The protection against reperfusion injury conferred by ischemic post-conditioning (IPoC) has been reported to rely on several signalization pathways like RISK and SAFE. However, their respective roles and the downstream-mechanisms involved are not fully understood S727 STAT3 has been proposed to be required for STAT3 translocation to mitochondria. However, in recent years, several groups, amongst which our group, have contested the reality of STAT3 translocation in mitochondria of cardiomyocytes. Revisiting STAT3-dependent mechanisms involved in IPoC thus looks required and could open up a new understand of how it can efficiently decrease infarct size in animal models. Decipher STAT3-dependent mechanisms by which IPOC protects myocardium against reperfusion injury. C57b mice were subjected to ischemia-reperfusion with or without IPoC in presence/absence of STAT3 inhibitor ( n = 8 per each group). Heart, PBMC and blood samples were analyzed to determined: infarct size, phosphorylation level of STAT3 (Y705 and S727), genes and proteins expression, cytokines and troponin levels, immune cell type populations. I/R induced STAT3 phosphorylation at residues Y705 and S727, while IPoC mostly enhanced phosphorylation Y705-STAT3 residue within 15 minutes of reperfusion in the area-at-risk. No significant change in S727-STAT3 phosphorylation was detected. Inhibition of Y705-STAT3 phosphorylation increased by Stattic treatment prevented the cardioprotective effect of IPoC on the infarct size. Gene analysis in the area-at-risk revealed clusters of genes involved in wound healing and inflammation at 3 h after reperfusion. Screening of immune cells in myocardium 24 h after reperfusion revealed a decrease in neutrophils and macrophages, in the line of the decrease in infarct size. However, we noteworthily identified that IPoC was associated with an increase in a subpopulation of macrophages or dendritic cells that is not detected after Stattic treatment 24 h after reperfusion. Phosphorylation of Y705 STAT3 is critical for the protection induced by IPoC against reperfusion injury and it could, non-exhaustively, rely on the modulation of the inflammatory response during the first hours of reperfusion.
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