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. 2007 Sep;117(9):2692-701.
doi: 10.1172/JCI29134.

TNF provokes cardiomyocyte apoptosis and cardiac remodeling through activation of multiple cell death pathways

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TNF provokes cardiomyocyte apoptosis and cardiac remodeling through activation of multiple cell death pathways

Sandra B Haudek et al. J Clin Invest. 2007 Sep.

Abstract

Transgenic mice with cardiac-restricted overexpression of secretable TNF (MHCsTNF) develop progressive LV wall thinning and dilation accompanied by an increase in cardiomyocyte apoptosis and a progressive loss of cytoprotective Bcl-2. To test whether cardiac-restricted overexpression of Bcl-2 would prevent adverse cardiac remodeling, we crossed MHCsTNF mice with transgenic mice harboring cardiac-restricted overexpression of Bcl-2. Sustained TNF signaling resulted in activation of the intrinsic cell death pathway, leading to increased cytosolic levels of cytochrome c, Smac/Diablo and Omi/HtrA2, and activation of caspases -3 and -9. Cardiac-restricted overexpression of Bcl-2 blunted activation of the intrinsic pathway and prevented LV wall thinning; however, Bcl-2 only partially attenuated cardiomyocyte apoptosis. Subsequent studies showed that c-FLIP was degraded, that caspase-8 was activated, and that Bid was cleaved to t-Bid, suggesting that the extrinsic pathway was activated concurrently in MHCsTNF hearts. As expected, cardiac Bcl-2 overexpression had no effect on extrinsic signaling. Thus, our results suggest that sustained inflammation leads to activation of multiple cell death pathways that contribute to progressive cardiomyocyte apoptosis; hence the extent of such programmed myocyte cell death is a critical determinant of adverse cardiac remodeling.

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Figures

Figure 1
Figure 1. Characterization of mouse models.
Representative Western blots showing (A) levels of exogenous human Bcl-2 (hBcl-2), endogenous mouse Bcl-2 (mBcl-2), and total (human and mouse) Bcl-2 (ttBcl-2) as well as (B) levels of mouse TNF in cytosolic and mitochondrial protein extracts of 12-week-old littermate control (LM), MHCsTNF, MHCsTNF/Bcl-2, and Bcl-2 mouse hearts. GAPDH (cytosol) and COX IV (mitochondria) served as loading normalization. (C) Myocardial TNF protein levels were measured by ELISA. **P < 0.05 compared with LM.
Figure 2
Figure 2. Effect of Bcl-2 on LV remodeling.
(A) Representative M-mode echocardiograms for littermate control, MHCsTNF, MHCsTNF/Bcl-2, and Bcl-2 mouse hearts. Group data for (B) LVEDD, (C) posterior wall thickness (PWth), (D) r/h, and (E) percent fractional shortening (%FS) for LM, MHCsTNF, MHCsTNF/Bcl-2, and Bcl-2 mouse hearts. *P < 0.05 between 4 and 12 weeks of age within the same transgenic mouse line; **P < 0.05 between MHCsTNF and MHCsTNF/Bcl-2 at 12 weeks of age.
Figure 3
Figure 3. Cardiomyocyte apoptosis.
The prevalence of cardiomyocyte apoptosis was determined by the in situ DNA ligation method in littermate control, MHCsTNF, MHCsTNF/Bcl-2, and Bcl-2 mouse hearts at 12 weeks of age. *P < 0.05 between MHCsTNF and MHCsTNF/Bcl-2 mice; **P < 0.05 compared with LM.
Figure 4
Figure 4. Myocardial cytochrome c release.
The release of cytochrome c from (A) mitochondria to (B) the cytosol was determined by Western blotting in 12-week-old littermate control, MHCsTNF, MHCsTNF/Bcl-2, and Bcl-2 mouse hearts. Shown are representative Western blots next to the group data for mitochondrial cytochrome c levels (normalized to COX IV) and cytosolic cytochrome c levels (normalized to GAPDH). Group data represent the ratio of experimental (transgenic) to control (wild-type) mouse groups. *P < 0.05 between MHCsTNF and MHCsTNF/Bcl-2 groups; **P < 0.05 compared with LM.
Figure 5
Figure 5. Myocardial levels of proapoptotic proteins.
(A) The release of mitochondrial Smac/Diablo, Omi/HtrA2, apoptosis-inducing factor (AIF), and Endo G into the cytosol was determined by Western blotting in littermate control, MHCsTNF, MHCsTNF/Bcl-2, and Bcl-2 mouse hearts at 12 weeks of age. (B) Group data for the corresponding protein levels (normalized to GAPDH) are expressed as the ratio of experimental (transgenic) to control (wild-type) mouse groups. *P < 0.05 between MHCsTNF and MHCsTNF/Bcl-2 groups; **P < 0.05 compared with LM.
Figure 6
Figure 6. Myocardial caspase-3 and -9 activation.
(A) Caspase-3–like and (B) caspase-9–like activities were determined in 12-week-old littermate control, MHCsTNF, MHCsTNF/Bcl-2, and Bcl-2 mouse hearts using a fluorogenic assay. *P < 0.05 between MHCsTNF and MHCsTNF/Bcl-2 groups; **P < 0.05 compared with LM.
Figure 7
Figure 7. Myocardial caspase-8 activation, Bid, and IAPs.
(A) Caspase-8–like activity was determined in 12-week-old littermate control, MHCsTNF, MHCsTNF/Bcl-2, and Bcl-2 mouse hearts using a fluorogenic assay. Cytosolic levels of (B) full-length Bid (23 kDa) and t-Bid (15 kDa) and of (C) c–IAP-1 and c–IAP-2 as determined by Western blotting. Group data for the corresponding levels (normalized to GAPDH) are shown as the ratio of experimental (transgenic) to control (wild-type) mouse groups. x, empty lane. *P < 0.05 compared with LM.
Figure 8
Figure 8. Myocardial c-FLIPL and C-FLIPS levels.
(A) Cytosolic protein levels of c-FLIPL and c-FLIPS were determined in 12-week-old littermate control, MHCsTNF, MHCsTNF/Bcl-2, and Bcl-2 mouse hearts by Western blotting. Group data for the corresponding protein levels (normalized to GAPDH) are shown as the ratio of experimental (transgenic) to control (wild-type) mouse groups. (B) c-FLIPL mRNA levels were determined by RNase protection assay, and representative results as well as group data (normalized to L32) are shown. **P < 0.05 compared with LM.
Figure 9
Figure 9. Pro- and anti-apoptotic proteins that govern the extrinsic and intrinsic cell death pathways.
Proapoptotic proteins are shown in italic, antiapoptotic proteins in bold. TNF-induced signaling involves the formation of 2 sequential signaling complexes, complex I and complex II. Complex I is bound to TNF receptor superfamily, member 1 (TNFR1) and contains TNFR1-associated death domain (TRADD), TNFR-interacting serine-threonine kinase (RIP), and TNFR-associated factor 2 (TRAF2). Complex II is located in the cytosol and contains TRADD, RIP1, Fas-associated death domain (FADD), and caspase-8. See Discussion for further details.

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