The mechanisms underlying the age-dependent reversal of female cardioprotection are poorly understood and complicated by findings that estrogen replacement is ineffective at reducing cardiovascular mortality in postmenopausal women. Although several protective signals have been identified in young animals, including PKC and Akt, how these signals are affected by age, estrogen deficiency, and ischemia-reperfusion (I/R) remains unknown. To determine the independent and combined effects of age and estrogen deficiency on I/R injury and downstream PKC-Akt signaling, adult and aged female F344 rats (n = 12/age) with ovaries intact or ovariectomy (Ovx) were subjected to I/R using Langendorff perfusion (31-min global-ischemia). Changes in cytosolic (s), nuclear (n), mitochondrial (m) PKC (delta, epsilon) levels, and changes in total Akt and mGSK-3beta phosphorylation after I/R were assessed by Western blot analysis. Senescence increased infarct size 50% in ovary-intact females (P < 0.05), whereas no differences in LV functional recovery or estradiol levels were observed. Ovx reduced functional recovery to a greater extent in aged compared with adult rats (P < 0.05). In aged (vs. adult), levels of m- and nPKC(-delta, -epsilon) were markedly decreased, whereas mGSK3beta levels were increased (P < 0.05). Ovx led to greater levels of sPKC(-delta, -epsilon) independent of age (P < 0.05). I/R reduced p-Akt(Ser473) levels by 57% and increased mGSK-3beta accumulation 1.77-fold (P < 0.05) in aged, ovary-intact females. These data suggest, for the first time, that estrogen alone cannot protect the aged female myocardium from I/R damage and that age- and estrogen-dependent alterations in PKC, Akt, and GSK-3beta signaling may contribute to loss of ischemic tolerance.

译文

:对雌性心脏保护的年龄依赖性逆转的潜在机制了解甚少,并且因发现雌激素替代不能有效降低绝经后妇女的心血管死亡率而使之复杂化。尽管已在幼小的动物中鉴定出了几种保护性信号,包括PKC和Akt,但这些信号如何受到年龄,雌激素缺乏和缺血再灌注(I / R)的影响仍然未知。为了确定年龄和雌激素缺乏对I / R损伤和下游PKC-Akt信号传导的独立和综合影响,对成年卵巢或卵巢切除术(Ovx)的成年和成年雌性F344大鼠(n = 12 /年龄)进行I / R使用Langendorff灌注(31分钟全球缺血)。通过蛋白质印迹分析评估I / R后细胞质,核仁,线粒体PKC(δ,ε)水平的变化,以及总Akt和mGSK-3beta磷酸化的变化。卵巢完整的女性衰老使梗塞面积增加50%(P <0.05),而在LV功能恢复或雌二醇水平上未观察到差异。与成年大鼠相比,Ovx在老年人中降低的功能恢复程度更大(P <0.05)。在老年人(相对于成年人)中,m-和nPKC(-δ,-ε)水平显着降低,而mGSK3beta水平升高(P <0.05)。 Ovx导致更高水平的sPKC(-delta,-epsilon)与年龄无关(P <0.05)。 I / R在老年卵巢完整女性中将p-Akt(Ser473)水平降低了57%,并使mGSK-3beta积累增加了1.77倍(P <0.05)。这些数据首次表明,单独的雌激素不能保护老年女性心肌免受I / R损伤,PKC,Akt和GSK-3beta信号的年龄和雌激素依赖性改变可能导致缺血耐受性降低。

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