Lethal Caspase-1/4-Dependent Injury Occurs in the First Minutes of Coronary Reperfusion and Requires Calpain Activity.
Xi-Ming YangMichael V CohenSarah SaynerJonathon P AudiaJames M DowneyPublished in: International journal of molecular sciences (2023)
To study the relationship between caspase-1/4 and reperfusion injury, we measured infarct size (IS) in isolated mouse hearts undergoing 50 min global ischemia/2 h reperfusion. Starting VRT-043198 (VRT) at reperfusion halved IS. The pan-caspase inhibitor emricasan duplicated VRT's protection. IS in caspase-1/4-knockout hearts was similarly reduced, supporting the hypothesis that caspase-1/4 was VRT's only protective target. NLRC4 inflammasomes activate caspase-1. NLRC4 knockout hearts were not protected, eliminating NLRC4 as caspase-1/4's activator. The amount of protection that could be achieved by only suppressing caspase-1/4 activity was limited. In wild-type (WT) hearts, ischemic preconditioning (IPC) was as protective as caspase-1/4 inhibitors. Combining IPC and emricasan in these hearts or preconditioning caspase-1/4-knockout hearts produced an additive IS reduction, indicating that more protection could be achieved by combining treatments. We determined when caspase-1/4 exerted its lethal injury. Starting VRT after 10 min of reperfusion in WT hearts was no longer protective, revealing that caspase-1/4 inflicted its injury within the first 10 min of reperfusion. Ca ++ influx at reperfusion might activate caspase-1/4. We tested whether Ca ++ -dependent soluble adenylyl cyclase (AC10) could be responsible. However, IS in AC10 -/- hearts was not different from that in WT control hearts. Ca ++ -activated calpain has been implicated in reperfusion injury. Calpain could be releasing actin-bound procaspase-1 in cardiomyocytes, which would explain why caspase-1/4-related injury is confined to early reperfusion. The calpain inhibitor calpeptin duplicated emricasan's protection. Unlike IPC, adding calpain to emricasan offered no additional protection, suggesting that caspase-1/4 and calpain may share the same protective target.
Keyphrases
- cell death
- induced apoptosis
- cerebral ischemia
- acute myocardial infarction
- acute ischemic stroke
- endoplasmic reticulum stress
- coronary artery disease
- signaling pathway
- subarachnoid hemorrhage
- oxidative stress
- coronary artery
- brain injury
- atrial fibrillation
- protein kinase
- left ventricular
- ejection fraction
- aortic stenosis