed Martini N, Preckel B, Thämer V, Schlack W: Can isoflurane mimic ischemia preconditioning in isolated rat?. Br J Anaesth. 2001, 86: 269-271. 10.1093/bja/86.2.269.CrossRefPubMed
4.
go back to reference Raphael J, Zuo Z, Abedat S, Beeri R, Gozal Y: Isoflurane preconditioning decreases myocardial infarction in rabbits via up-regulation of hypoxia inducible factor 1 that is mediated by mammalian target of rapamycin. Anesthesiology. 2008, 108 (3): 415-425. 10.1097/ALN.0b013e318164cab1.CrossRefPubMed Raphael J, Zuo Z, Abedat S, Beeri R, Gozal Y: Isoflurane preconditioning decreases myocardial infarction in rabbits via up-regulation of hypoxia inducible factor 1 that is mediated by mammalian target of rapamycin. Anesthesiology. 2008, 108 (3): 415-425. 10.1097/ALN.0b013e318164cab1.CrossRefPubMed
5.
go back to reference Kim JS, Jin Y, Lemasters JJ: Reactive oxygen species, but not Ca2+ overloading, trigger pH and mitochondrial permeability transition-dependent death of adult rat myocytes after ischemia-reperfusion. Am J Physiol Heart Circ Physiol. 2006, 290: 2024-2034. 10.1152/ajpheart.00683.2005.CrossRef Kim JS, Jin Y, Lemasters JJ: Reactive oxygen species, but not Ca2+ overloading, trigger pH and mitochondrial permeability transition-dependent death of adult rat myocytes after ischemia-reperfusion. Am J Physiol Heart Circ Physiol. 2006, 290: 2024-2034. 10.1152/ajpheart.00683.2005.CrossRef
6.
go back to reference Bienengraeber MW, Weihrauch D, Kersten JR, Pagel PS, Warltier DC: Cardioprotection by volatile anesthetics. Vasc Pharmacol. 2005, 42: 243-252. 10.1016/j.vph.2005.02.005.CrossRef Bienengraeber MW, Weihrauch D, Kersten JR, Pagel PS, Warltier DC: Cardioprotection by volatile anesthetics. Vasc Pharmacol. 2005, 42: 243-252. 10.1016/j.vph.2005.02.005.CrossRef
7.
go back to reference Wise-Faberowski L, Pearlstein RD, Warner DS: NMDA-induced apoptosis in mixed neuronal/glial cortical cell cultures: the effects of isoflurane and dizocilpine. J Neurosurg Anesthesiol. 2006, 18: 240-246. 10.1097/00008506-200610000-00004.CrossRefPubMed Wise-Faberowski L, Pearlstein RD, Warner DS: NMDA-induced apoptosis in mixed neuronal/glial cortical cell cultures: the effects of isoflurane and dizocilpine. J Neurosurg Anesthesiol. 2006, 18: 240-246. 10.1097/00008506-200610000-00004.CrossRefPubMed
8.
go back to reference Wang GW, Zhou Z, Klein JB, Kang YJ: Inhibition of hypoxia/reoxygenation-induced apoptosis in metallothionein- overexpressing cardiomyocytes. Am J Physiol Heart Circ Physiol. 2001, 280: 2292-2299. Wang GW, Zhou Z, Klein JB, Kang YJ: Inhibition of hypoxia/reoxygenation-induced apoptosis in metallothionein- overexpressing cardiomyocytes. Am J Physiol Heart Circ Physiol. 2001, 280: 2292-2299.
