. Caspase-dependent cytochrome c release and cell death in chick cardiomyocytes after simulated ischemia-reperfusion. Am J Physiol Heart Circ Physiol 286: H2280 -H2286, 2004. First published February 19, 2004 10.1152/ajpheart.01063.2003We recently demonstrated that reperfusion rapidly induces the mitochondrial pathway of apoptosis in chick cardiomyocytes after 1 h of simulated ischemia. Here we tested whether ischemia-reperfusion (I/R)-induced apoptosis could be initiated by caspase-dependent cytochrome c release in this model of cardiomyocyte injury. Fluorometric assays of caspase activity showed little, if any, activation of caspases above baseline levels induced by 1 h of ischemia alone. However, these assays revealed rapid activation of caspase-2, yielding a 2.95 Ϯ 0.52-fold increase (over ischemia only) within the 1st h of reperfusion, whereas activities of caspases-3, -8, and -9 increased only slightly from their baseline levels. The rapid and prominent activation of caspase-2 suggested that it could be an important initiator caspase in this model, and using specific caspase inhibitors given only at the point of reperfusion, we tested this hypothesis. The caspase-2 inhibitor benzyloxycarbonyl-Val-Asp(Ome)-Val-Ala-Asp(Ome)-CH2F was the only caspase inhibitor that significantly inhibited cytochrome c release from mitochondria. This inhibitor also completely blocked activation of caspases-3, -8, and -9. The caspase-3/7 inhibitor transiently and only partially blocked caspase-2 activity and was less effective in blocking the activities of caspases-8 and -9. The caspase-8 inhibitor failed to significantly block caspase-2 or -3, and the caspase-9 inhibitor blocked only caspase-9. Furthermore, the caspase-2 inhibitor protected against I/Rinduced cell death, but the caspase-8 inhibitor failed to do so. These data suggest that active caspase-2 initiates cytochrome c release after reperfusion and that it is critical for the I/R-induced apoptosis in this model. caspase activation; caspase inhibitor ISCHEMIA-REPERFUSION (I/R) can induce apoptosis in cardiomyocytes, and several studies have implicated the "intrinsic" or mitochondrial pathway in the cell injury in models of myocardial infarction and cardiomyocyte death (see Ref. 4 for a recent review). Caspases (cysteinyl aspartate-specific proteases) play critical roles in the initiation and execution of apoptotic pathways, including those induced by I/R (10,18,21,26,38,44). Several caspases have been described in vertebrates. Among these, important initiator functions have been documented for caspase-8 in death receptor-induced apoptosis and for caspase-9 in mitochondrial pathways (reviewed in Ref. 12). A large volume of literature also supports a role for caspase-3 as a central "executioner" or "downstream" caspase, and, for a number of years after its discovery in 1994 (22, 43), caspase-2 was thought to be primarily a downstream effector caspase as well (34). Across animal species, caspase-2 is one of the most conserved caspases (reviewed in Ref. 37) and, interesti...