[HTML][HTML] The formin, DIAPH1, is a key modulator of myocardial ischemia/reperfusion injury

KM O'Shea, R Ananthakrishnan, Q Li, N Quadri… - …, 2017 - thelancet.com
KM O'Shea, R Ananthakrishnan, Q Li, N Quadri, D Thiagarajan, G Sreejit, L Wang, H Zirpoli…
EBioMedicine, 2017thelancet.com
The biochemical, ionic, and signaling changes that occur within cardiomyocytes subjected to
ischemia are exacerbated by reperfusion; however, the precise mechanisms mediating
myocardial ischemia/reperfusion (I/R) injury have not been fully elucidated. The receptor for
advanced glycation end-products (RAGE) regulates the cellular response to cardiac tissue
damage in I/R, an effect potentially mediated by the binding of the RAGE cytoplasmic
domain to the diaphanous-related formin, DIAPH1. The aim of this study was to investigate …
Abstract
The biochemical, ionic, and signaling changes that occur within cardiomyocytes subjected to ischemia are exacerbated by reperfusion; however, the precise mechanisms mediating myocardial ischemia/reperfusion (I/R) injury have not been fully elucidated. The receptor for advanced glycation end-products (RAGE) regulates the cellular response to cardiac tissue damage in I/R, an effect potentially mediated by the binding of the RAGE cytoplasmic domain to the diaphanous-related formin, DIAPH1. The aim of this study was to investigate the role of DIAPH1 in the physiological response to experimental myocardial I/R in mice. After subjecting wild-type mice to experimental I/R, myocardial DIAPH1 expression was increased, an effect that was echoed following hypoxia/reoxygenation (H/R) in H9C2 and AC16 cells. Further, compared to wild-type mice, genetic deletion of Diaph1 reduced infarct size and improved contractile function after I/R. Silencing Diaph1 in H9C2 cells subjected to H/R downregulated actin polymerization and serum response factor-regulated gene expression. Importantly, these changes led to increased expression of sarcoplasmic reticulum Ca2+ ATPase and reduced expression of the sodium calcium exchanger. This work demonstrates that DIAPH1 is required for the myocardial response to I/R, and that targeting DIAPH1 may represent an adjunctive approach for myocardial salvage after acute infarction.
thelancet.com