Acessibilidade / Reportar erro

Fibrinogen-like protein 2 aggravates myocardial ischemia/reperfusion injury in mice following sevoflurane anesthetic through ROS production by PPAR

Abstract

This study aims to investigate the mechanism and effects of Fibrinogen-like protein 2 (FGL2) in myocardial ischemia/reperfusion injury in mice following sevoflurane anesthetic. Mice of SAP group were placed in box with oxygen and anesthetic gas (60 mg/kg, pentobarbital), 2.5% Sevoflurane was pumped into the box for 1 h. H9C2 cells were treated by 3% sevoflurane for 6 h and a mixture of 95% O2 + 5% CO2 for 24 h. Fgl2 mRNA expression was up-regulated in mice of I/R injury following sevoflurane. Fgl2 protein reduced HR, LVDP, dp/dtmax (+) and dp/dtmax (-), increased LVEDP levels, myocardial infarct size and AI in mice of I/R injury following sevoflurane. Fgl2 suppressed PPAR signaling pathway, and promoted ROS production in vivo or vitro model. The activation of PPAR signaling pathway reduced the function of Fgl2 in vivo and vitro model. Fgl2 might serve as a therapeutic target in the treatment of I/R injury following sevoflurane. We hope that our findings will pave a way for future therapies against I/R injury following sevoflurane.

Keywords:
FGL2; myocardial ischemia/reperfusion injury; sevoflurane; ROS production; PPAR

1 Introduction

Multiple transient myocardial ischemia/reperfusion can significantly attenuate the myocardial damage in the subsequent prolonged ischemia, also known as ischemic preconditioning (IPC), which is the most potent endogenous protective mechanism discovered so far (Huang et al., 2019aHuang, G., Hao, F., & Hu, X. (2019a). Downregulation of microRNA-155 stimulates sevoflurane-mediated cardioprotection against myocardial ischemia/reperfusion injury by binding to SIRT1 in mice. Journal of Cellular Biochemistry, 120(9), 15494-15505. http://dx.doi.org/10.1002/jcb.28816. PMid:31099069.
http://dx.doi.org/10.1002/jcb.28816...
). Moreover, anaesthetics pretreatment has also been found to exert similar myocardial protective effects, however, most studies focus on normal myocardium (Pasqualin et al., 2016Pasqualin, R. C., Mostarda, C. T., Souza, L. E., Vane, M. F., Sirvente, R., Otsuki, D. A., Torres, M. L., Irigoyen, M. C., & Auler Junior, J. O. (2016). Sevoflurane preconditioning during myocardial ischemia-reperfusion reduces infarct size and preserves autonomic control of circulation in rats. Acta Cirurgica Brasileira, 31(5), 338-345. http://dx.doi.org/10.1590/S0102-865020160050000008. PMid:27275856.
http://dx.doi.org/10.1590/S0102-86502016...
; Qi et al., 2019Qi, Z., Li, S., Su, Y., Zhang, J., Kang, Y., Huang, Y., Jin, F., & Xing, Q. (2019). Role of microRNA-145 in protection against myocardial ischemia/reperfusion injury in mice by regulating expression of GZMK with the treatment of sevoflurane. Journal of Cellular Physiology, 9(9), 16526-16539. http://dx.doi.org/10.1002/jcp.28323. PMid:30873621.
http://dx.doi.org/10.1002/jcp.28323...
). As a new type of inhalation anesthetics, sevoflurane is widely used in pediatric anesthesia due to its rapid induction and recovery, stable and safe effect (Lavi et al., 2014Lavi, S., Bainbridge, D., D’Alfonso, S., Diamantouros, P., Syed, J., Jablonsky, G., & Lavi, R. (2014). Sevoflurane in acute myocardial infarction: a pilot randomized study. American Heart Journal, 168(5), 776-783. http://dx.doi.org/10.1016/j.ahj.2014.07.009. PMid:25440807.
http://dx.doi.org/10.1016/j.ahj.2014.07....
). Animal experiments show that pretreatment and post-treatment of sevoflurane exert protective effects on the myocardium (Zhang et al., 2018aZhang, S. B., Liu, T. J., Pu, G. H., Li, B. Y., Gao, X. Z., & Han, X. L. (2018a). MicroRNA-374 exerts protective effects by Inhibiting SP1 through activating the PI3K/Akt pathway in rat models of myocardial ischemia-reperfusion after sevoflurane preconditioning. Cellular Physiology and Biochemistry, 46(4), 1455-1470. http://dx.doi.org/10.1159/000489186. PMid:29689553.
http://dx.doi.org/10.1159/000489186...
). In addition, sevoflurane pretreatment has also been investigated in adult cardiac surgery (Dong et al., 2019Dong, J., Xu, M., Zhang, W., & Che, X. (2019). Effects of sevoflurane pretreatment on myocardial ischemia-reperfusion injury through the Akt/Hypoxia-Inducible Factor 1-alpha (HIF-1α)/Vascular Endothelial Growth Factor (VEGF) signaling pathway. Medical Science Monitor, 25, 3100-3107. http://dx.doi.org/10.12659/MSM.914265. PMid:31028241.
http://dx.doi.org/10.12659/MSM.914265...
).

Accumulative experimental results have suggested that ROS is closely associated with cellular events, such as protein oxidation and folding (Guo et al., 2018Guo, W., Liu, X., Li, J., Shen, Y., Zhou, Z., Wang, M., Xie, Y., Feng, X., Wang, L., & Wu, X. (2018). Prdx1 alleviates cardiomyocyte apoptosis through ROS-activated MAPK pathway during myocardial ischemia/reperfusion injury. International Journal of Biological Macromolecules, 112, 608-615. http://dx.doi.org/10.1016/j.ijbiomac.2018.02.009. PMid:29410271.
http://dx.doi.org/10.1016/j.ijbiomac.201...
). Excessive cellular ROS production or changes in the state of redox reactions can directly or indirectly affect the homeostasis of the endoplasmic reticulum and protein folding, thereby inducing endoplasmic reticulum stress (Jun et al., 2019Jun, J. H., Shim, J. K., Oh, J. E., Shin, E. J., Shin, E., & Kwak, Y. L. (2019). Protective effect of ethyl pyruvate against myocardial ischemia reperfusion injury through regulations of ROS-Related NLRP3 inflammasome activation. Oxidative Medicine and Cellular Longevity, 2019, 4264580. http://dx.doi.org/10.1155/2019/4264580. PMid:30728885.
http://dx.doi.org/10.1155/2019/4264580...
; Li et al., 2018Li, H., Yin, A., Cheng, Z., Feng, M., Zhang, H., Xu, J., Wang, F., & Qian, L. (2018). Attenuation of Na/K-ATPase/Src/ROS amplification signal pathway with pNaktide ameliorates myocardial ischemia-reperfusion injury. International Journal of Biological Macromolecules, 118(Pt A), 1142-1148. http://dx.doi.org/10.1016/j.ijbiomac.2018.07.001. PMid:30001601.
http://dx.doi.org/10.1016/j.ijbiomac.201...
).

