Perindopril Improves Cardiac Function by Enhancing the Expression of SIRT3 and PGC-1α in a Rat Model of Isoproterenol-Induced Cardiomyopathy

Mitochondrial biosynthesis regulated by the PGC-1α-NRF1-TFAM pathway is considered a novel potential therapeutic target to treat heart failure (HF). Perindopril (PER) is an angiotensin-converting enzyme inhibitor that has proven efficacy in the prevention of HF; however, its mechanism is not well es...

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Main Authors: Zhenyu Zhu, Huihui Li, Wanli Chen, Yameng Cui, Anan Huang, Xin Qi
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-02-01
Series:Frontiers in Pharmacology
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fphar.2020.00094/full
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author Zhenyu Zhu
Zhenyu Zhu
Huihui Li
Wanli Chen
Yameng Cui
Anan Huang
Xin Qi
author_facet Zhenyu Zhu
Zhenyu Zhu
Huihui Li
Wanli Chen
Yameng Cui
Anan Huang
Xin Qi
author_sort Zhenyu Zhu
collection DOAJ
description Mitochondrial biosynthesis regulated by the PGC-1α-NRF1-TFAM pathway is considered a novel potential therapeutic target to treat heart failure (HF). Perindopril (PER) is an angiotensin-converting enzyme inhibitor that has proven efficacy in the prevention of HF; however, its mechanism is not well established. In this study, to investigate the mechanisms of PER in cardiac protection, a rat model of cardiomyopathy was established by continuous isoproterenol (ISO) stimulation. Changes in the body weight, heart weight index, echocardiography, histological staining, mitochondrial microstructure, and biochemical indicators were examined. Our results demonstrate that PER reduced myocardial remodeling, inhibited deterioration of cardiac function, and delayed HF onset in rats with ISO-induced cardiomyopathy. PER markedly reduced reactive oxygen species (ROS) production, increased the levels of antioxidant enzymes, inhibited mitochondrial structural destruction and increases the number of mitochondria, improved the function of the mitochondrial respiratory chain, and promoted ATP production in myocardial tissues. In addition, PER inhibited cytochrome C release in mitochondria and caspase-3 activation in the cytosol, thereby reducing the apoptosis of myocardial cells. Notably, PER remarkably up-regulated the mRNA and protein expression levels of Sirtuin 3 (SIRT3), peroxisome proliferator-activated receptor gamma coactivator 1-alpha (PGC-1α), nuclear respiratory factor 1 (NRF1), and mitochondrial transcription factor A (TFAM) in myocardial cells. Collectively, our results suggest that PER induces mitochondrial biosynthesis-mediated enhancement of SIRT3 and PGC-1α expression, thereby improving the cardiac function in rats with ISO-induced cardiomyopathy.
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spelling doaj.art-be878bc698434ce1873e7df9e26814542022-12-21T20:34:37ZengFrontiers Media S.A.Frontiers in Pharmacology1663-98122020-02-011110.3389/fphar.2020.00094510187Perindopril Improves Cardiac Function by Enhancing the Expression of SIRT3 and PGC-1α in a Rat Model of Isoproterenol-Induced CardiomyopathyZhenyu Zhu0Zhenyu Zhu1Huihui Li2Wanli Chen3Yameng Cui4Anan Huang5Xin Qi6School of Graduate Studies, Tianjin University of Traditional Chinese Medicine, Tianjin, ChinaDepartment of Cardiology, Tianjin Union Medical Center, Tianjin, ChinaSchool of Graduate Studies, Tianjin University of Traditional Chinese Medicine, Tianjin, ChinaSchool of Graduate Studies, Tianjin University of Traditional Chinese Medicine, Tianjin, ChinaSchool of Graduate Studies, Tianjin University of Traditional Chinese Medicine, Tianjin, ChinaSchool of Medicine, Nankai University, Tianjin, ChinaDepartment of Cardiology, Tianjin Union Medical Center, Tianjin, ChinaMitochondrial biosynthesis regulated by the PGC-1α-NRF1-TFAM pathway is considered a novel potential therapeutic target to treat heart failure (HF). Perindopril (PER) is an angiotensin-converting enzyme inhibitor that has proven efficacy in the prevention of HF; however, its mechanism is not well established. In this study, to investigate the mechanisms of PER in cardiac protection, a rat model of cardiomyopathy was established by continuous isoproterenol (ISO) stimulation. Changes in the body weight, heart weight index, echocardiography, histological staining, mitochondrial microstructure, and biochemical indicators were examined. Our results demonstrate that PER reduced myocardial remodeling, inhibited deterioration of cardiac function, and delayed HF onset in rats with ISO-induced cardiomyopathy. PER markedly reduced reactive oxygen species (ROS) production, increased the levels of antioxidant enzymes, inhibited mitochondrial structural destruction and increases the number of mitochondria, improved the function of the mitochondrial respiratory chain, and promoted ATP production in myocardial tissues. In addition, PER inhibited cytochrome C release in mitochondria and caspase-3 activation in the cytosol, thereby reducing the apoptosis of myocardial cells. Notably, PER remarkably up-regulated the mRNA and protein expression levels of Sirtuin 3 (SIRT3), peroxisome proliferator-activated receptor gamma coactivator 1-alpha (PGC-1α), nuclear respiratory factor 1 (NRF1), and mitochondrial transcription factor A (TFAM) in myocardial cells. Collectively, our results suggest that PER induces mitochondrial biosynthesis-mediated enhancement of SIRT3 and PGC-1α expression, thereby improving the cardiac function in rats with ISO-induced cardiomyopathy.https://www.frontiersin.org/article/10.3389/fphar.2020.00094/fullperindoprilheart failurePGC-1αmitochondrial biosynthesisoxidative stressapoptosis
spellingShingle Zhenyu Zhu
Zhenyu Zhu
Huihui Li
Wanli Chen
Yameng Cui
Anan Huang
Xin Qi
Perindopril Improves Cardiac Function by Enhancing the Expression of SIRT3 and PGC-1α in a Rat Model of Isoproterenol-Induced Cardiomyopathy
Frontiers in Pharmacology
perindopril
heart failure
PGC-1α
mitochondrial biosynthesis
oxidative stress
apoptosis
title Perindopril Improves Cardiac Function by Enhancing the Expression of SIRT3 and PGC-1α in a Rat Model of Isoproterenol-Induced Cardiomyopathy
title_full Perindopril Improves Cardiac Function by Enhancing the Expression of SIRT3 and PGC-1α in a Rat Model of Isoproterenol-Induced Cardiomyopathy
title_fullStr Perindopril Improves Cardiac Function by Enhancing the Expression of SIRT3 and PGC-1α in a Rat Model of Isoproterenol-Induced Cardiomyopathy
title_full_unstemmed Perindopril Improves Cardiac Function by Enhancing the Expression of SIRT3 and PGC-1α in a Rat Model of Isoproterenol-Induced Cardiomyopathy
title_short Perindopril Improves Cardiac Function by Enhancing the Expression of SIRT3 and PGC-1α in a Rat Model of Isoproterenol-Induced Cardiomyopathy
title_sort perindopril improves cardiac function by enhancing the expression of sirt3 and pgc 1α in a rat model of isoproterenol induced cardiomyopathy
topic perindopril
heart failure
PGC-1α
mitochondrial biosynthesis
oxidative stress
apoptosis
url https://www.frontiersin.org/article/10.3389/fphar.2020.00094/full
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