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1 Cecile Cox Quillen Laboratory of Geriatrics, James H. Quillen School of Medicine, East Tennessee State University and James H. Quillen Veterans Affairs Medical Center, Johnson City, Tennessee 37614; and 2 Institute of Chemical Toxicology, Wayne State University, Detroit, Michigan 48201
To test
whether the antiapoptotic protein Bcl-2 prevents apoptosis
and injury of cardiomyocytes after ischemia-reperfusion (I/R),
we generated a line of transgenic mice that carried a human Bcl-2
transgene under the control of a mouse
-myosin heavy chain promoter.
High levels of human Bcl-2 transcripts and 26-kDa Bcl-2 protein were
expressed in the hearts of transgenic mice. Functional recovery of the
transgenic hearts significantly improved when they were perfused as
Langendorff preparations. This protection was accompanied by a
threefold decrease in lactate dehydrogenase (LDH) released from the
transgenic hearts. The transgenic mice were subjected to 50 min of
ligation of the left descending anterior coronary artery followed by
reperfusion. The infarct sizes, expressed as a percentage of the area
at risk, were significantly smaller in the transgenic mice than in the
nontransgenic mice (36.6 ± 5 vs 69.9 ± 7.3%,
respectively). In hearts subjected to 30 min of coronary artery
occlusion followed by 3 h of reperfusion, Bcl-2 transgenic hearts
had significantly fewer terminal deoxynucleodidyl-transferase nick-end
labeling-positive or in situ oligo ligation-positive myocytes and a
less prominent DNA fragmentation pattern. Our results demonstrate that
overexpression of Bcl-2 renders the heart more resistant to
apoptosis and I/R injury.
heart apoptosis; ischemia-reperfusion injury
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