PPARγ a ligand-activated transcription factor, belongs to the nuclear hormone receptor superfamily (Qi et al., 2020Qi, K., Yang, Y., Geng, Y., Cui, H., Li, X., Jin, C., Chen, G., Tian, X., & Meng, X. (2020). Tongxinluo attenuates oxygen-glucose-serum deprivation/restoration-induced endothelial barrier breakdown via peroxisome proliferator activated receptor-α/angiopoietin-like 4 pathway in high glucose-incubated human cardiac microvascular endothelial cells. Medicine, 99(34), e21821. http://dx.doi.org/10.1097/MD.0000000000021821. PMid:32846824.
http://dx.doi.org/10.1097/MD.00000000000...
). It is highly expressed in tissues with vigorous metabolism of fatty acid, including liver, heart and kidney, and also exists in the microvessels of various organs, neurons and glia, including the retina (Rehman et al., 2020Rehman, K., Jabeen, K., Awan, F. R., Hussain, M., Saddique, M. A., & Akash, M. S. H. (2020). Biochemical investigation of rs1801282 variations in PPAR-γ gene and its correlation with risk factors of diabetes mellitus in coronary artery disease. Clinical and Experimental Pharmacology & Physiology, 47(9), 1517-1529. http://dx.doi.org/10.1111/1440-1681.13339. PMid:32416637.
http://dx.doi.org/10.1111/1440-1681.1333...
). PPARγ plays an important role in regulating glucose and lipid metabolism (Yuan et al., 2019Yuan, Y., Peng, W., Liu, Y., & Xu, Z. (2019). Circulating miR-130 and its target PPAR-γ may be potential biomarkers in patients of coronary artery disease with type 2 diabetes mellitus. Molecular Genetics & Genomic Medicine, 7(9), e909. http://dx.doi.org/10.1002/mgg3.909. PMid:31368668.
http://dx.doi.org/10.1002/mgg3.909...
). Recent studies have found that in addition to metabolism regulation, PPARγ and its ligands exert important regulatory effects on oxidative stress, which have therapeutic effects in various disease models (Gao et al., 2020Gao, S., Hua, B., Liu, Q., Liu, H., Li, W., & Li, H. (2020). Role of peroxisome proliferators-activated receptor-gamma in advanced glycation end product-mediated functional loss of voltage-gated potassium channel in rat coronary arteries. BMC Cardiovascular Disorders, 20(1), 337. http://dx.doi.org/10.1186/s12872-020-01613-y. PMid:32664860.
http://dx.doi.org/10.1186/s12872-020-016...
; Li et al., 2020bLi, Y., Xiong, Z., Yan, W., Gao, E., Cheng, H., Wu, G., Liu, Y., Zhang, L., Li, C., Wang, S., Fan, M., Zhao, H., Zhang, F., & Tao, L. (2020b). Branched chain amino acids exacerbate myocardial ischemia/reperfusion vulnerability via enhancing GCN2/ATF6/PPAR-α pathway-dependent fatty acid oxidation. Theranostics, 10(12), 5623-5640. http://dx.doi.org/10.7150/thno.44836. PMid:32373236.
http://dx.doi.org/10.7150/thno.44836...
).

Fibrinogen-like protein 2 (FGL2) also known as fibrin, was first discovered in mice infected with type 3 murine hepatitis virus, with expression in other organs of the human body (Fan et al., 2019Fan, C., Wang, J., Mao, C., Li, W., Liu, K., & Wang, Z. (2019). The FGL2 prothrombinase contributes to the pathological process of experimental pulmonary hypertension. Journal of applied physiology (Bethesda, Md. : 1985), 127(6), 1677-1687. http://dx.doi.org/10.1152/japplphysiol.00396.2019. PMid:31580221.
http://dx.doi.org/10.1152/japplphysiol.0...
). Fgl2 gene silencing has been confirmed to promote the proliferation and migration of cardiac microvascular endothelial cells, suggesting that Fgl2 is involved in the regulation of angiogenesis, which might be associated with the up-regulated expression of Angiopoietin 1 and 2 (Li T et al., 2020; Li et al., 2019Li, W. Z., Yang, Y., Liu, K., Long, R., Jin, N., Huang, S. Y., You, Y., Dai, J., Fan, C., Wang, J., & Wang, Z. H. (2019). FGL2 prothrombinase contributes to the early stage of coronary microvascular obstruction through a fibrin-dependent pathway. International Journal of Cardiology, 274, 27-34. http://dx.doi.org/10.1016/j.ijcard.2018.09.051. PMid:30279004.
http://dx.doi.org/10.1016/j.ijcard.2018....
).This study aims to investigate the mechanism and effects of FGL2 in myocardial ischemia/reperfusion injury in mice following sevoflurane anesthetic.

2 Materials and methods

2.1 Animal experiment

Male BALB/c mice were kept under special pathogens free (SPF) condition at 22-23 °C with 65-70% relative humidity and 12 h light and dark cycles. All mice (n = 30) were grouped into sham (n = 10), ischemia/reperfusion (I/R) injury (n = 10), I/R+SAP group (n = 10). Mice of SAP group were placed in a 30 cm × 30 cm × 30 cm square box with oxygen and anesthetic gas (60 mg/kg, pentobarbital), 2.5% Sevoflurane was pumped into the box for 1 h as literature. All mice of were injected with 1% pentobarbital sodium solution (Sigma-Aldrich USA). Mice were fixed in the supine position, the skin of the neck and thorax were disinfected, and skin of the anterior cervical area was cut using an ophthalmic scissor. The trachea was exposed, and the left coronary artery was ligated as literature (Zhao et al., 2019Zhao, Y. B., Zhao, J., Zhang, L. J., Shan, R. G., Sun, Z. Z., Wang, K., Chen, J. Q., & Mu, J. X. (2019). MicroRNA-370 protects against myocardial ischemia/reperfusion injury in mice following sevoflurane anesthetic preconditioning through PLIN5-dependent PPAR signaling pathway. Biomedicine and Pharmacotherapy, 113, 108697. http://dx.doi.org/10.1016/j.biopha.2019.108697. PMid:30856533.
http://dx.doi.org/10.1016/j.biopha.2019....
).

