热休克预处理抑制过氧化氢所致心肌细胞Smac的释放及细胞凋亡

目的：探讨热休克预处理(heat shock pretreatment，HS)对过氧化氢(hydrogen peroxide，H2O2)所致心肌细胞凋亡及促凋亡分子线粒体释放的第二种Caspase激活物(the second mitochondria-deftved activator of easpases，Smac)从线粒体释放的影响。方法：①采用H2O2(0．5mmol／L)导致心肌细胞凋亡；②采用热休克预处理(42℃，1h，恢复12h)诱导热休克蛋白表达；③采用Hoechst荧光染色，观察细胞凋亡发生并计算凋亡核百分率；④采用easpase活性定量检测及Western-blotting观察caspase-3，9的活化；采用免疫荧光及Western-blotting检测细胞成分分离后Smac从线粒体的释放。结果：①H2O2处理2h，Smac从心肌细胞线粒体释放入胞浆；处理4hcaspase-3，9活性升高，12h达高峰；处理24h心肌细胞明显出现凋亡，凋亡核百分率明显升高；②热休克预处理可诱导心肌细胞中HSP90。HSP70及αB-晶状体蛋白的表达增高；抑制Smac释放、caspase-3，9的活化及细胞凋亡的发生。结论：线粒体信号通路在H2O2所致的心肌细胞凋亡中发挥重要作用；热休克预处理通过抑制上述通路而减轻H2O2所致的细胞凋亡，其机制与其诱导热休克蛋白表达、阻断Smac从线粒体向胞浆释放、抑制caspase-3，9的活化有关。

Heat shock pretreatment inhibits the release of Smac from mitochondria and decreases H2O2-induced cardiomyocyte apoptosis]

OBJECTIVE: To explore the effect of heat shock pretreatment on H2O2-induced apoptosis of neonatal rat cardiomyocytes and the release of Smac from mitochondria. METHODS: After heat shock pretreatment (42 degrees C for 1 h), neonatal cardiomyocytes were exposed to H2O2 (0.5 mmol/L) for 6, 12, 24, and 36 h, respectively. The apoptotic morphological changes and percentage of apoptotic nuclei were analyzed. Activities of caspase-3, 9 were assayed with caspase colorimetric assay kit and Western-blotting. Inducible heat shock proteins were detected by Western-blotting analysis. The release of Smac from mitochondria to cytoplasm was observed by Western-blotting and immunofluorescence. RESULTS: (1) H2O2 (0.5 mmol/L) resulted in a marked release of Smac from mitochondria to cytoplasm at 2 h after the treatment, the activation of caspase-9 and caspase-3 at 4 h after the treatment and specific morphological changes of apoptosis at 24 h after the treatment. (2) Heat shock pretreatment (42 degrees C, 1 h) could increase the expression of hsp90, hsp70 and betaB-crystallin, and inhibit the H2O2-induced release of Smac from mitochondria, the activity of caspase-9, caspase-3 and apoptosis of cardiomyocytes. CONCLUSION: (1) Mitochondrial signal transduction pathway is involved in the apoptosis of cardiomyocytes induced by H2O2; (2) Heat shock pretreatment can inhibit the release of Smac from mitochondria and the activities of caspase-9, 3 and protect cardiomyocytes against H2O2-induced apoptosis.