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Activation of aldehyde dehydrogenase 2 (ALDH2) confers cardioprotection in protein kinase C epsilon (PKCvarepsilon) knockout mice.

Abstract
Acute administration of ethanol can reduce cardiac ischemia/reperfusion injury. Previous studies demonstrated that the acute cytoprotective effect of ethanol on the myocardium is mediated by protein kinase C epsilon (PKCvarepsilon). We recently identified aldehyde dehydrogenase 2 (ALDH2) as a PKCvarepsilon substrate, whose activation is necessary and sufficient to confer cardioprotection in vivo. ALDH2 metabolizes cytotoxic reactive aldehydes, such as 4-hydroxy-2-nonenal (4-HNE), which accumulate during cardiac ischemia/reperfusion. Here, we used a combination of PKCvarepsilon knockout mice and a direct activator of ALDH2, Alda-44, to further investigate the interplay between PKCvarepsilon and ALDH2 in cardioprotection. We report that ethanol preconditioning requires PKCvarepsilon, whereas direct activation of ALDH2 reduces infarct size in both wild type and PKCvarepsilon knockout hearts. Our data suggest that ALDH2 is downstream of PKCvarepsilon in ethanol preconditioning and that direct activation of ALDH2 can circumvent the requirement of PKCvarepsilon to induce cytoprotection. We also report that in addition to ALDH2 activation, Alda-44 prevents 4-HNE induced inactivation of ALDH2 by reducing the formation of 4-HNE-ALDH2 protein adducts. Thus, Alda-44 promotes metabolism of cytotoxic reactive aldehydes that accumulate in ischemic myocardium. Taken together, our findings suggest that direct activation of ALDH2 may represent a method of harnessing the cardioprotective effect of ethanol without the side effects associated with alcohol consumption.
AuthorsGrant R Budas, Marie-Hélène Disatnik, Che-Hong Chen, Daria Mochly-Rosen
JournalJournal of molecular and cellular cardiology (J Mol Cell Cardiol) Vol. 48 Issue 4 Pg. 757-64 (Apr 2010) ISSN: 1095-8584 [Electronic] England
PMID19913552 (Publication Type: Journal Article, Research Support, N.I.H., Extramural)
CopyrightCopyright (c) 2009 Elsevier Ltd. All rights reserved.
Chemical References
  • Ethanol
  • ALDH2 protein, mouse
  • Aldehyde Dehydrogenase
  • Aldehyde Dehydrogenase, Mitochondrial
  • Protein Kinase C
  • Protein Kinase C-epsilon
Topics
  • Aldehyde Dehydrogenase (metabolism)
  • Aldehyde Dehydrogenase, Mitochondrial
  • Animals
  • Enzyme Activation
  • Ethanol (chemistry)
  • Gene Expression Regulation, Enzymologic
  • Heart (physiology)
  • Humans
  • Mice
  • Mice, Knockout
  • Mutation
  • Myocardial Ischemia (pathology)
  • Protein Kinase C (metabolism)
  • Protein Kinase C-epsilon (genetics, metabolism)
  • Reperfusion Injury
  • Signal Transduction

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