Next, All mice (n = 30) were grouped into control (n = 10), Anti-FGL2 (n = 10), Anti-FGL2+PPAR I group (n = 10). All mice were I/R+SAP group, mice of Anti-FGL2 were mice of I/R+SAP model were treated with anti-FGL2 body (1 μg of mice, i.p.), mice of Anti-FGL2+PPAR I group were mice of I/R+SAP model were treated with anti-FGL2 body (1 μg of mice, i.p.) and PPARγ antagonist (GW9662, 1 mg/kg, i.p.).

The heart rate (HR), left ventricular end-diastolic pressure (LVEDP), left ventricular developed pressure (LVDP), maximum rate of rise of left ventricular pressure [dp/dtmax (+)], and maximum rate of decline of the left ventricular pressure [dp/ dtmax (-)] were measured using the arched ST segment as literature (Zhao et al., 2019Zhao, Y. B., Zhao, J., Zhang, L. J., Shan, R. G., Sun, Z. Z., Wang, K., Chen, J. Q., & Mu, J. X. (2019). MicroRNA-370 protects against myocardial ischemia/reperfusion injury in mice following sevoflurane anesthetic preconditioning through PLIN5-dependent PPAR signaling pathway. Biomedicine and Pharmacotherapy, 113, 108697. http://dx.doi.org/10.1016/j.biopha.2019.108697. PMid:30856533.
http://dx.doi.org/10.1016/j.biopha.2019....
).

2.2 Histological and immunohistochemistry analysis

After 24 hours of I/R, hearts tissues were cut from the root of the aorta and quickly washed with phosphate buffer saline (PBS). Then, tissue were fixed by paraformaldehyde for 24 h, slicing into pieces at a thickness of 5 μm by using a paraffin microtome.

2.3 Western blot analysis

Proteins were extracted from heart tissue samples or cell samples using RIPA lysis buffer. Proteins were resolved on polyacrylamide gels and transferred onto PVDF membranes.

Membranes were blocked with 5% milk for 1 h and incubated with primary antibodies.

Membranes were washed with TBST for 15 min and incubated with secondary antibodies. Protein blanks were tested by an enhanced chemiluminescence system and densitometry was performed using ImageLab software.

2.4 Quantitative real-time PCR

Total RNA was extracted from liver tissues using TRIzol reagent. total RNA was reservetranscribed into cDNA with a ReverTra Ace qPCR RT Kit. Gene expression was detected using using SYBR Green Real-time PCR Master Mix by a real-time PCR system. Gene expressions were calculated based on the 2-ΔΔCt method.

2.5 Cytokine enzyme-linked immunosorbent assay (ELISA)

Serum samples were collected and centrifuged and measured ROS production, MDA, SOD, GSH and GSH-px levels. ELISA kits were purchased from Shanghai Jingkang Biological Engineering Co., Ltd., (Shanghai, China).

2.6 Cell culture, treatment and lentivirus transduction

H9C2 cells were cultured with DMEM containing 10% FBS at 37 °C in 5% CO2. H9C2 cells were transfected with Fgl2, siFgl2, PPAR, siPPAR, negative mimics using Lipofectamine 2000 (Invitrogen, USA). After 48 h, cells were treated by 3% sevoflurane for 6 h and a mixture of 95% O2 + 5% CO2 for 24 h as literature (Zhao et al., 2019Zhao, Y. B., Zhao, J., Zhang, L. J., Shan, R. G., Sun, Z. Z., Wang, K., Chen, J. Q., & Mu, J. X. (2019). MicroRNA-370 protects against myocardial ischemia/reperfusion injury in mice following sevoflurane anesthetic preconditioning through PLIN5-dependent PPAR signaling pathway. Biomedicine and Pharmacotherapy, 113, 108697. http://dx.doi.org/10.1016/j.biopha.2019.108697. PMid:30856533.
http://dx.doi.org/10.1016/j.biopha.2019....
; Kang & Wang, 2019Kang, K., & Wang, Y. (2019). Sevoflurane inhibits proliferation and invasion of human ovarian cancer cells by regulating JNK and p38 MAPK signaling pathway. Drug Design, Development and Therapy, 13, 4451-4460. http://dx.doi.org/10.2147/DDDT.S223581. PMid:32021086.
http://dx.doi.org/10.2147/DDDT.S223581...
)

2.7 Statistical analysis

Data are expressed as the means ± standard deviation (SD). Values of p < 0.05 was considered to be statistically significant. Comparisons among multiple groups were assessed by t-test or one-way analysis of variance (ANOVA).

3 Results

3.1 Fgl2 aggravates myocardial I/R injury following sevoflurane

To address the relevance of Fgl2 expression and I/R injury following sevoflurane, this study analyzed the expression of Fgl2 in mice of I/R injury following sevoflurane. Fgl2 mRNA expression was up-regulated in mice of I/R injury following sevoflurane (Figure 1A). Then, we used Fgl2 protein to investigate the role of fgl2 in I/R injury following sevoflurane. We found that Fgl2 protein reduced HR, LVDP, dp/dtmax (+) and dp/dtmax (-), increased LVEDP levels, myocardial infarct size and AI in mice of I/R injury following sevoflurane, compared with mice of I/R injury following sevoflurane (Figure 1B-1I).

Figure 1
Fgl2 aggravates myocardial I/R injury following sevoflurane. Fgl2 mRNA expression in mice of I/R injury following sevoflurane (A); LVDP (B), LVEDP (C), dp/dtmax (+) (D), dp/dtmax (-) (E), myocardial infarct size (F), myocardial tissues of mice by HE staining (G), AI (H) and HR (I) in mice of I/R injury following sevoflurane by Fgl2 protein. Sham, sham control mice group; I/R, I/R injury mice group; I/R+SAP, I/R injury mice with sevoflurane group; Fgl2+I/R+SAP, I/R injury mice with sevoflurane and Fgl2 protein group. ##p<0.01 compared with sham control mice group or I/R injury mice with sevoflurane group; ###p<0.01 compared with I/R injury mice group.

