Apoptosis contributes to myocardial cell death during
ischemia and reperfusion, especially during reperfusion.
Growth factor "survival" signaling attenuates apoptosis. We therefore examined the effects of
transforming growth factor-beta1 (TGF-beta1) on
reperfusion injury and assessed the role of p42/
p44 MAPK signaling in TGF-beta1-induced protection. Rat ventricular myocytes were subjected to
hypoxia and reoxygenation.
TGF-beta1 (0.2 ng/ml) was applied to cells during reoxygenation and the extent of apoptosis was determined by TUNEL and
annexin V binding assays. Further studies were conducted in intact rat hearts subjected to regional
ischemia and reperfusion.
TGF-beta1 (0.2 ng/ml) was perfused during early reperfusion. In cells, incubation with
TGF-beta1 (0.2 ng/ml) during reoxygenation attenuated the extent of cell membrane damage (
trypan blue uptake) and also reduced the numbers of TUNEL-and
annexin V-positive cells. Reduction of apoptosis was abrogated by
PD98059 (5 microM), an inhibitor of p42/
p44 MAPK activation.
TGF-beta1 activated p42/
p44 MAPK transiently in normoxic myocytes. When intact hearts received
TGF-beta1 (0.2 ng/ml) during early reperfusion,
infarct size was reduced from 39.4 +/- 3.1% to 17.3 +/- 3.1% (p < 0.01). This protective action of
TGF-beta1 was abrogated by
PD98059. These studies are the first to show that
TGF-beta attenuates cardiac myocyte apoptosis during early reperfusion and limits
infarct size through p42/
p44 MAPK activation.