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Circulation. 1998;97:1392-1400

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(Circulation. 1998;97:1392-1400.)
© 1998 American Heart Association, Inc.


Basic Science Reports

Tumor Necrosis Factor-{alpha} Confers Resistance to Hypoxic Injury in the Adult Mammalian Cardiac Myocyte

Masayuki Nakano, MD, PhD; Anne A. Knowlton, MD; Ziad Dibbs, MD; ; Douglas L. Mann, MD

From the Cardiology Section of the Department of Medicine, Veterans Administration Medical Center, Baylor College of Medicine, Houston, Tex.

Background—Previous studies in isolated cardiac myocytes have shown that tumor necrosis factor (TNF)-{alpha} provokes increased expression of 27- and 70-kD stress proteins as well as manganese superoxide dismutase, suggesting that TNF-{alpha} might play a role in mediating stress responses in the heart.

Methods and Results—To determine whether TNF-{alpha} stimulation would protect isolated cardiac myocytes against environmental stress, myocyte cultures were pretreated with TNF-{alpha} for 12 hours and then subjected to continuous hypoxic injury (O2 content, 3 to 5 ppm) for 12 hours, followed by reoxygenation. Cell injury was assessed in terms of lactic dehydrogenase (LDH) release, 45Ca2+ uptake, and MTT metabolism. Pretreatment with TNF-{alpha} concentrations >=50 U/mL significantly attenuated LDH release by hypoxic cells compared with diluent-treated hypoxic cells. Similar findings were observed with respect to 45Ca2+ uptake and MTT metabolism in TNF-{alpha}–pretreated cells that were subjected to prolonged hypoxia. To determine the mechanism for the TNF-{alpha}–induced protective effect, the cells were pretreated with heat shock protein (HSP) 72 antisense oligonucleotides. These studies showed that the protective effect of TNF-{alpha} was not inhibited by antisense oligonucleotides, despite use of a concentration of antisense that was sufficient to attenuate the TNF-{alpha}–induced increase in HSP 72 expression. Subsequent studies using mutated TNF ligands showed that activation of both types 1 and 2 TNF receptors was sufficient to confer a protective response in isolated cardiac myocytes through an as yet unknown pathway(s).

Conclusions—Taken together, the above observations demonstrate that TNF-{alpha} pretreatment confers resistance to hypoxic stress in the adult cardiac myocyte through a novel mechanism that appears to be different from but not necessarily exclusive of the protective response conferred by HSP 72 expression.


Key Words: myocytes • hypoxia • proteins • genes




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