3.2 Fgl2 suppressed PPAR signaling pathway in vivo model

The investigate that mechanism of FGL2 in myocardial ischemia/reperfusion injury of mice following sevoflurane, we identified specific genes in ischemia/reperfusion injury with over-expression of FGL2 that are relevant to the pathway analysis (Figure 2A-2B). We found that Fgl2 suppressed PPAR signaling pathway in vivo and vitro model of myocardial ischemia/reperfusion injury following sevoflurane (Figure 2C). Over-expression of FGL2 induced Fgl2 protein expression, and suppressed PPARγ protein expression in vitro model (Figure 2D-2F). Down-regulation of FGL2 suppressed Fgl2 protein expression, and induced PPARγ protein expression in vitro model (Figure 2G-2I). Next, Fgl2 protein also suppressed PPARγ protein expression in myocardial ischemia/reperfusion injury of mice following sevoflurane, (Figure 2J-2K). IF showed that over-expression of FGL2 reduced PPARγ protein expression in vitro model (Figure 2L).

Figure 2
Fgl2 suppressed PPAR signaling pathway in vivo model. Heat map, results figure and refine results of gene chip (A, B and C); Fgl2 and PPARγ protein expression in vitro model by over-expression of Fgl2 (D, E and F); Fgl2 and PPARγ protein expression in vitro model by down-regulation of Fgl2 (G, H and I); PPARγ protein expression in mice of I/R injury following sevoflurane by Fgl2 protein (J and K); PPARγ protein expression in vitro model by over-expression of Fgl2 (IF, L). Negative, negative mimics group; Fgl2, over-expression of Fgl2 group; SiFgl2, down-regulation of Fgl2 group; I/R injury mice with sevoflurane group; Fgl2+I/R+SAP, I/R injury mice with sevoflurane and Fgl2 protein group. ##p<0.01 compared with negative mimics group or I/R injury mice with sevoflurane group.

3.3 Fgl2 promoted ROS production in vitro model

To evaluate the function of Fgl2 in mice of I/R injury following sevoflurane, we examined the effects of Fgl2 on ROS production in vitro model. Over-expression of Fgl2 increased ROS production levels and MDA levels, and reduced SOD, GSH and GSH-px levels in vitro model (Figure 3A-3F). Down-regulation of Fgl2 reduced ROS production levels and MDA levels, and increased SOD, GSH and GSH-px levels in vitro model (Figure 3G-3L).

Figure 3
Fgl2 promoted ROS production in vitro model. ROS production (A and B), MDA (C), SOD (D), GSH (E) and GSH-px (F) levels in vitro model by over-expression of Fgl2; ROS production (G and H), MDA (I), SOD (J), GSH (K) and GSH-px (L) levels in vitro model by down-regulation of Fgl2. Negative, negative mimics group; Fgl2, over-expression of Fgl2 group; SiFgl2, down-regulation of Fgl2 group. ##p<0.01 compared with negative mimics group.

3.4 The activation of PPAR signaling pathway reduced the function of Fgl2 in vivo and vitro model

The study rther investigate the role of PPAR signaling pathway the function of Fgl2 in vivo and vitro model. Anti-body of Fgl2 induced PPARγ protein expression, elevated HR, LVDP, dp/dtmax (+) and dp/dtmax (-), reduced LVEDP levels, myocardial infarct size and AI, inhibited MDA levels, and enhanced SOD, GSH and GSH-px levels in mice of I/R injury following sevoflurane (Figure 4). Then, PPARγ antagonist (GW9662, 1 mg/kg, i.p.) suppressed PPARγ protein expression, repressed HR, LVDP, dp/dtmax (+) and dp/dtmax (-),induced LVEDP levels, myocardial infarct size and AI, promoted MDA levels, and restrained SOD, GSH and GSH-px levels in mice by anti-body of Fgl2 of I/R injury following sevoflurane, compared with anti-body of Fgl2 group (Figure 4).

Figure 4
The activation of PPAR signaling pathway reduced the function of Fgl2 in vivo and vitro model. PPARγ protein expression (A and B), HR (C), LVDP (D), LVEDP (E), dp/dtmax (+) (F), dp/dtmax (-) (G), myocardial infarct size (H), myocardial tissues of mice by HE staining (G), AI (I) and HR (J), MDA (K), SOD (L), GSH (M) and GSH-px levels (N) in mice of I/R injury following sevoflurane. Control, I/R injury mice with sevoflurane group; Anti-Fgl2, I/R injury mice with sevoflurane by anti-Fgl2 group; Anti-Fgl2+PPAR i, I/R injury mice with sevoflurane by anti-Fgl2 and GW9662 group. ##p<0.01 compared with I/R injury mice with sevoflurane group; ###p<0.01 compared with I/R injury mice with sevoflurane by anti-Fgl2 group.

Next, in vitro model, PPARγ plasmid induced PPARγ protein expression, reduced ROS production levels and MDA levels, increased SOD, GSH and GSH-px levels in vitro model by over-expression of Fgl2 group (Figure 5). SiPPARγ suppressed PPARγ protein expression, promoted ROS production levels and MDA levels, decreased SOD, GSH and GSH-px levels in vitro model by over-expression of Fgl2 group (Figure 6).

Figure 5
The inactivation of PPAR signaling pathway reduced the function of siFgl2 in vitro model. PPARγ protein expression (A and B), ROS production (C and D), MDA (E), SOD (F), GSH (G) and GSH-px (H) levels. Negative, negative mimics group; SiFgl2, down-regulation of Fgl2 group; SiFgl2+siPPAR, down-regulation of Fgl2 and PPAR group. ##p<0.01 compared with negative mimics group; ###p<0.01 compared with down-regulation of Fgl2 group.
Figure 6
The activation of PPAR signaling pathway reduced the function of Fgl2 in vivo and vitro model. PPARγ protein expression (A and B), ROS production (C and D), MDA (E), SOD (F), GSH (G) and GSH-px (H) levels. Negative, negative mimics group; Fgl2, over-expression of Fgl2 group; Fgl2+PPAR, over-expression of Fgl2 and PPAR group. ##p<0.01 compared with negative mimics group; ###p<0.01 compared with over-expression of Fgl2 group.

