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A more recent version of this article appeared on October 6, 2006
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M603783200v1
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Papers In Press, published online ahead of print August 1, 2006
J. Biol. Chem, 10.1074/jbc.M603783200
Submitted on April 20, 2006
Revised on June 23, 2006
Accepted on July 31, 2006

Enhancing macroautophagy protects against ischemia/reperfusion injury in cardiac myocytes

Anne Hamacher-Brady, Nathan R. Brady, and Roberta A. Gottlieb

Molecular & Experimental Medicine, The Scripps Research Institute, La Jolla, CA 92037

Corresponding Author: robbieg{at}scripps.edu

Cardiac myocytes undergo programmed cell death as a result of ischemia/reperfusion (I/R). One feature of I/R injury is the increased presence of autophagosomes. However, to date it is not known whether macroautophagy functions as a protective pathway, contributes to programmed cell death, or is an irrelevant event during cardiac I/R injury. We employed simulated I/R of cardiac HL-1 cells as an in vitro model of I/R injury to the heart. To assess macroautophagy we quantified autophagosome generation and degradation (autophagic flux), as determined by steady-state levels of autophagosomes in relation to lysosomal inhibitor-mediated accumulation of autophagosomes. We found that I/R impaired both formation and downstream lysosomal degradation of autophagosomes. Overexpression of Beclin1 enhanced autophagic flux following I/R and significantly reduced activation of pro-apoptotic Bax, while RNAi knockdown of Beclin1 increased Bax activation. Bcl-2 and Bcl-xL were protective against I/R injury, and expression of a Beclin1 Bcl-2/-xL binding domain mutant resulted in decreased autophagic flux and did not protect against I/R injury. Overexpression of Atg5, a component of the autophagosomal machinery downstream of Beclin1, did not affect cellular injury, while expression of a dominant negative mutant of Atg5 increased cellular injury. These results demonstrate that autophagic flux is impaired at the level of both induction and degradation and that enhancing autophagy constitutes a powerful and previously uncharacterized protective mechanism against I/R injury to the heart cell.


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