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European Journal of Heart Failure 2003 5(2):121-129; doi:10.1016/S1388-9842(02)00254-4
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© 2002 European Society of Cardiology

Hypoxia, angiotensin-II, and norepinephrine mediated apoptosis is stimulus specific in canine failed cardiomyocytes: a role for p38 MAPK, Fas-L and cyclin D1

Victor G. Sharov, Anastassia Todor, George Suzuki, Hideaki Morita, Elaine J. Tanhehco and Hani N. Sabbah*

Department of Medicine, Division of Cardiovascular Medicine, Henry Ford Heart and Vascular Institute Detroit, MI 48202, USA

* Corresponding author. Cardiovascular Research, Henry Ford Hospital, 2799 West Grand Boulevard, Detroit, MI 48202, USA. Tel.: +1-313-916-7360; fax: +1-313-916-3001 E-mail address: hsabbah1{at}hfhs.org


   Abstract

Background: Apoptosis may contribute to the myocardial dysfunction associated with heart failure (HF). Activation of the p38 MAPK cascade can induce apoptosis in non-cardiac cells through increased expression of Fas-L, or through decreased expression of cyclin D1.

Aims: We tested the hypothesis that hypoxia (HX), angiotensin-II (A-II) and norepinephrine (NEPI) can mediate apoptosis by activating p38 MAPK, and thus initiating stimulus specific changes in Fas-L and cyclin D1 expression in failing cardiomyocytes.

Methods and results: Cardiomyocytes isolated from ten dogs with HF induced by coronary microembolizations were subjected to HX or A-II or NEPI with and without a p38 MAPK inhibitor (SB 203580). TUNEL staining for DNA fragmentation and Western blots for p38 MAPK, Fas-L and cyclin D1 detection were performed. HX-induced apoptosis was associated with increased Fas-L expression, A-II-induced apoptosis was associated with increased Fas-L and decreased cyclin D1 expression, and NEPI-induced apoptosis was associated with decreased cyclin D1 expression. Inhibition of p38 MAPK activity attenuated stress-induced apoptosis in all experiments and reversed changes in Fas-L and cyclin D1 expression.

Conclusions: HX, A-II and NEPI mediate apoptosis in failing cardiomyocytes via different effects on Fas-L and cyclin D1 expression. Inhibition of p38 MAPK reversed these effects, suggesting that apoptosis induced by HX, A-II and NEPI involves activation of p38 MAPK upstream from Fas-L and cyclin D1.

Key Words: Heart failure • p38 MAPK • Apoptosis • Fas-L • Cyclin D1

Received April 2, 2002; Revised July 9, 2002; Accepted September 17, 2002


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