4 Discussion

Sevoflurane is a commonly used inhalation anesthetics in clinical practice at present (2). It has the advantages of rapid induction, rapid recovery, and mild circulation inhibition (Qiao et al., 2019Qiao, S. G., Sun, Y., Sun, B., Wang, A., Qiu, J., Hong, L., An, J. Z., Wang, C., & Zhang, H. L. (2019). Sevoflurane postconditioning protects against myocardial ischemia/reperfusion injury by restoring autophagic flux via an NO-dependent mechanism. Acta Pharmacologica Sinica, 40(1), 35-45. http://dx.doi.org/10.1038/s41401-018-0066-y. PMid:30002490.
http://dx.doi.org/10.1038/s41401-018-006...
). A large number of studies have shown that sevoflurane pretreatment can give rise to similar myocardial protection with ischemic preconditioning (Pasqualin et al., 2016Pasqualin, R. C., Mostarda, C. T., Souza, L. E., Vane, M. F., Sirvente, R., Otsuki, D. A., Torres, M. L., Irigoyen, M. C., & Auler Junior, J. O. (2016). Sevoflurane preconditioning during myocardial ischemia-reperfusion reduces infarct size and preserves autonomic control of circulation in rats. Acta Cirurgica Brasileira, 31(5), 338-345. http://dx.doi.org/10.1590/S0102-865020160050000008. PMid:27275856.
http://dx.doi.org/10.1590/S0102-86502016...
; Zhao et al., 2019Zhao, Y. B., Zhao, J., Zhang, L. J., Shan, R. G., Sun, Z. Z., Wang, K., Chen, J. Q., & Mu, J. X. (2019). MicroRNA-370 protects against myocardial ischemia/reperfusion injury in mice following sevoflurane anesthetic preconditioning through PLIN5-dependent PPAR signaling pathway. Biomedicine and Pharmacotherapy, 113, 108697. http://dx.doi.org/10.1016/j.biopha.2019.108697. PMid:30856533.
http://dx.doi.org/10.1016/j.biopha.2019....
; Zhang et al., 2018bZhang, S. B., Liu, T. J., Pu, G. H., Li, B. Y., Gao, X. Z., & Han, X. L. (2018b). Suppression of Long Non-Coding RNA LINC00652 Restores Sevoflurane-Induced Cardioprotection Against Myocardial Ischemia-Reperfusion Injury by Targeting GLP-1R Through the cAMP/PKA Pathway in Mice. Cellular Physiology and Biochemistry, 49(4), 1476-1491. http://dx.doi.org/10.1159/000493450. PMid:30205407.
http://dx.doi.org/10.1159/000493450...
) Our findings provided evidence strongly suggested that Fgl2 mRNA expression was up-regulated in mice of I/R injury following sevoflurane. Fgl2 protein reduced HR, LVDP, dp/dtmax (+) and dp/dtmax (-), increased LVEDP levels, myocardial infarct size and AI in mice of I/R injury following sevoflurane. Zheng et al. showed that FGL2 knockdown improves heart function in the experimental autoimmune myocarditis rats (Zheng et al., 2018Zheng, Z., Yu, L., Wu, Y., & Wu, H. (2018). FGL2 knockdown improves heart function through regulation of TLR9 signaling in the experimental autoimmune myocarditis rats. Immunologic Research, 66(1), 52-58. http://dx.doi.org/10.1007/s12026-017-8965-4. PMid:29128901.
http://dx.doi.org/10.1007/s12026-017-896...
), which may be an effectively protective target for I/R injury following sevoflurane.

Studies have found that myocardial ischemia/reperfusion generally induces oxidative stress in the body to cause inflammatory response, which in turn aggravates cerebral ischemia and hypoxia (Zhao et al., 2018cZhao, Q., Liu, Z., Huang, B., Yuan, Y., Liu, X., Zhang, H., Qiu, F., Zhang, Y., Li, Y., Miao, H., Dong, H., & Zhang, Z. (2018c). PEDF improves cardiac function in rats subjected to myocardial ischemia/reperfusion injury by inhibiting ROS generation via PEDF-R. International Journal of Molecular Medicine, 41(6), 3243-3252. http://dx.doi.org/10.3892/ijmm.2018.3552. PMid:29532859.
http://dx.doi.org/10.3892/ijmm.2018.3552...
). Therefore, how to effectively inhibit the oxidative stress response and inflammatory factor secretion in the course of myocardial ischemia/reperfusion is of great clinical significance for the clinical treatment of myocardial damage (Yu et al., 2015Yu, D., Li, M., Tian, Y., Liu, J., & Shang, J. (2015). Luteolin inhibits ROS-activated MAPK pathway in myocardial ischemia/reperfusion injury. Life Sciences, 122, 15-25. http://dx.doi.org/10.1016/j.lfs.2014.11.014. PMid:25476833.
http://dx.doi.org/10.1016/j.lfs.2014.11....
). Effectively, it was found that Fgl2 promoted ROS production in vitro or vivo model. Shafik et al. curcumin ameliorative effects against acute pancreatitis via fgl-2 expression (Shafik & Abou-Fard, 2016Shafik, N. M., & Abou-Fard, G. M. (2016). Ameliorative effects of curcumin on fibrinogen-like protein-2 gene expression, some oxido-inflammatory and apoptotic markers in a rat model of l-arginine-induced acute pancreatitis. Journal of Biochemical and Molecular Toxicology, 30(6), 302-308. http://dx.doi.org/10.1002/jbt.21794. PMid:26862043.
http://dx.doi.org/10.1002/jbt.21794...
). Our data suggested that Fgl2 promoted ROS-induced oxidative stress, which facilitated the progression of I/R injury following sevoflurane.