9.
go back to reference Li QT, Zhu YZ, Chu JY, Dong K, He P, Feng CY, Hu BY, Zhang SM, Guo XK: Granulocyte-macrophage colony-stimulating factor DNA prime-protein boosts strategy to enhance efficacy of a recombinant pertussis DNA vaccine. Acta Pharmacol Sin. 2006, 27 (11): 1487-1494. 10.1111/j.1745-7254.2006.00456.x.CrossRefPubMed Li QT, Zhu YZ, Chu JY, Dong K, He P, Feng CY, Hu BY, Zhang SM, Guo XK: Granulocyte-macrophage colony-stimulating factor DNA prime-protein boosts strategy to enhance efficacy of a recombinant pertussis DNA vaccine. Acta Pharmacol Sin. 2006, 27 (11): 1487-1494. 10.1111/j.1745-7254.2006.00456.x.CrossRefPubMed
10.
go back to reference Wise-Faberowski L, Raizada MK, Sumners C: Oxygen and glucose deprivation-induced neuronal apoptosis is attenuated by halothane and isoflurane. Anesth Analg. 2001, 93: 1281-1287. 10.1097/00000539-200111000-00051.CrossRefPubMed Wise-Faberowski L, Raizada MK, Sumners C: Oxygen and glucose deprivation-induced neuronal apoptosis is attenuated by halothane and isoflurane. Anesth Analg. 2001, 93: 1281-1287. 10.1097/00000539-200111000-00051.CrossRefPubMed
11.
go back to reference Bernardi P, Scorrano L, Colonna R, Petronilli V, Di Lisa F: Mitochondria and cell death. Mechanistic aspects and methodological issues. Eur J Biochem. 1999, 264: 687-701. 10.1046/j.1432-1327.1999.00725.x.CrossRefPubMed Bernardi P, Scorrano L, Colonna R, Petronilli V, Di Lisa F: Mitochondria and cell death. Mechanistic aspects and methodological issues. Eur J Biochem. 1999, 264: 687-701. 10.1046/j.1432-1327.1999.00725.x.CrossRefPubMed
12.
go back to reference Trollinger DR, Cascio WE, Lemasters JJ: Selective loading of Rhod 2 into mitochondria shows mitochondrial Ca2+ transients during the contractile cycle in adult rabbit cardiac myocytes. Biochem Biophys Res Comm. 1997, 236: 738-742. 10.1006/bbrc.1997.7042.CrossRefPubMed Trollinger DR, Cascio WE, Lemasters JJ: Selective loading of Rhod 2 into mitochondria shows mitochondrial Ca2+ transients during the contractile cycle in adult rabbit cardiac myocytes. Biochem Biophys Res Comm. 1997, 236: 738-742. 10.1006/bbrc.1997.7042.CrossRefPubMed
13.
go back to reference Wei H, Leeds P, Chen RW, Wei W, Leng Y, Bredesen DE, Chuang DM: Neuronal apoptosis induced by pharmacological concentrations of 3-hydroxykynurenine:characterization and protection by dantrolene and Bcl-2 overexpression. J Neurochem. 2000, 75: 81-90.CrossRefPubMed Wei H, Leeds P, Chen RW, Wei W, Leng Y, Bredesen DE, Chuang DM: Neuronal apoptosis induced by pharmacological concentrations of 3-hydroxykynurenine:characterization and protection by dantrolene and Bcl-2 overexpression. J Neurochem. 2000, 75: 81-90.CrossRefPubMed
14.
go back to reference Vanden Hoek TL, Shao Z, Li C, Schumacker PT, Becker LB: Mitochondrial electron transport can become a significant source of oxidative injury in cardiomyocytes. J Mol Cell Cardiol. 1997, 29 (9): 2441-2450. 10.1006/jmcc.1997.0481.CrossRefPubMed Vanden Hoek TL, Shao Z, Li C, Schumacker PT, Becker LB: Mitochondrial electron transport can become a significant source of oxidative injury in cardiomyocytes. J Mol Cell Cardiol. 1997, 29 (9): 2441-2450. 10.1006/jmcc.1997.0481.CrossRefPubMed
15.
go back to reference Redel A, Stumpner J, Tischer-Zeitz T, Lange M, Smul TM, Lotz C, Roewer N, Kehl F: Comparison of isoflurane-, sevoflurane-, and desflurane-induced pre- and postconditioning against myocardial infarction in mice in vivo. Exp Biol Med. 2009, 234: 1186-1191. 10.3181/0902-RM-58.CrossRef Redel A, Stumpner J, Tischer-Zeitz T, Lange M, Smul TM, Lotz C, Roewer N, Kehl F: Comparison of isoflurane-, sevoflurane-, and desflurane-induced pre- and postconditioning against myocardial infarction in mice in vivo. Exp Biol Med. 2009, 234: 1186-1191. 10.3181/0902-RM-58.CrossRef
16.
