Effects of the Delta Opioid Receptor Agonist DADLE in a Novel Hypoxia-Reoxygenation Model on Human and Rat-Engineered Heart Tissue: A Pilot Study

Intermittent hypoxia and various pharmacological compounds protect the heart from ischemia reperfusion injury in experimental approaches, but the translation into clinical trials has largely failed. One reason may lie in species differences and the lack of suitable human in vitro models to test for...

Full description

Bibliographic Details
Main Authors: Sandra Funcke, Tessa R. Werner, Marc Hein, Bärbel M. Ulmer, Arne Hansen, Thomas Eschenhagen, Marc N. Hirt
Format: Article
Language:English
Published: MDPI AG 2020-09-01
Series:Biomolecules
Subjects:
Online Access:https://www.mdpi.com/2218-273X/10/9/1309
_version_ 1797554026204626944
author Sandra Funcke
Tessa R. Werner
Marc Hein
Bärbel M. Ulmer
Arne Hansen
Thomas Eschenhagen
Marc N. Hirt
author_facet Sandra Funcke
Tessa R. Werner
Marc Hein
Bärbel M. Ulmer
Arne Hansen
Thomas Eschenhagen
Marc N. Hirt
author_sort Sandra Funcke
collection DOAJ
description Intermittent hypoxia and various pharmacological compounds protect the heart from ischemia reperfusion injury in experimental approaches, but the translation into clinical trials has largely failed. One reason may lie in species differences and the lack of suitable human in vitro models to test for ischemia/reperfusion. We aimed to develop a novel hypoxia-reoxygenation model based on three-dimensional, spontaneously beating and work performing engineered heart tissue (EHT) from rat and human cardiomyocytes. Contractile force, the most important cardiac performance parameter, served as an integrated outcome measure. EHTs from neonatal rat cardiomyocytes were subjected to 90 min of hypoxia which led to cardiomyocyte apoptosis as revealed by caspase 3-staining, increased troponin I release (time control vs. 24 h after hypoxia: cTnI 2.7 vs. 6.3 ng/mL, ** <i>p</i> = 0.002) and decreased contractile force (64 ± 6% of baseline) in the long-term follow-up. The detrimental effects were attenuated by preceding the long-term hypoxia with three cycles of 10 min hypoxia (i.e., hypoxic preconditioning). Similarly, [<span style="font-variant: small-caps;">d-</span>Ala2, <span style="font-variant: small-caps;">d</span>-Leu5]-enkephalin (DADLE) reduced the effect of hypoxia on force (recovery to 78 ± 5% of baseline with DADLE preconditioning vs. 57 ± 5% without, <i>p</i> = 0.012), apoptosis and cardiomyocyte stress. Human EHTs presented a comparable hypoxia-induced reduction in force (55 ± 5% of baseline), but DADLE failed to precondition them, likely due to the absence of δ-opioid receptors. In summary, this hypoxia-reoxygenation in vitro model displays cellular damage and the decline of contractile function after hypoxia allows the investigation of preconditioning strategies and will therefore help us to understand the discrepancy between successful conditioning in vitro experiments and its failure in clinical trials.
first_indexed 2024-03-10T16:24:56Z
format Article
id doaj.art-e0b3e8886c6e422aab5e125231a682ab
institution Directory Open Access Journal
issn 2218-273X
language English
last_indexed 2024-03-10T16:24:56Z
publishDate 2020-09-01
publisher MDPI AG
record_format Article
series Biomolecules
spelling doaj.art-e0b3e8886c6e422aab5e125231a682ab2023-11-20T13:21:27ZengMDPI AGBiomolecules2218-273X2020-09-01109130910.3390/biom10091309Effects of the Delta Opioid Receptor Agonist DADLE in a Novel Hypoxia-Reoxygenation Model on Human and Rat-Engineered Heart Tissue: A Pilot StudySandra Funcke0Tessa R. Werner1Marc Hein2Bärbel M. Ulmer3Arne Hansen4Thomas Eschenhagen5Marc N. Hirt6Department of Anaesthesiology, University Medical Centre Hamburg-Eppendorf, 20246 Hamburg, GermanyDepartment of Anaesthesiology, University Medical Centre Hamburg-Eppendorf, 20246 Hamburg, GermanyAnaesthesiology Clinic, RWTH Aachen University, 52074 Aachen, GermanyDepartment of Anaesthesiology, University Medical Centre Hamburg-Eppendorf, 20246 Hamburg, GermanyDepartment of Anaesthesiology, University Medical Centre Hamburg-Eppendorf, 20246 Hamburg, GermanyDepartment of Anaesthesiology, University Medical Centre Hamburg-Eppendorf, 20246 Hamburg, GermanyDepartment of Anaesthesiology, University Medical Centre Hamburg-Eppendorf, 20246 Hamburg, GermanyIntermittent hypoxia and various pharmacological compounds protect the heart from ischemia reperfusion