PPAR is a member of the nuclear receptor superfamily and is a ligand-dependent transcription factor (Zhao YB et al., 2019). PPAR can regulate the expression of specific target genes containing PPAR response elements in various promoter regions at the transcription level, and modulate various biological effects, including fatty acid and glucose metabolism, and oxidative stress inhibition (Xu et al., 2005Xu, Y., Gen, M., Lu, L., Fox, J., Weiss, S. O., Brown, R. D., Perlov, D., Ahmad, H., Zhu, P., Greyson, C., Long, C. S., & Schwartz, G. G. (2005). PPAR-gamma activation fails to provide myocardial protection in ischemia and reperfusion in pigs. American Journal of Physiology. Heart and Circulatory Physiology, 288(3), H1314-H1323. http://dx.doi.org/10.1152/ajpheart.00618.2004. PMid:15528232.
http://dx.doi.org/10.1152/ajpheart.00618...
; Zhu et al., 2018Zhu, Z. D., Ye, J. Y., Niu, H., Ma, Y. M., Fu, X. M., Xia, Z. H., & Zhang, X. (2018). Effects of microRNA-292-5p on myocardial ischemia-reperfusion injury through the peroxisome proliferator-activated receptor-α/-γ signaling pathway. Gene Therapy, 25(3), 234-248. http://dx.doi.org/10.1038/s41434-018-0014-y. PMid:29670247.
http://dx.doi.org/10.1038/s41434-018-001...
). In the later part of the study, we found that Fgl2 suppressed PPAR signaling pathway in vivo and vitro model; The activation of PPAR signaling pathway reduced the function of Fgl2 in vivo and vitro model. Hu et al. (2020)Hu, J., Wang, H., Li, X., Liu, Y., Mi, Y., Kong, H., Xi, D., Yan, W., Luo, X., Ning, Q., & Wang, X. (2020). Fibrinogen-like protein 2 aggravates nonalcoholic steatohepatitis via interaction with TLR4, eliciting inflammation in macrophages and inducing hepatic lipid metabolism disorder. Theranostics, 10(21), 9702-9720. http://dx.doi.org/10.7150/thno.44297. PMid:32863955.
http://dx.doi.org/10.7150/thno.44297...
suggest that Fgl2 aggravates nonalcoholic steatohepatitis via interaction with PPAR (Hu et al., 2020Hu, J., Wang, H., Li, X., Liu, Y., Mi, Y., Kong, H., Xi, D., Yan, W., Luo, X., Ning, Q., & Wang, X. (2020). Fibrinogen-like protein 2 aggravates nonalcoholic steatohepatitis via interaction with TLR4, eliciting inflammation in macrophages and inducing hepatic lipid metabolism disorder. Theranostics, 10(21), 9702-9720. http://dx.doi.org/10.7150/thno.44297. PMid:32863955.
http://dx.doi.org/10.7150/thno.44297...
; Momchilova et al., 2020Momchilova, M., Petrova, T. V., Gradinarska-Ivanova, D. N., & Yordanov, D. G. (2020). Emulsion and inulin stability of meat pate with reduced fat content as a function of sterilization regimes. Food Science and Technology. In press. http://dx.doi.org/10.1590/fst.27420.; Huang et al., 2019bHuang, T., Yang, X., Ji, J., Wang, Q., Wang, H., & Dong, Z. (2019b). Inhibitory effects of tanshinone IIA from Salvia miltiorrhiza Bge on human bladder cancer BIU-87 cells and xenograft in nude mice. Food Science and Technology, 40(1), 209-214. http://dx.doi.org/10.1590/fst.38818.
http://dx.doi.org/10.1590/fst.38818...
). These data suggested that fgl2 may cooperate with PPAR signaling pathway in the progression of I/R injury following sevoflurane.

In conclusion, our results demonstrate thatFgl2 promoted ROS-induced oxidative stress in I/R injury following sevoflurane by PPARγ signaling pathway. Thus, Fgl2 might serve as a therapeutic target in the treatment of I/R injury following sevoflurane. We hope that our findings will pave a way for future therapies against I/R injury following sevoflurane.

Acknowledgements

Not applicable.

  • Practical Application: This study aims to investigate the mechanism and effects of Fibrinogen-like protein 2 (FGL2) in myocardial ischemia/reperfusion injury in mice following sevoflurane anesthetic.
  • Ethics approval and consent to participate

    This study was approved by the Ethics committee of the Zhongshan People’s Hospital.