go back to reference Tsutsumi YM, Patel HH, Lai NC, Takahashi T, Head BP, Roth DM: Isoflurane produces sustained cardiac protection after ischemia-reperfusion injury in mice. Anesthesiology. 2006, 104: 495-502. 10.1097/00000542-200603000-00017.CrossRefPubMed Tsutsumi YM, Patel HH, Lai NC, Takahashi T, Head BP, Roth DM: Isoflurane produces sustained cardiac protection after ischemia-reperfusion injury in mice. Anesthesiology. 2006, 104: 495-502. 10.1097/00000542-200603000-00017.CrossRefPubMed
17.
go back to reference Pravdic D, Hirata N, Barber L, Sedlic F, Bosnjak ZJ, Bienengraeber M: Complex I and ATP synthase mediate membrane depolarization and matrix acidification by isoflurane in mitochondria. Eur J Pharmacol. 2012, 690 (1–3): 149-157.CrossRefPubMedPubMedCentral Pravdic D, Hirata N, Barber L, Sedlic F, Bosnjak ZJ, Bienengraeber M: Complex I and ATP synthase mediate membrane depolarization and matrix acidification by isoflurane in mitochondria. Eur J Pharmacol. 2012, 690 (1–3): 149-157.CrossRefPubMedPubMedCentral
18.
go back to reference Lang XE, Wang X, Zhang KR, Lv JY, Jin JH, Li QS: Isoflurane preconditioning confers cardioprotection by activation of ALDH2. Plos One. 2013, 8 (2): e52469-10.1371/journal.pone.0052469.CrossRefPubMedPubMedCentral Lang XE, Wang X, Zhang KR, Lv JY, Jin JH, Li QS: Isoflurane preconditioning confers cardioprotection by activation of ALDH2. Plos One. 2013, 8 (2): e52469-10.1371/journal.pone.0052469.CrossRefPubMedPubMedCentral
19.
go back to reference Krolikowski JG, Bienengraeber M, Weihrauch D, Warltier DC, Kersten JR, Pagel PS: Inhibition of mitochondrial permeability transition enhances isoflurane-induced cardioprotection during early reperfusion: the role of mitochondrial KATP channels. Anesth Analg. 2005, 101 (6): 1590-1596.CrossRefPubMed Krolikowski JG, Bienengraeber M, Weihrauch D, Warltier DC, Kersten JR, Pagel PS: Inhibition of mitochondrial permeability transition enhances isoflurane-induced cardioprotection during early reperfusion: the role of mitochondrial KATP channels. Anesth Analg. 2005, 101 (6): 1590-1596.CrossRefPubMed
20.
go back to reference Pravdic D, Sedlic F, Mio Y, Vladic N, Bienengraeber M, Bosnjak ZJ: Anesthetic-induced preconditioning delays opening of mitochondrial permeability transition pore via protein Kinase C-epsilon-mediated pathway. Anesthesiology. 2009, 111 (2): 267-274. 10.1097/ALN.0b013e3181a91957.CrossRefPubMedPubMedCentral Pravdic D, Sedlic F, Mio Y, Vladic N, Bienengraeber M, Bosnjak ZJ: Anesthetic-induced preconditioning delays opening of mitochondrial permeability transition pore via protein Kinase C-epsilon-mediated pathway. Anesthesiology. 2009, 111 (2): 267-274. 10.1097/ALN.0b013e3181a91957.CrossRefPubMedPubMedCentral
21.
go back to reference Tanaka K, Weihrauch D, Kehl F, Ludwig LM, LaDisa JF, Kersten JR, Pagel PS, Warltier DC: Mechanism of preconditioning by isoflurane in rabbits: a direct role for reactive oxygen species. Anesthesiology. 2002, 97 (6): 1485-1490. 10.1097/00000542-200212000-00021.CrossRefPubMed Tanaka K, Weihrauch D, Kehl F, Ludwig LM, LaDisa JF, Kersten JR, Pagel PS, Warltier DC: Mechanism of preconditioning by isoflurane in rabbits: a direct role for reactive oxygen species. Anesthesiology. 2002, 97 (6): 1485-1490. 10.1097/00000542-200212000-00021.CrossRefPubMed
22.
