Abstract

Objective To investigate the role of phosphatase and tensin homologue deleted on chromosome ten (PTEN) regulated Janus kinase2/signal transducer and activator of transcription 3(JAK2/STAT3) signaling pathway in the sensitivity of ischemic postconditioning (IPO) to diabetic hearts. Methods Healthy male SD rats, weighing 220-280 g, were used in this study. Type 1 diabetic rat models were induced by a single intraperitoneal injection of streptozotocin (60 mg/kg), and 8 weeks after, sixty diabetic rats were randomly divided into 5 groups (n=12 each): sham group (S group), ischemia reperfusion group (I/R group), ischemic postconditioning group (IPO group), PTEN inhibitor BpV+I/R group (BpV+I/R group) and BpV+IPO group. Myocardial I/R was induced by occlusion of the anterior descending branch of left coronary artery for 30 min followed by 120 min of reperfusion. IPO was induced by 3 cycles of 10 second reperfusion and ischemia at the onset of reperfusion. Sham group was performed all the steps only not to draw the suture. Bpv (1 mg/kg) was given as intravenous injections 1 hour before ischemia, and the equal volume of normal saline was given in untreated control groups. At 2 hours of reperfusion, the serum and heart tissue of diabetic rats were collected for determination of the level of serum creatine kinase-myocardial band isoenzyme (CK-MB), infarct size (IS), apoptosis index (AI) and PTEN activity, as well as the expression of PTEN, phosphorylated JAK2(p-JAK2), phosphorylated STAT3(p-STAT3) and apoptosis related protein caspase-3. One-way analysis of variance was used when data were compared among multiple groups, paired t test was applied to compare between two groups. Results Compared with S group, the level of CK-MB, PTEN activity were significantly increased, the expression of PTEN and cleaved caspase-3 were up-regulated in both I/R and IPO groups (t=2.997-7.702, all P<0.05). Compared with IPO group, the level of CK-MB, IS and AI, as well as PTEN activity were significantly decreased, and the expression of p-JAK2, p-STAT3 were up-regulated, the expression of cleaved caspase-3 was down-regulated in BpV+IPO group[3 003±613 vs 1 247±440, 42%±8% vs 53%±6%, 21%±3% vs 33%±6%,(584±78) vs (918±136) pmol, 1.73±0.29 vs 1.06±0.24, 1.75±0.19 vs 1.01±0.16, 1.6±0.4 vs 2.2±0.5, t=2.837-9.249, all P<0.05]. There was no significant difference in the parameters mentioned above between I/R and IPO groups, and between BpV+I/R and I/R groups. Conclusion Inhibition of PTEN restores IPO-induced cardioprotection in diabetic reperfusion heart possibly by activating JAK2/STAT3 signaling pathway. Key words: Diabetes mellitus, type 1; Phosphatase and tensin homologue deleted on chromosome ten; Signal transducer and activator of transcription 3; Myocardial reperfusion injury

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