Intermittent Hypoxia Induces Autophagy to Protect Cardiomyocytes From Endoplasmic Reticulum Stress and Apoptosis

Intermittent hypoxia (IH), characterized as cyclic episodes of short-period hypoxia followed by normoxia, occurs in many physiological and pathophysiological conditions such as pregnancy, athlete, obstructive sleep apnea, and asthma. Hypoxia can induce autophagy, which is activated in response to pr...

Full description

Bibliographic Details
Main Authors: Jui-Chih Chang, Wei-Fen Hu, Wen-Sen Lee, Jian-Hong Lin, Pei-Ching Ting, Huai-Ren Chang, Kun-Ruey Shieh, Tsung-I Chen, Kun-Ta Yang
Format: Article
Language:English
Published: Frontiers Media S.A. 2019-08-01
Series:Frontiers in Physiology
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fphys.2019.00995/full
_version_ 1828397099404754944
author Jui-Chih Chang
Jui-Chih Chang
Wei-Fen Hu
Wen-Sen Lee
Jian-Hong Lin
Pei-Ching Ting
Huai-Ren Chang
Huai-Ren Chang
Kun-Ruey Shieh
Kun-Ruey Shieh
Kun-Ruey Shieh
Tsung-I Chen
Tsung-I Chen
Kun-Ta Yang
Kun-Ta Yang
author_facet Jui-Chih Chang
Jui-Chih Chang
Wei-Fen Hu
Wen-Sen Lee
Jian-Hong Lin
Pei-Ching Ting
Huai-Ren Chang
Huai-Ren Chang
Kun-Ruey Shieh
Kun-Ruey Shieh
Kun-Ruey Shieh
Tsung-I Chen
Tsung-I Chen
Kun-Ta Yang
Kun-Ta Yang
author_sort Jui-Chih Chang
collection DOAJ
description Intermittent hypoxia (IH), characterized as cyclic episodes of short-period hypoxia followed by normoxia, occurs in many physiological and pathophysiological conditions such as pregnancy, athlete, obstructive sleep apnea, and asthma. Hypoxia can induce autophagy, which is activated in response to protein aggregates, in the proteotoxic forms of cardiac diseases. Previous studies suggested that autophagy can protect cells by avoiding accumulation of misfolded proteins, which can be generated in response to ischemia/reperfusion (I/R) injury. The objective of the present study was to determine whether IH-induced autophagy can attenuate endoplasmic reticulum (ER) stress and cell death. In this study, H9c2 cell line, rat primary cultured cardiomyocytes, and C57BL/6 male mice underwent IH with an oscillating O2 concentration between 4 and 20% every 30 min for 1–4 days in an incubator. The levels of LC3, an autophagy indicator protein and CHOP and GRP78 (ER stress-related proteins) were measured by Western blotting analyses. Our data demonstrated that the autophagy-related proteins were upregulated in days 1–3, while the ER stress-related proteins were downregulated on the second day after IH. Treatment with H2O2 (100 μM) for 24 h caused ER stress and increased the level of ER stress-related proteins, and these effects were abolished by pre-treatment with IH condition. In response to the autophagy inhibitor, the level of ER stress-related proteins was upregulated again. Taken together, our data suggested that IH could increase myocardial autophagy as an adaptive response to prevent the ER stress and apoptosis.
first_indexed 2024-12-10T08:40:06Z
format Article
id doaj.art-a9096fd819a74c448be7364f46b312a3
institution Directory Open Access Journal
issn 1664-042X
language English
last_indexed 2024-12-10T08:40:06Z
publishDate 2019-08-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Physiology
spelling doaj.art-a9096fd819a74c448be7364f46b312a32022-12-22T01:55:52ZengFrontiers Media S.A.Frontiers in Physiology1664-042X2019-08-011010.3389/fphys.2019.00995469425Intermittent Hypoxia Induces Autophagy to Protect Cardiomyocytes From Endoplasmic Reticulum Stress and ApoptosisJui-Chih Chang0Jui-Chih Chang1Wei-Fen Hu2Wen-Sen Lee3Jian-Hong Lin4Pei-Ching Ting5Huai-Ren Chang6Huai-Ren Chang7Kun-Ruey Shieh8Kun-Ruey Shieh9Kun-Ruey Shieh10Tsung-I Chen11Tsung-I Chen12Kun-Ta Yang13Kun-Ta Yang14Department of Surgery, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Hualien, TaiwanSchool of Medicine, Tzu Chi University, Hualien, TaiwanMaster Program in Medical Physiology, School of Medicine, Tzu Chi University, Hualien, TaiwanGraduate Institute of Medical Sciences, School of Medicine, College of Medicine, Taipei Medical University, Taipei, TaiwanPhD Program in Pharmacology and Toxicology, School of Medicine, Tzu Chi University, Hualien, TaiwanDepartment of Surgery, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Hualien, TaiwanSchool of Medicine, Tzu Chi University, Hualien, TaiwanDivision of Cardiology, Department of Internal Medicine, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Hualien, TaiwanSchool of Medicine, Tzu Chi University, Hualien, TaiwanMaster Program in Medical Physiology, School of Medicine, Tzu Chi University, Hualien, TaiwanDepartment of Physiology, School of Medicine, Tzu Chi University, Hualien, TaiwanCenter for Physical Education, College of Education and Communication, Tzu Chi University, Hualien, TaiwanInstitute of Education, College of Education and Communication, Tzu Chi University, Hualien, TaiwanMaster Program in Medical Physiology, School of Medicine, Tzu Chi University, Hualien, TaiwanDepartment