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Am J Physiol Heart Circ Physiol 284: H456-H463, 2003. First published October 31, 2002; doi:10.1152/ajpheart.00777.2002
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Vol. 284, Issue 2, H456-H463, February 2003

Fas pathway is a critical mediator of cardiac myocyte death and MI during ischemia-reperfusion in vivo

Peiyee Lee1,2, Masataka Sata3, David J. Lefer4, Stephen M. Factor5,1, Kenneth Walsh3, and Richard N. Kitsis1,2

Departments of 1 Medicine (Molecular Cardiology), 2 Cell Biology, and 5 Pathology, Albert Einstein College of Medicine, Bronx, New York 10461; 3 Division of Cardiovascular Research, St. Elizabeth's Medical Center, Boston, Massachusetts 02135; and 4 Department of Molecular and Cellular Physiology, Louisiana State University Health Sciences Center, Shreveport, Louisiana 71130

Fas is a widely expressed cell surface receptor that can initiate apoptosis when activated by its ligand (FasL). Whereas Fas abundance on cardiac myocytes increases in response to multiple pathological stimuli, direct evidence supporting its role in the pathogenesis of heart disease is lacking. Moreover, controversy exists even as to whether Fas activation induces apoptosis in cardiac myocytes. In this study, we show that adenoviral overexpression of FasL, but not beta -galactosidase, results in marked apoptosis both in cultures of primary neonatal cardiac myocytes and in the myocardium of intact adult rats. Myocyte killing by FasL is a specific event, because it does not occur in lpr (lymphoproliferative) mice that lack functional Fas. To assess the contribution of the Fas pathway to myocardial infarction (MI) in vivo, lpr mice were subjected to 30 min of ischemia followed by 24 h of reperfusion. Compared with wild-type mice, lpr mice exhibited infarcts that were 62.3% smaller with 63.8% less myocyte apoptosis. These data provide direct evidence that activation of Fas can induce apoptosis in cardiac myocytes and that Fas is a critical mediator of MI due to ischemia-reperfusion in vivo.

apoptosis; death receptor pathway; genetically altered mice


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