BACKGROUND AND PURPOSECytochrome c when released from mitochondria into cytosol triggers assembly of the apoptosome resulting in caspase activation. Recent evidence suggests that reduced cytochrome c is unable to activate the caspase cascade. In this study, we investigated whether a chemical reductant of cytochrome c, N,N,N′,N′-tetramethylphenylene-1,4-diamine (TMPD), which we have previously shown to block cytochrome c-induced caspase activation, could prevent ischaemia-induced apoptosis in the rat perfused heart.
EXPERIMENTAL APPROACHThe Langendorff-perfused rat hearts were pretreated with TMPD and subjected to stop-flow ischaemia or ischaemia/reperfusion. The activation of caspases (measured as DEVD-p-nitroanilide-cleaving activity), nuclear apoptosis of cardiomyocytes (measured by dUTP nick end labelling assay), mitochondrial and cytosolic levels of cytochrome c (measured spectrophotometrically and by ELISA), and reperfusion-induced necrosis (measured as the activity of creatine kinase released into perfusate) were assessed.
KEY RESULTSWe found that perfusion of the hearts with TMPD strongly inhibited ischaemia-or ischaemia/reperfusion-induced activation of caspases and partially prevented nuclear apoptosis in cardiomyocytes. TMPD did not prevent ischaemia-or ischaemia/ reperfusion-induced release of cytochrome c from mitochondria into cytosol. TMPD also inhibited ischaemia/reperfusioninduced necrosis.
CONCLUSIONS AND IMPLICATIONSThese results suggest that TMPD or related molecules might be used to protect the heart against damage induced by ischaemia/reperfusion. The mechanism of this protective effect of TMPD probably involves electron reduction of cytochrome c (without decreasing its release) which then inhibits the activation of caspases.
AbbreviationsAPAF-1, apoptosis activating factor 1; TMPD, N,N,N′,N′-tetramethylphenylene-1,4-diamine; TUNEL, dUTP nick end labelling
IntroductionHeart ischaemia causes myocardial infarction and heart failure, which, according to the World Health Organization, are among the most common causes of human death in the world. Heart ischaemia or heart ischaemia plus reperfusion can induce necrosis and/or apoptosis of cardiomyocytes (Ganote et al., 1975;Freude et al., 1998;Lemasters et al., 1999). In general, it is found that relatively short periods of ischaemia induce apoptosis, longer periods of ischaemia induce necrosis, while reperfusion induces necrosis with additional apoptosis (Schumer et al., 1992;Fliss and Gattinger, 1996;Kametsu et al., 2003), but the relation between these events remains unclear. We and others have shown that ischaemia induces rapid cytochrome c release from mitochondria in rat perfused hearts, followed by caspase activation and nuclear apoptosis (De Moissac et al., 2000;Borutaite et al., 2001), and these events are prevented by inhibiting the mitochondrial permeability transition pore (Borutaite et al., 2003). Cytochrome c release activates apoptosis by binding to a cytosolic adaptor protein, APAF-1, which then recruits and activates procaspase-9 w...