References

  • Dong, J., Xu, M., Zhang, W., & Che, X. (2019). Effects of sevoflurane pretreatment on myocardial ischemia-reperfusion injury through the Akt/Hypoxia-Inducible Factor 1-alpha (HIF-1α)/Vascular Endothelial Growth Factor (VEGF) signaling pathway. Medical Science Monitor, 25, 3100-3107. http://dx.doi.org/10.12659/MSM.914265 PMid:31028241.
    » http://dx.doi.org/10.12659/MSM.914265
  • Fan, C., Wang, J., Mao, C., Li, W., Liu, K., & Wang, Z. (2019). The FGL2 prothrombinase contributes to the pathological process of experimental pulmonary hypertension. Journal of applied physiology (Bethesda, Md. : 1985), 127(6), 1677-1687. http://dx.doi.org/10.1152/japplphysiol.00396.2019 PMid:31580221.
    » http://dx.doi.org/10.1152/japplphysiol.00396.2019
  • Gao, S., Hua, B., Liu, Q., Liu, H., Li, W., & Li, H. (2020). Role of peroxisome proliferators-activated receptor-gamma in advanced glycation end product-mediated functional loss of voltage-gated potassium channel in rat coronary arteries. BMC Cardiovascular Disorders, 20(1), 337. http://dx.doi.org/10.1186/s12872-020-01613-y PMid:32664860.
    » http://dx.doi.org/10.1186/s12872-020-01613-y
  • Guo, W., Liu, X., Li, J., Shen, Y., Zhou, Z., Wang, M., Xie, Y., Feng, X., Wang, L., & Wu, X. (2018). Prdx1 alleviates cardiomyocyte apoptosis through ROS-activated MAPK pathway during myocardial ischemia/reperfusion injury. International Journal of Biological Macromolecules, 112, 608-615. http://dx.doi.org/10.1016/j.ijbiomac.2018.02.009 PMid:29410271.
    » http://dx.doi.org/10.1016/j.ijbiomac.2018.02.009
  • Hu, J., Wang, H., Li, X., Liu, Y., Mi, Y., Kong, H., Xi, D., Yan, W., Luo, X., Ning, Q., & Wang, X. (2020). Fibrinogen-like protein 2 aggravates nonalcoholic steatohepatitis via interaction with TLR4, eliciting inflammation in macrophages and inducing hepatic lipid metabolism disorder. Theranostics, 10(21), 9702-9720. http://dx.doi.org/10.7150/thno.44297 PMid:32863955.
    » http://dx.doi.org/10.7150/thno.44297
  • Huang, G., Hao, F., & Hu, X. (2019a). Downregulation of microRNA-155 stimulates sevoflurane-mediated cardioprotection against myocardial ischemia/reperfusion injury by binding to SIRT1 in mice. Journal of Cellular Biochemistry, 120(9), 15494-15505. http://dx.doi.org/10.1002/jcb.28816 PMid:31099069.
    » http://dx.doi.org/10.1002/jcb.28816
  • Huang, T., Yang, X., Ji, J., Wang, Q., Wang, H., & Dong, Z. (2019b). Inhibitory effects of tanshinone IIA from Salvia miltiorrhiza Bge on human bladder cancer BIU-87 cells and xenograft in nude mice. Food Science and Technology, 40(1), 209-214. http://dx.doi.org/10.1590/fst.38818
    » http://dx.doi.org/10.1590/fst.38818
  • Jun, J. H., Shim, J. K., Oh, J. E., Shin, E. J., Shin, E., & Kwak, Y. L. (2019). Protective effect of ethyl pyruvate against myocardial ischemia reperfusion injury through regulations of ROS-Related NLRP3 inflammasome activation. Oxidative Medicine and Cellular Longevity, 2019, 4264580. http://dx.doi.org/10.1155/2019/4264580 PMid:30728885.
    » http://dx.doi.org/10.1155/2019/4264580
  • Kang, K., & Wang, Y. (2019). Sevoflurane inhibits proliferation and invasion of human ovarian cancer cells by regulating JNK and p38 MAPK signaling pathway. Drug Design, Development and Therapy, 13, 4451-4460. http://dx.doi.org/10.2147/DDDT.S223581 PMid:32021086.
    » http://dx.doi.org/10.2147/DDDT.S223581
  • Lavi, S., Bainbridge, D., D’Alfonso, S., Diamantouros, P., Syed, J., Jablonsky, G., & Lavi, R. (2014). Sevoflurane in acute myocardial infarction: a pilot randomized study. American Heart Journal, 168(5), 776-783. http://dx.doi.org/10.1016/j.ahj.2014.07.009 PMid:25440807.
    » http://dx.doi.org/10.1016/j.ahj.2014.07.009
  • Li, H., Yin, A., Cheng, Z., Feng, M., Zhang, H., Xu, J., Wang, F., & Qian, L. (2018). Attenuation of Na/K-ATPase/Src/ROS amplification signal pathway with pNaktide ameliorates myocardial ischemia-reperfusion injury. International Journal of Biological Macromolecules, 118(Pt A), 1142-1148. http://dx.doi.org/10.1016/j.ijbiomac.2018.07.001 PMid:30001601.
    » http://dx.doi.org/10.1016/j.ijbiomac.2018.07.001
  • Li, W. Z., Yang, Y., Liu, K., Long, R., Jin, N., Huang, S. Y., You, Y., Dai, J., Fan, C., Wang, J., & Wang, Z. H. (2019). FGL2 prothrombinase contributes to the early stage of coronary microvascular obstruction through a fibrin-dependent pathway. International Journal of Cardiology, 274, 27-34. http://dx.doi.org/10.1016/j.ijcard.2018.09.051 PMid:30279004.
    » http://dx.doi.org/10.1016/j.ijcard.2018.09.051
  • Li, T., Chen R. R., Gong, H. P., Wang, B. F., Wu, X. X., Chen, Y. Q., & Huang, Z. M. (2020). FGL2 regulates IKK/NF-κB signaling in intestinal epithelial cells and lamina propria dendritic cells to attenuate dextran sulfate sodium-induced colitis. Molecular Immunology, 117, 84-93. http://dx.doi.org/10.1016/j.molimm.2019.11.001 PMid:31743856.
    » http://dx.doi.org/10.1016/j.molimm.2019.11.001
  • Li, Y., Xiong, Z., Yan, W., Gao, E., Cheng, H., Wu, G., Liu, Y., Zhang, L., Li, C., Wang, S., Fan, M., Zhao, H., Zhang, F., & Tao, L. (2020b). Branched chain amino acids exacerbate myocardial ischemia/reperfusion vulnerability via enhancing GCN2/ATF6/PPAR-α pathway-dependent fatty acid oxidation. Theranostics, 10(12), 5623-5640. http://dx.doi.org/10.7150/thno.44836 PMid:32373236.
    » http://dx.doi.org/10.7150/thno.44836
  • Momchilova, M., Petrova, T. V., Gradinarska-Ivanova, D. N., & Yordanov, D. G. (2020). Emulsion and inulin stability of meat pate with reduced fat content as a function of sterilization regimes. Food Science and Technology In press. http://dx.doi.org/10.1590/fst.27420.
  • Pasqualin, R. C., Mostarda, C. T., Souza, L. E., Vane, M. F., Sirvente, R., Otsuki, D. A., Torres, M. L., Irigoyen, M. C., & Auler Junior, J. O. (2016). Sevoflurane preconditioning during myocardial ischemia-reperfusion reduces infarct size and preserves autonomic control of circulation in rats. Acta Cirurgica Brasileira, 31(5), 338-345. http://dx.doi.org/10.1590/S0102-865020160050000008 PMid:27275856.
