Abstract

Reperfusion after myocardial ischemia is associated with a rapid influx of calcium, leading to activation of various enzymes including calpain. Isolated perfused adult rabbit hearts subjected to global ischemia and reperfusion were studied. Calpain or a calpain-like activity was activated within 15 min after reperfusion, and preconditioning suppressed calpain activation. In contrast, caspase activation was not detected although cytochrome c was released after ischemia and reperfusion. The pro-apoptotic BH3-only Bcl-2 family member, Bid, was cleaved during ischemia/reperfusion in the adult rabbit heart. Recombinant Bid was cleaved by calpain to a fragment that was able to mediate cytochrome c release. The calpain cleavage site was mapped to a region within Bid that is extremely susceptible to proteolysis. These findings suggest that there is cross-talk between apoptotic and necrotic pathways in myocardial ischemia/reperfusion injury.

Highlights

  • Reperfusion after ischemia is accompanied by a rapid influx of calcium

  • Ischemia and reperfusion are associated with calpain activation, a finding that has been reported by many other groups

  • Recent interest has focused on biochemical pathways of apoptosis, and caspase activation has been reported to occur in ischemic and reperfused rat hearts [18]

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Summary

Introduction

Reperfusion after ischemia is accompanied by a rapid influx of calcium. Preconditioning, in which a brief period of ischemia and reperfusion confers protection against a longer episode of ischemia, preserves tissue viability through attenuation of ionic fluxes (notably protons and calcium), preservation of energy charge (less consumption of ATP), and a variety of less well characterized enzymatic alterations [1,2,3,4,5]. Caspase activation in ischemic and reperfused rat heart has been reported using an antibody that recognizes a neoepitope in activated caspase-3 [18]. In this study we report that calpain is activated shortly after ischemia/reperfusion and that preconditioning attenuates calpain activation. We demonstrate a connection between calpain and mitochondrial dysfunction mediated by Bid

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