Abstract

BackgroundAnesthetic preconditioning can improve survival of cardiac progenitor cells exposed to oxidative stress. We investigated the role of protein kinase C and isoform protein kinase C-ε in isoflurane-induced preconditioning of cardiac progenitor cells exposed to oxidative stress.MethodsCardiac progenitor cells were obtained from undifferentiated human embryonic stem cells. Immunostaining with anti-Nkx2.5 was used to confirm the differentiated cardiac progenitor cells. Oxidative stress was induced by H2O2 and FeSO4. For anesthetic preconditioning, cardiac progenitor cells were exposed to 0.25, 0.5, and 1.0 mM of isoflurane. PMA and chelerythrine were used for protein kinase C activation and inhibition, while εψRACK and εV1-2 were used for protein kinase C -ε activation and inhibition, respectively.ResultsIsoflurane-preconditioning decreased the death rate of Cardiac progenitor cells exposed to oxidative stress (death rates isoflurane 0.5 mM 12.7 ± 9.3 %, 1.0 mM 12.0 ± 7.7 % vs. control 31.4 ± 10.2 %). Inhibitors of both protein kinase C and protein kinase C -ε abolished the preconditioning effect of isoflurane 0.5 mM (death rates 27.6 ± 13.5 % and 25.9 ± 8.7 % respectively), and activators of both protein kinase C and protein kinase C - ε had protective effects from oxidative stress (death rates 16.0 ± 3.2 % and 10.6 ± 3.8 % respectively).ConclusionsBoth PKC and PKC-ε are involved in isoflurane-induced preconditioning of human embryonic stem cells -derived Nkx2.5+ Cardiac progenitor cells under oxidative stress.

Highlights

  • Anesthetic preconditioning can improve survival of cardiac progenitor cells exposed to oxidative stress

  • We investigated the involvement of protein kinase C (PKC) and of isoform epsilon PKC (PKC-ε) in isoflurane induced preconditioning of human embryonic stem cells (hESCs)-derived cardiac progenitor cells (CPCs) exposed to oxidative stress because PKC-ε was shown to have a constant important role related to ischemia- or anesthesia-induced preconditioning of animal experiments [2, 7,8,9]

  • Differentiation and characterization of hESC-derived CPCs Confocal microscopic examinations were done with five plates to identify CPCs derived from hESCs with early cardiac marker (Nkx2.5)

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Summary

Introduction

Anesthetic preconditioning can improve survival of cardiac progenitor cells exposed to oxidative stress. We investigated the role of protein kinase C and isoform protein kinase C-ε in isoflurane-induced preconditioning of cardiac progenitor cells exposed to oxidative stress. There have been numerous works on cardiac stem cell therapy for the regeneration of damaged myocardium, the results have been controversial [1, 2]. Various types of stem cells originating from both embryonic and adult human tissue sources were used for cardiac cell regeneration therapy. Stem cell populations such as human embryonic stem cells (hESCs), cardiac progenitor cells (CPCs), bone marrow-derived stem cells, tissue specific stem cells, and induced pluripotent stem cells have been studied for cardiac repair [1]. For boosting the survival rates of implanted CPCs to the infarcted heart, Song et al BMC Anesthesiology (2016) 16:13 prosurvival cocktails were used, which had a mechanism similar to anesthetic-induced preconditioning (APC) [4]

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