of Physiology, School of Medicine, Tzu Chi University, Hualien, TaiwanIntermittent hypoxia (IH), characterized as cyclic episodes of short-period hypoxia followed by normoxia, occurs in many physiological and pathophysiological conditions such as pregnancy, athlete, obstructive sleep apnea, and asthma. Hypoxia can induce autophagy, which is activated in response to protein aggregates, in the proteotoxic forms of cardiac diseases. Previous studies suggested that autophagy can protect cells by avoiding accumulation of misfolded proteins, which can be generated in response to ischemia/reperfusion (I/R) injury. The objective of the present study was to determine whether IH-induced autophagy can attenuate endoplasmic reticulum (ER) stress and cell death. In this study, H9c2 cell line, rat primary cultured cardiomyocytes, and C57BL/6 male mice underwent IH with an oscillating O2 concentration between 4 and 20% every 30 min for 1–4 days in an incubator. The levels of LC3, an autophagy indicator protein and CHOP and GRP78 (ER stress-related proteins) were measured by Western blotting analyses. Our data demonstrated that the autophagy-related proteins were upregulated in days 1–3, while the ER stress-related proteins were downregulated on the second day after IH. Treatment with H2O2 (100 μM) for 24 h caused ER stress and increased the level of ER stress-related proteins, and these effects were abolished by pre-treatment with IH condition. In response to the autophagy inhibitor, the level of ER stress-related proteins was upregulated again. Taken together, our data suggested that IH could increase myocardial autophagy as an adaptive response to prevent the ER stress and apoptosis.https://www.frontiersin.org/article/10.3389/fphys.2019.00995/fullapoptosisautophagycell deathendoplasmic reticulumintermittent hypoxiastress
spellingShingle Jui-Chih Chang
Jui-Chih Chang
Wei-Fen Hu
Wen-Sen Lee
Jian-Hong Lin
Pei-Ching Ting
Huai-Ren Chang
Huai-Ren Chang
Kun-Ruey Shieh
Kun-Ruey Shieh
Kun-Ruey Shieh
Tsung-I Chen
Tsung-I Chen
Kun-Ta Yang
Kun-Ta Yang
Intermittent Hypoxia Induces Autophagy to Protect Cardiomyocytes From Endoplasmic Reticulum Stress and Apoptosis
Frontiers in Physiology
apoptosis
autophagy
cell death
endoplasmic reticulum
intermittent hypoxia
stress
title Intermittent Hypoxia Induces Autophagy to Protect Cardiomyocytes From Endoplasmic Reticulum Stress and Apoptosis
title_full Intermittent Hypoxia Induces Autophagy to Protect Cardiomyocytes From Endoplasmic Reticulum Stress and Apoptosis
title_fullStr Intermittent Hypoxia Induces Autophagy to Protect Cardiomyocytes From Endoplasmic Reticulum Stress and Apoptosis
title_full_unstemmed Intermittent Hypoxia Induces Autophagy to Protect Cardiomyocytes From Endoplasmic Reticulum Stress and Apoptosis
title_short Intermittent Hypoxia Induces Autophagy to Protect Cardiomyocytes From Endoplasmic Reticulum Stress and Apoptosis
title_sort intermittent hypoxia induces autophagy to protect cardiomyocytes from endoplasmic reticulum stress and apoptosis
topic apoptosis
autophagy
cell death
endoplasmic reticulum
intermittent hypoxia
stress
url https://www.frontiersin.org/article/10.3389/fphys.2019.00995/full
work_keys_str_mv AT juichihchang intermittenthypoxiainducesautophagytoprotectcardiomyocytesfromendoplasmicreticulumstressandapoptosis
AT juichihchang intermittenthypoxiainducesautophagytoprotectcardiomyocytesfromendoplasmicreticulumstressandapoptosis
AT weifenhu intermittenthypoxiainducesautophagytoprotectcardiomyocytesfromendoplasmicreticulumstressandapoptosis
AT wensenlee intermittenthypoxiainducesautophagytoprotectcardiomyocytesfromendoplasmicreticulumstressandapoptosis
AT jianhonglin intermittenthypoxiainducesautophagytoprotectcardiomyocytesfromendoplasmicreticulumstressandapoptosis
AT peichingting intermittenthypoxiainducesautophagytoprotectcardiomyocytesfromendoplasmicreticulumstressandapoptosis
AT huairenchang intermittenthypoxiainducesautophagytoprotectcardiomyocytesfromendoplasmicreticulumstressandapoptosis
AT huairenchang intermittenthypoxiainducesautophagytoprotectcardiomyocytesfromendoplasmicreticulumstressandapoptosis
AT kunrueyshieh intermittenthypoxiainducesautophagytoprotectcardiomyocytesfromendoplasmicreticulumstressandapoptosis
AT kunrueyshieh intermittenthypoxiainducesautophagytoprotectcardiomyocytesfromendoplasmicreticulumstressandapoptosis
AT kunrueyshieh intermittenthypoxiainducesautophagytoprotectcardiomyocytesfromendoplasmicreticulumstressandapoptosis
AT tsungichen intermittenthypoxiainducesautophagytoprotectcardiomyocytesfromendoplasmicreticulumstressandapoptosis
AT tsungichen intermittenthypoxiainducesautophagytoprotectcardiomyocytesfromendoplasmicreticulumstressandapoptosis
AT kuntayang intermittenthypoxiainducesautophagytoprotectcardiomyocytesfromendoplasmicreticulumstressandapoptosis
AT kuntayang intermittenthypoxiainducesautophagytoprotectcardiomyocytesfromendoplasmicreticulumstressandapoptosis