Loss of Rbl2 (Retinoblastoma‐Like 2) Exacerbates Myocardial Ischemia/Reperfusion Injury

Background The postmitotic state of adult cardiomyocytes, maintained by the cell cycle repressor Rbl2 (retinoblastoma‐like 2), is associated with considerable resistance to apoptosis. However, whether Rbl2 regulates cardiomyocyte apoptosis remains unknown. Methods and Results Here, we show that abla...

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Main Authors: Jingrui Chen, Peng Xia, Yuening Liu, Clark Kogan, Zhaokang Cheng
Format: Article
Language:English
Published: Wiley 2022-10-01
Series:Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease
Subjects:
Online Access:https://www.ahajournals.org/doi/10.1161/JAHA.121.024764
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author Jingrui Chen
Peng Xia
Yuening Liu
Clark Kogan
Zhaokang Cheng
author_facet Jingrui Chen
Peng Xia
Yuening Liu
Clark Kogan
Zhaokang Cheng
author_sort Jingrui Chen
collection DOAJ
description Background The postmitotic state of adult cardiomyocytes, maintained by the cell cycle repressor Rbl2 (retinoblastoma‐like 2), is associated with considerable resistance to apoptosis. However, whether Rbl2 regulates cardiomyocyte apoptosis remains unknown. Methods and Results Here, we show that ablation of Rbl2 increased cardiomyocyte apoptosis following acute myocardial ischemia/reperfusion injury, leading to diminished cardiac function and exaggerated ventricular remodeling in the long term. Mechanistically, ischemia/reperfusion induced expression of the proapoptotic protein BCL2 interacting protein 3 (Bnip3), which was augmented by deletion of Rbl2. Because the Bnip3 promoter contains an adenoviral early region 2 binding factor (E2F)‐binding site, we further showed that loss of Rbl2 upregulated the transcriptional activator E2F1 but downregulated the transcriptional repressor E2F4. In cultured cardiomyocytes, treatment with H2O2 markedly increased the levels of E2F1 and Bnip3, resulting in mitochondrial depolarization and apoptosis. Depletion of Rbl2 significantly augmented H2O2‐induced mitochondrial damage and apoptosis in vitro. Conclusions Rbl2 deficiency enhanced E2F1‐mediated Bnip3 expression, resulting in aggravated cardiomyocyte apoptosis and ischemia/reperfusion injury. Our results uncover a novel antiapoptotic role for Rbl2 in cardiomyocytes, suggesting that the cell cycle machinery may directly regulate apoptosis in postmitotic cardiomyocytes. These findings may be exploited to develop new strategies to limit ischemia/reperfusion injury in the treatment of acute myocardial infarction.
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spelling doaj.art-74698b02997c42aabd6e72a3116195bc2023-03-29T18:35:57ZengWileyJournal of the American Heart Association: Cardiovascular and Cerebrovascular Disease2047-99802022-10-01111910.1161/JAHA.121.024764Loss of Rbl2 (Retinoblastoma‐Like 2) Exacerbates Myocardial Ischemia/Reperfusion InjuryJingrui Chen0Peng Xia1Yuening Liu2Clark Kogan3Zhaokang Cheng4Department of Pharmaceutical Sciences Washington State University Spokane WashingtonDepartment of Pharmaceutical Sciences Washington State University Spokane WashingtonDepartment of Pharmaceutical Sciences Washington State University Spokane WashingtonDepartment of Pharmaceutical Sciences Washington State University Spokane WashingtonDepartment of Pharmaceutical Sciences Washington State University Spokane WashingtonBackground The postmitotic state of adult cardiomyocytes, maintained by the cell cycle repressor Rbl2 (retinoblastoma‐like 2), is associated with considerable resistance to apoptosis. However, whether Rbl2 regulates cardiomyocyte apoptosis remains unknown. Methods and Results Here, we show that ablation of Rbl2 increased cardiomyocyte apoptosis following acute myocardial ischemia/reperfusion injury, leading to diminished cardiac function and exaggerated ventricular remodeling in the long term. Mechanistically, ischemia/reperfusion induced expression of the proapoptotic protein BCL2 interacting protein 3 (Bnip3), which was augmented by deletion of Rbl2. Because the Bnip3 promoter contains an adenoviral early region 2 binding factor (E2F)‐binding site, we further showed that loss of Rbl2 upregulated the transcriptional activator E2F1 but downregulated the transcriptional repressor E2F4. In cultured cardiomyocytes, treatment with H2O2 markedly increased the levels of E2F1 and Bnip3, resulting in mitochondrial depolarization and apoptosis. Depletion of Rbl2 significantly augmented H2O2‐induced mitochondrial damage and apoptosis in vitro. Conclusions Rbl2 deficiency enhanced E2F1‐mediated Bnip3 expression, resulting in aggravated cardiomyocyte apoptosis and ischemia/reperfusion injury. Our results uncover a novel antiapoptotic role for Rbl2 in cardiomyocytes, suggesting that the cell cycle machinery may directly regulate apoptosis in postmitotic cardiomyocytes. These findings may be exploited to develop new strategies to limit ischemia/reperfusion injury in the treatment of acute myocardial infarction.https://www.ahajournals.org/doi/10.1161/JAHA.121.024764apoptosiscardiac myocytescell cyclecell deathcyclin‐dependent kinasemyocardial infarction
spellingShingle Jingrui Chen
Peng Xia
Yuening Liu
Clark Kogan
Zhaokang Cheng
Loss of Rbl2 (Retinoblastoma‐Like 2) Exacerbates Myocardial Ischemia/Reperfusion Injury
Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease
apoptosis
cardiac myocytes
cell cycle
cell death
cyclin‐dependent kinase
myocardial infarction
title Loss of Rbl2 (Retinoblastoma‐Like 2) Exacerbates Myocardial Ischemia/Reperfusion Injury
title_full Loss of Rbl2 (Retinoblastoma‐Like 2) Exacerbates Myocardial Ischemia/Reperfusion Injury
title_fullStr Loss of Rbl2 (Retinoblastoma‐Like 2) Exacerbates Myocardial Ischemia/Reperfusion Injury
title_full_unstemmed Loss of Rbl2 (Retinoblastoma‐Like 2) Exacerbates Myocardial Ischemia/Reperfusion Injury
title_short Loss of Rbl2 (Retinoblastoma‐Like 2) Exacerbates Myocardial Ischemia/Reperfusion Injury
title_sort loss of rbl2 retinoblastoma like 2 exacerbates myocardial ischemia reperfusion injury
topic apoptosis
cardiac myocytes
cell cycle
cell death
cyclin‐dependent kinase
myocardial infarction
url https://www.ahajournals.org/doi/10.1161/JAHA.121.024764
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AT pengxia lossofrbl2retinoblastomalike2exacerbatesmyocardialischemiareperfusioninjury
AT yueningliu lossofrbl2retinoblastomalike2exacerbatesmyocardialischemiareperfusioninjury
AT clarkkogan lossofrbl2retinoblastomalike2exacerbatesmyocardialischemiareperfusioninjury
AT zhaokangcheng lossofrbl2retinoblastomalike2exacerbatesmyocardialischemiareperfusioninjury