go back to reference Müllenheim J, Ebel D, Frässdorf J, Preckel B, Thämer V, Schlack W: Isoflurane preconditions myocardium against infarction via release of free radicals. Anesthesiology. 2002, 96 (4): 934-940. 10.1097/00000542-200204000-00022.CrossRefPubMed Müllenheim J, Ebel D, Frässdorf J, Preckel B, Thämer V, Schlack W: Isoflurane preconditions myocardium against infarction via release of free radicals. Anesthesiology. 2002, 96 (4): 934-940. 10.1097/00000542-200204000-00022.CrossRefPubMed
23.
go back to reference Reimer KA, Jennings RB: Myocardial ischemia, hypoxia and infarction. The Heart and Cardovascular System. Edited by: Fozzard HA, Jennings RB, Huber E, Katz AM, Morgan HE. 1992, NewYork: Raven Press Ltd, 1875-1973. Second Reimer KA, Jennings RB: Myocardial ischemia, hypoxia and infarction. The Heart and Cardovascular System. Edited by: Fozzard HA, Jennings RB, Huber E, Katz AM, Morgan HE. 1992, NewYork: Raven Press Ltd, 1875-1973. Second
24.
go back to reference Halestrap AP, Kerr PM, Javadov S: The mitochondrial permeability transition: role in ischemia/reperfusion injury. Sepsis. 1998, 2: 313-325. Halestrap AP, Kerr PM, Javadov S: The mitochondrial permeability transition: role in ischemia/reperfusion injury. Sepsis. 1998, 2: 313-325.
25.
go back to reference Ge ZD, Pravdic D, Bienengraeber M, Pratt PF, Auchampach JA, Gross GJ, Kersten JR, Warltier DC: Isoflurane postconditioning protects against reperfusion injury by preventing mitochondrial permeability transition by an endothelial nitric oxide synthase-dependent mechanism. Anesthesiology. 2010, 112 (1): 73-85. 10.1097/ALN.0b013e3181c4a607.CrossRefPubMedPubMedCentral Ge ZD, Pravdic D, Bienengraeber M, Pratt PF, Auchampach JA, Gross GJ, Kersten JR, Warltier DC: Isoflurane postconditioning protects against reperfusion injury by preventing mitochondrial permeability transition by an endothelial nitric oxide synthase-dependent mechanism. Anesthesiology. 2010, 112 (1): 73-85. 10.1097/ALN.0b013e3181c4a607.CrossRefPubMedPubMedCentral
26.
go back to reference Qian LP, Zhu SS, Cao JL, Zeng YM: Isoflurane preconditioning protects against ischemia-reperfusion injury partly by attenuating cytochrome c release from subsarcolemmal mitochondria in isolated rat hearts. Acta Pharmacol Sin. 2005, 26 (7): 813-820. 10.1111/j.1745-7254.2005.00117.x.CrossRefPubMed Qian LP, Zhu SS, Cao JL, Zeng YM: Isoflurane preconditioning protects against ischemia-reperfusion injury partly by attenuating cytochrome c release from subsarcolemmal mitochondria in isolated rat hearts. Acta Pharmacol Sin. 2005, 26 (7): 813-820. 10.1111/j.1745-7254.2005.00117.x.CrossRefPubMed
Metadata
Title
Isoflurane reduces hypoxia/reoxygenation-induced apoptosis and mitochondrial permeability transition in rat primary cultured cardiocytes
Authors
Wanjun Wu
Xianju Zhou
Ping Liu
Weidong Fei
Li Li
Huifang Yun
Publication date
01-12-2014
Publisher
BioMed Central
Published in
BMC Anesthesiology / Issue 1/2014
Electronic ISSN: 1471-2253
DOI
https://doi.org/10.1186/1471-2253-14-17

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