Hypoxia-inducible factor 2-alpha-dependent induction of IL-6 protects the heart from ischemia/reperfusion injury.

Aging (Albany NY)

Department of Cardiology, The First Affiliated Hospital of USTC, Division of Life Science and Medicine, University of Science and Technology of China, Hefei 230001, China.

Published: January 2021

AI Article Synopsis

  • Myocardial ischemia-reperfusion injury (MIRI) is when heart tissue gets damaged when blood flow returns after being blocked, which makes patients feel worse.
  • Researchers found that a protein called HIF2α helps protect the heart during MIRI by controlling another protein called IL-6.
  • When HIF2α was removed from mouse hearts, the damage got worse, but giving mice IL-6 helped protect their hearts, highlighting the importance of both proteins in heart health.

Article Abstract

Myocardial ischemia-reperfusion injury (MIRI) results in increased myocardial infarct size and leads to poor clinical outcomes. Hypoxia-inducible factor 2-alpha (HIF2α) exerts myocardial protective effects during MIRI through as yet unclear mechanisms. Here, we show that knockdown of HIF2α with cardiotropic recombinant adeno-associated virus serotype 9 (rAAV9) in mouse hearts significantly increased the infarct sizes during myocardial ischemia/reperfusion (MI/R). In addition, HIF2α transcriptionally regulated the expression of interleukin 6 (IL-6) in cardiomyocytes to elicit cardioprotection. Likewise, IL-6 deficiency aggravated MIRI, while treatment with recombinant IL-6 had cardioprotective effects and rescued the mice with HIF2α knockdown. Furthermore, IL-6 treatment significantly activated the PI3K/Akt and STAT3 signaling pathways in the myocardium during MI/R, and the specific inhibitors wortmannin (specific phosphoinositide 3-kinase inhibitor) and Stattic (specific STAT3 inhibitor) substantially abolished HIF2α/IL-6-induced cardioprotection. These studies suggest that HIF2α transcription regulates the expression of IL-6 in cardiomyocytes and plays a protective role during MI/R.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7906200PMC
http://dx.doi.org/10.18632/aging.202276DOI Listing

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