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(Circulation. 1999;100:2373.)
© 1999 American Heart Association, Inc.


Basic Science Reports

Adenoviral Gene Transfer of Activated Phosphatidylinositol 3'-Kinase and Akt Inhibits Apoptosis of Hypoxic Cardiomyocytes In Vitro

Takashi Matsui, MD, PhD; Ling Li, MD; Federica del Monte, MD, PhD; Yasuhisa Fukui, PhD; Thomas F. Franke, MD, PhD; Roger J. Hajjar, MD; Anthony Rosenzweig, MD

From the Cardiovascular Research Center and Division of Cardiology, Massachusetts General Hospital, Harvard Medical School, Boston, Mass (T.M., L.L., F.d.M., R.J.H., A.R.); the Department of Pharmacology, Columbia University, New York, NY (T.F.F.); and the Laboratory of Biological Chemistry, University of Tokyo, Japan (Y.F.).

Correspondence to Anthony Rosenzweig, MD, Cardiovascular Research Center, MGH-East, 149 13th St, Room 4214, Charlestown, MA 02129. E-mail rosenzweig{at}helix.mgh.harvard.edu

Background—The intracellular signaling pathways that control cardiomyocyte apoptosis have not been fully defined. Because insulin-like growth factor-1 (IGF-1) prevents cardiomyocyte apoptosis, we examined the role of its downstream signaling molecules in an in vitro model of hypoxia-induced cardiomyocyte apoptosis.

Methods and Results—Treatment of rat neonatal cardiomyocytes with IGF-1 increased activity of both phosphatidylinositol 3' (PI 3)-kinase and its downstream target, Akt (also known as protein kinase B or PKB). Cardiomyocytes were subjected to hypoxia for 24 hours, and apoptosis was assessed by DNA laddering, TUNEL staining, and ELISA for histone-associated DNA fragments. IGF-1 treatment (100 nmol/L) reduced cardiomyocyte apoptosis, and this effect was inhibited by simultaneous treatment with a PI 3-kinase inhibitor. Cardiomyocytes were infected with either a control adenovirus (Ad.EGFP) or adenoviruses carrying constitutively active forms of PI 3-kinase (Ad.BD110) or Akt (Ad.myr-Akt-HA). Ad.BD110 significantly inhibited apoptosis of hypoxic cardiomyocytes compared with Ad.EGFP (61.0±4.6% less DNA fragmentation than in Ad.EGFP-infected cells, P<0.0001). Ad.myr-Akt-HA even more dramatically inhibited apoptosis of hypoxic cardiomyocytes (90.9±1.4% less DNA fragmentation than in controls, P<0.0001).

Conclusions—IGF-1 activates PI 3-kinase and Akt in cardiomyocytes. Activated PI 3-kinase and Akt are each sufficient to protect hypoxic cardiomyocytes against apoptosis in vitro. Adenoviral gene transfer provides a useful tool for investigating the role of these signaling pathways in cardiomyocyte apoptosis.


Key Words: kinase • viruses • growth substances • signal transduction




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S. Haq, G. Choukroun, H. Lim, K. M. Tymitz, F. del Monte, J. Gwathmey, L. Grazette, A. Michael, R. Hajjar, T. Force, et al.
Differential Activation of Signal Transduction Pathways in Human Hearts With Hypertrophy Versus Advanced Heart Failure
Circulation, February 6, 2001; 103(5): 670 - 677.
[Abstract] [Full Text] [PDF]


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Circ. Res.Home page
A. Chesley, M. S. Lundberg, T. Asai, R.-P. Xiao, S. Ohtani, E. G. Lakatta, and M. T. Crow
The {beta}2-Adrenergic Receptor Delivers an Antiapoptotic Signal to Cardiac Myocytes Through Gi-Dependent Coupling to Phosphatidylinositol 3'-Kinase
Circ. Res., December 8, 2000; 87(12): 1172 - 1179.
[Abstract] [Full Text] [PDF]


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J. Neurosci.Home page
A. I. Flores, B. S. Mallon, T. Matsui, W. Ogawa, A. Rosenzweig, T. Okamoto, and W. B. Macklin
Akt-Mediated Survival of Oligodendrocytes Induced by Neuregulins
J. Neurosci., October 15, 2000; 20(20): 7622 - 7630.
[Abstract] [Full Text] [PDF]


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JCBHome page
S. Haq, G. Choukroun, Z. B. Kang, H. Ranu, T. Matsui, A. Rosenzweig, J. D. Molkentin, A. Alessandrini, J. Woodgett, R. Hajjar, et al.
Glycogen Synthase Kinase-3{beta} Is a Negative Regulator of Cardiomyocyte Hypertrophy
J. Cell Biol., October 2, 2000; 151(1): 117 - 130.
[Abstract] [Full Text] [PDF]


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Circ. Res.Home page
R. J. Hajjar, F. del Monte, T. Matsui, and A. Rosenzweig
Prospects for Gene Therapy for Heart Failure
Circ. Res., March 31, 2000; 86(6): 616 - 621.
[Abstract] [Full Text] [PDF]


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J. Biol. Chem.Home page
S. Fukumoto, C.-M. Hsieh, K. Maemura, M. D. Layne, S.-F. Yet, K.-H. Lee, T. Matsui, A. Rosenzweig, W. G. Taylor, J. S. Rubin, et al.
Akt Participation in the Wnt Signaling Pathway through Dishevelled
J. Biol. Chem., May 11, 2001; 276(20): 17479 - 17483.
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J. Biol. Chem.Home page
W. Wu, W.-L. Lee, Y. Y. Wu, D. Chen, T.-J. Liu, A. Jang, P. M. Sharma, and P. H. Wang
Expression of Constitutively Active Phosphatidylinositol 3-Kinase Inhibits Activation of Caspase 3 and Apoptosis of Cardiac Muscle Cells
J. Biol. Chem., December 15, 2000; 275(51): 40113 - 40119.
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J. Biol. Chem.Home page
R. E. Gerszten, E. B. Friedrich, T. Matsui, R. R. Hung, L. Li, T. Force, and A. Rosenzweig
Role of Phosphoinositide 3-Kinase in Monocyte Recruitment under Flow Conditions
J. Biol. Chem., July 13, 2001; 276(29): 26846 - 26851.
[Abstract] [Full Text] [PDF]


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Circ. Res.Home page
D. Camper-Kirby, S. Welch, A. Walker, I. Shiraishi, K. D. R. Setchell, E. Schaefer, J. Kajstura, P. Anversa, and M. A. Sussman
Myocardial Akt Activation and Gender : Increased Nuclear Activity in Females Versus Males
Circ. Res., May 25, 2001; 88(10): 1020 - 1027.
[Abstract] [Full Text] [PDF]