Our previous study has shown that human
tissue kallikrein protected against
ischemia/reperfusion-induced myocardial injury. In the present study, we investigated the protective role of local
kallikrein gene delivery in
ischemia/reperfusion-induced cardiomyocyte apoptosis and its signaling mechanisms in promoting cardiomyocyte survival. Adenovirus carrying the human
tissue kallikrein gene was delivered locally into the heart using a
catheter-based technique. Expression and localization of recombinant human
kallikrein in rat myocardium after gene transfer were determined immunohistochemically.
Kallikrein gene delivery markedly reduced reperfusion-induced cardiomyocyte apoptosis identified by both in situ nick end-labeling and DNA fragmentation. Delivery of the
kallikrein gene increased phosphorylation of Src, Akt,
glycogen synthase kinase (GSK)-3beta, and Bad(Ser-136) but reduced
caspase-3 activation in rat myocardium after reperfusion. The protective effect of
kallikrein on apoptosis and its signaling mediators was blocked by
icatibant and dominant-negative Akt, indicating a
kinin B2 receptor-Akt-mediated event. Similarly,
kinin or transduction of
kallikrein in cultured cardiomyocytes promoted cell viability and attenuated apoptosis induced by
hypoxia/reoxygenation. The effect of
kallikrein on cardiomyocyte survival was blocked by dominant-negative Akt and a constitutively active mutant of
GSK-3beta, but it was facilitated by constitutively active Akt, catalytically inactive
GSK-3beta,
lithium, and
caspase-3 inhibitor. Moreover,
kallikrein promoted Bad.14-3-3 complex formation and inhibited Akt-GSK-3beta-dependent activation of
caspase-3, whereas
caspase-3 administration caused reduction of the Bad.14-3-3 complex, indicating an interaction between Akt-GSK-caspase-3 and Akt-Bad.14-3-3 signaling pathways. In conclusion,
kallikrein/
kinin protects against cardiomyocyte apoptosis in vivo and in vitro via Akt-Bad.14-3-3 and Akt-GSK-3beta-caspase-3 signaling pathways.