    » http://dx.doi.org/10.1590/S0102-865020160050000008
  • Qi, Z., Li, S., Su, Y., Zhang, J., Kang, Y., Huang, Y., Jin, F., & Xing, Q. (2019). Role of microRNA-145 in protection against myocardial ischemia/reperfusion injury in mice by regulating expression of GZMK with the treatment of sevoflurane. Journal of Cellular Physiology, 9(9), 16526-16539. http://dx.doi.org/10.1002/jcp.28323 PMid:30873621.
    » http://dx.doi.org/10.1002/jcp.28323
  • Qi, K., Yang, Y., Geng, Y., Cui, H., Li, X., Jin, C., Chen, G., Tian, X., & Meng, X. (2020). Tongxinluo attenuates oxygen-glucose-serum deprivation/restoration-induced endothelial barrier breakdown via peroxisome proliferator activated receptor-α/angiopoietin-like 4 pathway in high glucose-incubated human cardiac microvascular endothelial cells. Medicine, 99(34), e21821. http://dx.doi.org/10.1097/MD.0000000000021821 PMid:32846824.
    » http://dx.doi.org/10.1097/MD.0000000000021821
  • Qiao, S. G., Sun, Y., Sun, B., Wang, A., Qiu, J., Hong, L., An, J. Z., Wang, C., & Zhang, H. L. (2019). Sevoflurane postconditioning protects against myocardial ischemia/reperfusion injury by restoring autophagic flux via an NO-dependent mechanism. Acta Pharmacologica Sinica, 40(1), 35-45. http://dx.doi.org/10.1038/s41401-018-0066-y PMid:30002490.
    » http://dx.doi.org/10.1038/s41401-018-0066-y
  • Rehman, K., Jabeen, K., Awan, F. R., Hussain, M., Saddique, M. A., & Akash, M. S. H. (2020). Biochemical investigation of rs1801282 variations in PPAR-γ gene and its correlation with risk factors of diabetes mellitus in coronary artery disease. Clinical and Experimental Pharmacology & Physiology, 47(9), 1517-1529. http://dx.doi.org/10.1111/1440-1681.13339 PMid:32416637.
    » http://dx.doi.org/10.1111/1440-1681.13339
  • Shafik, N. M., & Abou-Fard, G. M. (2016). Ameliorative effects of curcumin on fibrinogen-like protein-2 gene expression, some oxido-inflammatory and apoptotic markers in a rat model of l-arginine-induced acute pancreatitis. Journal of Biochemical and Molecular Toxicology, 30(6), 302-308. http://dx.doi.org/10.1002/jbt.21794 PMid:26862043.
    » http://dx.doi.org/10.1002/jbt.21794
  • Xu, Y., Gen, M., Lu, L., Fox, J., Weiss, S. O., Brown, R. D., Perlov, D., Ahmad, H., Zhu, P., Greyson, C., Long, C. S., & Schwartz, G. G. (2005). PPAR-gamma activation fails to provide myocardial protection in ischemia and reperfusion in pigs. American Journal of Physiology. Heart and Circulatory Physiology, 288(3), H1314-H1323. http://dx.doi.org/10.1152/ajpheart.00618.2004 PMid:15528232.
    » http://dx.doi.org/10.1152/ajpheart.00618.2004
  • Yu, D., Li, M., Tian, Y., Liu, J., & Shang, J. (2015). Luteolin inhibits ROS-activated MAPK pathway in myocardial ischemia/reperfusion injury. Life Sciences, 122, 15-25. http://dx.doi.org/10.1016/j.lfs.2014.11.014 PMid:25476833.
    » http://dx.doi.org/10.1016/j.lfs.2014.11.014
  • Yuan, Y., Peng, W., Liu, Y., & Xu, Z. (2019). Circulating miR-130 and its target PPAR-γ may be potential biomarkers in patients of coronary artery disease with type 2 diabetes mellitus. Molecular Genetics & Genomic Medicine, 7(9), e909. http://dx.doi.org/10.1002/mgg3.909 PMid:31368668.
    » http://dx.doi.org/10.1002/mgg3.909
  • Zhang, S. B., Liu, T. J., Pu, G. H., Li, B. Y., Gao, X. Z., & Han, X. L. (2018a). MicroRNA-374 exerts protective effects by Inhibiting SP1 through activating the PI3K/Akt pathway in rat models of myocardial ischemia-reperfusion after sevoflurane preconditioning. Cellular Physiology and Biochemistry, 46(4), 1455-1470. http://dx.doi.org/10.1159/000489186 PMid:29689553.
    » http://dx.doi.org/10.1159/000489186
  • Zhang, S. B., Liu, T. J., Pu, G. H., Li, B. Y., Gao, X. Z., & Han, X. L. (2018b). Suppression of Long Non-Coding RNA LINC00652 Restores Sevoflurane-Induced Cardioprotection Against Myocardial Ischemia-Reperfusion Injury by Targeting GLP-1R Through the cAMP/PKA Pathway in Mice. Cellular Physiology and Biochemistry, 49(4), 1476-1491. http://dx.doi.org/10.1159/000493450 PMid:30205407.
    » http://dx.doi.org/10.1159/000493450
  • Zhao, Q., Liu, Z., Huang, B., Yuan, Y., Liu, X., Zhang, H., Qiu, F., Zhang, Y., Li, Y., Miao, H., Dong, H., & Zhang, Z. (2018c). PEDF improves cardiac function in rats subjected to myocardial ischemia/reperfusion injury by inhibiting ROS generation via PEDF-R. International Journal of Molecular Medicine, 41(6), 3243-3252. http://dx.doi.org/10.3892/ijmm.2018.3552 PMid:29532859.
    » http://dx.doi.org/10.3892/ijmm.2018.3552
  • Zhao, Y. B., Zhao, J., Zhang, L. J., Shan, R. G., Sun, Z. Z., Wang, K., Chen, J. Q., & Mu, J. X. (2019). MicroRNA-370 protects against myocardial ischemia/reperfusion injury in mice following sevoflurane anesthetic preconditioning through PLIN5-dependent PPAR signaling pathway. Biomedicine and Pharmacotherapy, 113, 108697. http://dx.doi.org/10.1016/j.biopha.2019.108697 PMid:30856533.
    » http://dx.doi.org/10.1016/j.biopha.2019.108697
  • Zheng, Z., Yu, L., Wu, Y., & Wu, H. (2018). FGL2 knockdown improves heart function through regulation of TLR9 signaling in the experimental autoimmune myocarditis rats. Immunologic Research, 66(1), 52-58. http://dx.doi.org/10.1007/s12026-017-8965-4 PMid:29128901.
    » http://dx.doi.org/10.1007/s12026-017-8965-4
  • Zhu, Z. D., Ye, J. Y., Niu, H., Ma, Y. M., Fu, X. M., Xia, Z. H., & Zhang, X. (2018). Effects of microRNA-292-5p on myocardial ischemia-reperfusion injury through the peroxisome proliferator-activated receptor-α/-γ signaling pathway. Gene Therapy, 25(3), 234-248. http://dx.doi.org/10.1038/s41434-018-0014-y PMid:29670247.
    » http://dx.doi.org/10.1038/s41434-018-0014-y

Publication Dates

  • Publication in this collection
    03 Sept 2021
  • Date of issue
    2022

History

  • Received
    23 June 2021
  • Accepted
    06 July 2021
Sociedade Brasileira de Ciência e Tecnologia de Alimentos Av. Brasil, 2880, Caixa Postal 271, 13001-970 Campinas SP - Brazil, Tel.: +55 19 3241.5793, Tel./Fax.: +55 19 3241.0527 - Campinas - SP - Brazil
E-mail: revista@sbcta.org.br