Abstract

Cardiac iron overload is directly associated with cardiac dysfunction and can ultimately lead to heart failure. This study examined the effect of secoisolariciresinol diglucoside (SDG), a component of flaxseed, on iron overload induced cardiac damage by evaluating oxidative stress, inflammation and apoptosis in H9c2 cardiomyocytes. Cells were incubated with 50 μ5M iron for 24 hours and/or a 24 hour pre-treatment of 500 μ M SDG. Cardiac iron overload resulted in increased oxidative stress and gene expression of the inflammatory mediators tumor necrosis factor-α, interleukin-10 and interferon γ, as well as matrix metalloproteinases-2 and -9. Increased apoptosis was evident by increased active caspase 3/7 activity and increased protein expression of Forkhead box O3a, caspase 3 and Bax. Cardiac iron overload also resulted in increased protein expression of p70S6 Kinase 1 and decreased expression of AMP-activated protein kinase. Pre-treatment with SDG abrogated the iron-induced increases in oxidative stress, inflammation and apoptosis, as well as the increased p70S6 Kinase 1 and decreased AMP-activated protein kinase expression. The decrease in superoxide dismutase activity by iron treatment was prevented by pre-treatment with SDG in the presence of iron. Based on these findings we conclude that SDG was cytoprotective in an in vitro model of iron overload induced redox-inflammatory damage, suggesting a novel potential role for SDG in cardiac iron overload.

Highlights

  • Iron is essential to biochemical, metabolic, and biological processes in all organisms, where it is the critical component of haemoglobin and is needed for energy production and detoxification [1]

  • A 24-hour treatment with 50 μM iron caused a significant increase (p < 0.05) in ROS generation (Fig 2A) as indicated by increased mean FL1 fluorescence versus control. These data indicate a pronounced production of ROS resulting from iron treatment of the H9c2 cells. 24-hour pre-treatment with 500 μM secoisolariciresinol diglucoside (SDG) prevented the significant increase in iron-induced ROS generation, reducing it to control levels (Fig 2A and 2B)

  • We found that pre-treatment with SDG prevented a significant increase in iron-induced apoptosis, suggesting that the observed iron-induced cytotoxicity is largely mediated by oxidative stress and inflammation

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Summary

Introduction

Iron is essential to biochemical, metabolic, and biological processes in all organisms, where it is the critical component of haemoglobin and is needed for energy production and detoxification [1]. SDG in Cardiac Iron Overload impaired feedback inhibition of iron uptake, resulting in maximal absorption [5,6]. Chronic iron overload can lead to a variety of cardiac arrhythmias resulting in heart failure [2, 5,6,7,8]. No single mechanism is likely to account for the pathology of iron-overload induced heart failure, recent studies have suggested that altered calcium homeostasis and increased oxidative stress each play a role [5,6,7,8]. The mechanism of cardiac iron uptake is not well defined but recent studies have established that iron is transported by voltagedependent L-type Ca2+ channels in cardiomyocytes [2, 6, 8]

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