Melanocortin peptides afford cardioprotection during
myocardial ischemia/reperfusion via
janus kinases (JAK),
extracellular signal-regulated kinases (ERK) and signal transducers/activators of transcription (STAT) pathways. Here we investigated whether
melanocortin-induced modulation of the JAK/ERK/STAT signaling occurs via the cholinergic anti-inflammatory pathway, focusing our study on cardiac and hepatic responses to prolonged
myocardial ischemia/reperfusion.
Ischemia was produced in rats by
ligature of the left anterior descending coronary artery for 30min; effects of
ischemia/reperfusion were evaluated using Western blot of heart and liver
proteins. Intravenous treatment, during coronary artery occlusion, with the
melanocortin analog (Nle(4), D-Phe(7))α-melanocyte-stimulating
hormone (NDP-α-
MSH) induced a left ventricle up-regulation of the cardioprotective
transcription factors pJAK2, pERK1/2 and pTyr-STAT3 (JAK-dependent), and a reduction in the levels of the inflammatory mediators
tumor necrosis factor-α (TNF-α) and pJNK (a
transcription factor also involved in apoptosis), as assessed at the end of the 2-h reperfusion period. Further, these beneficial effects of NDP-α-
MSH were associated with heart over-expression of the pro-survival
proteins heme oxygenase-1 (HO-1) and Bcl-XL, and decrease of ventricular arrhythmias and
infarct size. In the liver NDP-α-
MSH induced a decrease in the pJAK2 and pTyr-STAT3 levels, and strongly reduced pERK1/2 expression. In the liver of ischemic rats NDP-α-
MSH also blunted pJNK activity and TNF-α expression, and up-regulated Bcl-XL. Bilateral cervical
vagotomy prevented all effects of NDP-α-
MSH, both in the heart and liver. These results indicate that
melanocortins inhibit heart and liver damage triggered by prolonged
myocardial ischemia/reperfusion likely, as main mechanism, via the vagus nerve-mediated modulation of the JAK/STAT/ERK signaling pathways.