injury in experimental approaches, but the translation into clinical trials has largely failed. One reason may lie in species differences and the lack of suitable human in vitro models to test for ischemia/reperfusion. We aimed to develop a novel hypoxia-reoxygenation model based on three-dimensional, spontaneously beating and work performing engineered heart tissue (EHT) from rat and human cardiomyocytes. Contractile force, the most important cardiac performance parameter, served as an integrated outcome measure. EHTs from neonatal rat cardiomyocytes were subjected to 90 min of hypoxia which led to cardiomyocyte apoptosis as revealed by caspase 3-staining, increased troponin I release (time control vs. 24 h after hypoxia: cTnI 2.7 vs. 6.3 ng/mL, ** <i>p</i> = 0.002) and decreased contractile force (64 ± 6% of baseline) in the long-term follow-up. The detrimental effects were attenuated by preceding the long-term hypoxia with three cycles of 10 min hypoxia (i.e., hypoxic preconditioning). Similarly, [<span style="font-variant: small-caps;">d-</span>Ala2, <span style="font-variant: small-caps;">d</span>-Leu5]-enkephalin (DADLE) reduced the effect of hypoxia on force (recovery to 78 ± 5% of baseline with DADLE preconditioning vs. 57 ± 5% without, <i>p</i> = 0.012), apoptosis and cardiomyocyte stress. Human EHTs presented a comparable hypoxia-induced reduction in force (55 ± 5% of baseline), but DADLE failed to precondition them, likely due to the absence of δ-opioid receptors. In summary, this hypoxia-reoxygenation in vitro model displays cellular damage and the decline of contractile function after hypoxia allows the investigation of preconditioning strategies and will therefore help us to understand the discrepancy between successful conditioning in vitro experiments and its failure in clinical trials.https://www.mdpi.com/2218-273X/10/9/13093D tissue modelopioidspreconditioningtranslational medicinecardioprotectioncardiac hypertrophy
spellingShingle Sandra Funcke
Tessa R. Werner
Marc Hein
Bärbel M. Ulmer
Arne Hansen
Thomas Eschenhagen
Marc N. Hirt
Effects of the Delta Opioid Receptor Agonist DADLE in a Novel Hypoxia-Reoxygenation Model on Human and Rat-Engineered Heart Tissue: A Pilot Study
Biomolecules
3D tissue model
opioids
preconditioning
translational medicine
cardioprotection
cardiac hypertrophy
title Effects of the Delta Opioid Receptor Agonist DADLE in a Novel Hypoxia-Reoxygenation Model on Human and Rat-Engineered Heart Tissue: A Pilot Study
title_full Effects of the Delta Opioid Receptor Agonist DADLE in a Novel Hypoxia-Reoxygenation Model on Human and Rat-Engineered Heart Tissue: A Pilot Study
title_fullStr Effects of the Delta Opioid Receptor Agonist DADLE in a Novel Hypoxia-Reoxygenation Model on Human and Rat-Engineered Heart Tissue: A Pilot Study
title_full_unstemmed Effects of the Delta Opioid Receptor Agonist DADLE in a Novel Hypoxia-Reoxygenation Model on Human and Rat-Engineered Heart Tissue: A Pilot Study
title_short Effects of the Delta Opioid Receptor Agonist DADLE in a Novel Hypoxia-Reoxygenation Model on Human and Rat-Engineered Heart Tissue: A Pilot Study
title_sort effects of the delta opioid receptor agonist dadle in a novel hypoxia reoxygenation model on human and rat engineered heart tissue a pilot study
topic 3D tissue model
opioids
preconditioning
translational medicine
cardioprotection
cardiac hypertrophy
url https://www.mdpi.com/2218-273X/10/9/1309
work_keys_str_mv AT sandrafuncke effectsofthedeltaopioidreceptoragonistdadleinanovelhypoxiareoxygenationmodelonhumanandratengineeredhearttissueapilotstudy
AT tessarwerner effectsofthedeltaopioidreceptoragonistdadleinanovelhypoxiareoxygenationmodelonhumanandratengineeredhearttissueapilotstudy
AT marchein effectsofthedeltaopioidreceptoragonistdadleinanovelhypoxiareoxygenationmodelonhumanandratengineeredhearttissueapilotstudy
AT barbelmulmer effectsofthedeltaopioidreceptoragonistdadleinanovelhypoxiareoxygenationmodelonhumanandratengineeredhearttissueapilotstudy
AT arnehansen effectsofthedeltaopioidreceptoragonistdadleinanovelhypoxiareoxygenationmodelonhumanandratengineeredhearttissueapilotstudy
AT thomaseschenhagen effectsofthedeltaopioidreceptoragonistdadleinanovelhypoxiareoxygenationmodelonhumanandratengineeredhearttissueapilotstudy
AT marcnhirt effectsofthedeltaopioidreceptoragonistdadleinanovelhypoxiareoxygenationmodelonhumanandratengineeredhearttissueapilotstudy