M3受体对体外H2O2诱导大鼠心肌细胞凋亡的保护作用

目的探讨M₃受体激动对H₂O₂诱导的大鼠培养心肌细胞凋亡的作用，进一步阐明其机制。方法末端标记法 (TUNEL)进行细胞凋亡检测；免疫组化方法检测Bcl-2和Fas的表达；共聚焦显微镜观察［Ca²⁺］_i荧光强度变化。结果M₃受体激动剂胆碱(10 mmol·L^-1)可减少H₂O₂诱导的心肌细胞凋亡的数量，并可增加心肌Bcl-2的表达，减少Fas表达，抑制H₂O₂诱导的［Ca²⁺］_i荧光强度的升高。但预先应用4DAMP (10 nmol·L^-1)阻断M₃受体可逆转胆碱作用。结论激动M₃受体对H₂O₂诱导的心肌细胞凋亡有保护作用，其机制可能与Bcl-2和Fas表达以及下调［Ca²⁺］_i有关。

Protective effect of M3 receptor on H2O2-induced apoptosis of rat myocardial cells in vitro

AIM: To observe the effect of activation of M3 receptor on H2O2 induced apoptosis in cultured rat myocytes and to investigate its possible mechanisms. METHODS: Isolated neonatal cardiomyocytes were cultured. Morphologic changes were observed by microscopy. The apoptosis in cardiomyocyte was detected by terminal deoxynucleotide transferase directed d-UTP nick and end labeling (TUNEL) assay. The expression of apoptosis-related protein in Bcl-2 and Fas was measured by immunohistochemistry assay. Ca2+]i in single cardiomyocyte loaded with Fluo 3-AM was measured by confocal microscope. RESULTS: H2O2-mediated myocyte apoptosis was attenuated by M3 receptor agonist choline (10 mmol x L(-1)). Pretreatment of cardiac myocytes with choline also increased Bcl-2, decreased Fas expression, and inhibited the increase in FI value of Ca2+]i in H2O2-stimulated cardiac myocytes. However, blockade of M3 receptor by 4DAMP (10 nmol x L(-1)) completely inhibited the effects of choline on H2O2-stimulated cardiac myocytes. CONCLUSION: Activation of M3 receptor showed protective effect on H2O2-induced apoptosis in cultured rat myocytes and this effect might be related to modulating the expression of some genes including Bcl-2 and Fas as well as the downregulation of Ca2+]i.