Rapamycin (Sirolimus®) is used to prevent rejection of transplanted organs and
coronary restenosis. We reported that
rapamycin induced cardioprotection against
ischemia-reperfusion (I/R) injury through opening of mitochondrial K(
ATP) channels. However, signaling mechanisms in
rapamycin-induced cardioprotection are currently unknown. Considering that STAT3 is protective in the heart, we investigated the potential role of this
transcription factor in
rapamycin-induced protection against (I/R) injury. Adult male ICR mice were treated with
rapamycin (0.25mg/kg, i.p.) or vehicle (
DMSO) with/without inhibitor of JAK2 (AG-490) or STAT3 (
stattic). One hour later, the hearts were subjected to I/R either in Langendorff mode or in situ
ligation of left coronary artery. Additionally, primary murine cardiomyocytes were subjected to simulated
ischemia-reoxygenation (SI/RO) injury in vitro. For in situ targeted knockdown of STAT3, lentiviral vector containing
short hairpin RNA was injected into the left ventricle 3 weeks prior to initiating I/R injury.
Infarct size, cardiac function, and cardiomyocyte
necrosis and apoptosis were assessed.
Rapamycin reduced
infarct size, improved cardiac function following I/R, and limited cardiomyocyte
necrosis as well as apoptosis following SI/RO which were blocked by
AG-490 and
stattic. In situ knock-down of STAT3 attenuated
rapamycin-induced protection against I/R injury.
Rapamycin triggered unique cardioprotective signaling including phosphorylation of ERK, STAT3, eNOS and
glycogen synthase kinase-3ß in concert with increased prosurvival Bcl-2 to Bax ratio. Our data suggest that JAK2-STAT3 signaling plays an essential role in
rapamycin-induced cardioprotection. We propose that
rapamycin is a novel and clinically relevant pharmacological strategy to target STAT3 activation for treatment of
myocardial infarction.