Name: in vitro assessment of myocardial protection following hypothermia-preconditioning in a human cardiac myocytes model
Uploaded: 2020-10-27T14:45:00
Description: Watch this Scientific Journal Video about In vitro Assessment of Myocardial Protection following Hypothermia-Preconditioning in a Human Cardiac Myocytes Model at JoVE.com

Dette arbejde blev delvist finansieret af National Natural Science Foundation of China (81970265, 81900281,81700288), China Postdoctoral Science Foundation (2019M651904); og Kinas nationale forsknings- og udviklingsprogram (2016YFC1101001, 2017YFC1308105).

Oplysninger om handelsreagenser og -instrumenter er anført i materialeoversigten.
Ac16 menneskelige kardiomyocyt celle linje blev afledt af sammensmeltningen af primære celler fra voksne ventrikulær hjertevæv med SV40-transformerede menneskelige fibroblaster17, som blev købt fra BLUEFBIO (Shanghai, Kina). Cellelinjen udvikler mange biokemiske og morfologiske træk, der er karakteristiske for kardiomyocytter. Derudover er cellelinjen meget udbredt t...

<ol>
	<li>Kim, B. S., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Myocardial+Ischemia+Induces+SDF-1alpha+Release+in+Cardiac+Surgery+Patients.">Myocardial Ischemia Induces SDF-1alpha Release in Cardiac Surgery Patients.</a> Journal of Cardiovascular Translational Research. 9 (3), 230-238 (2016).</li><li>Klein, P., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Less+invasive+ventricular+reconstruction+for+ischaemic+heart+failure.">Less invasive ventricular reconstruction for ischaemic heart failure.</a> EUROPEAN JOURNAL OF HEART FAILURE. 21 (12), 1638-1650 (2019).</li><li>Otto, K. A. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Therapeutic+hypothermia+applicable+to+cardiac+surgery.">Therapeutic hypothermia applicable to cardiac surgery.</a> VETERINARY ANAESTHESIA AND ANALGESIA. 42 (6), 559-569 (2015).</li><li>Wang, X., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Safety+of+Hypothermic+Circulatory+Arrest+During+Unilateral+Antegrade+Cerebral+Perfusion+for+Aortic+Arch+Surgery.">Safety of Hypothermic Circulatory Arrest During Unilateral Antegrade Cerebral Perfusion for Aortic Arch Surgery.</a> CANADIAN JOURNAL OF CARDIOLOGY. 35 (11), 1483-1490 (2019).</li><li>Leshnower, B. G., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Moderate+Versus+Deep+Hypothermia+With+Unilateral+Selective+Antegrade+Cerebral+Perfusion+for+Acute+Type+A+Dissection.">Moderate Versus Deep Hypothermia With Unilateral Selective Antegrade Cerebral Perfusion for Acute Type A Dissection.</a> ANNALS OF THORACIC SURGERY. 100 (5), 1563-1568 (2015).</li><li>Vallabhajosyula, P., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Moderate+versus+deep+hypothermic+circulatory+arrest+for+elective+aortic+transverse+hemiarch+reconstruction.">Moderate versus deep hypothermic circulatory arrest for elective aortic transverse hemiarch reconstruction.</a> ANNALS OF THORACIC SURGERY. 99 (5), 1511-1517 (2015).</li><li>Keeling, W. B., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Safety+of+Moderate+Hypothermia+With+Antegrade+Cerebral+Perfusion+in+Total+Aortic+Arch+Replacement.">Safety of Moderate Hypothermia With Antegrade Cerebral Perfusion in Total Aortic Arch Replacement.</a> ANNALS OF THORACIC SURGERY. 105 (1), 54-61 (2018).</li><li>Yan, T. D., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Consensus+on+hypothermia+in+aortic+arch+surgery.">Consensus on hypothermia in aortic arch surgery.</a> Annals of Cardiothoracic Surgery. 2 (2), 163-168 (2013).</li><li>Zhou, J., Empey, P. E., Bies, R. R., Kochanek, P. M., Poloyac, S. M. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Cardiac+arrest+and+therapeutic+hypothermia+decrease+isoform-specific+cytochrome+P450+drug+metabolism.">Cardiac arrest and therapeutic hypothermia decrease isoform-specific cytochrome P450 drug metabolism.</a> DRUG METABOLISM AND DISPOSITION. 39 (12), 2209-2218 (2011).</li><li>Sharp, W. W., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Inhibition+of+the+mitochondrial+fission+protein+dynamin-related+protein+1+improves+survival+in+a+murine+cardiac+arrest+model.">Inhibition of the mitochondrial fission protein dynamin-related protein 1 improves survival in a murine cardiac arrest model.</a> CRITICAL CARE MEDICINE. 43 (2), 38-47 (2015).</li><li>Zhu, W. S., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Hsp90aa1:+a+novel+target+gene+of+miR-1+in+cardiac+ischemia/reperfusion+injury.">Hsp90aa1: a novel target gene of miR-1 in cardiac ischemia/reperfusion injury.</a> Sci Rep. 6, 24498 (2016).</li><li>Castedo, E., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Influence+of+hypothermia+on+right+atrial+cardiomyocyte+apoptosis+in+patients+undergoing+aortic+valve+replacement.">Influence of hypothermia on right atrial cardiomyocyte apoptosis in patients undergoing aortic valve replacement.</a> Journal of Cardiothoracic Surgery. 2, 7 (2007).</li><li>Krech, J., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Moderate+therapeutic+hypothermia+induces+multimodal+protective+effects+in+oxygen-glucose+deprivation/reperfusion+injured+cardiomyocytes.">Moderate therapeutic hypothermia induces multimodal protective effects in oxygen-glucose deprivation/reperfusion injured cardiomyocytes.</a> Mitochondrion. 35, 1-10 (2017).</li><li>Cooper, W. A., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Hypothermic+circulatory+arrest+causes+multisystem+vascular+endothelial+dysfunction+and+apoptosis.">Hypothermic circulatory arrest causes multisystem vascular endothelial dysfunction and apoptosis.</a> ANNALS OF THORACIC SURGERY. 69 (3), 696-702 (2000).</li><li>Kajimoto, M., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Selective+cerebral+perfusion+prevents+abnormalities+in+glutamate+cycling+and+neuronal+apoptosis+in+a+model+of+infant+deep+hypothermic+circulatory+arrest+and+reperfusion.">Selective cerebral perfusion prevents abnormalities in glutamate cycling and neuronal apoptosis in a model of infant deep hypothermic circulatory arrest and reperfusion.</a> JOURNAL OF CEREBRAL BLOOD FLOW AND METABOLISM. 36 (11), 1992-2004 (2016).</li><li>Liu, Y., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Deep+Hypothermic+Circulatory+Arrest+Does+Not+Show+Better+Protection+for+Vital+Organs+Compared+with+Moderate+Hypothermic+Circulatory+Arrest+in+Pig+Model.">Deep Hypothermic Circulatory Arrest Does Not Show Better Protection for Vital Organs Compared with Moderate Hypothermic Circulatory Arrest in Pig Model.</a> Biomed Research International. 2019, 1420216 (2019).</li><li>Davidson, M. M., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Novel+cell+lines+derived+from+adult+human+ventricular+cardiomyocytes.">Novel cell lines derived from adult human ventricular cardiomyocytes.</a> JOURNAL OF MOLECULAR AND CELLULAR CARDIOLOGY. 39 (1), 133-147 (2005).</li><li>Khan, K., Makhoul, G., Yu, B., Schwertani, A., Cecere, R. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=The+cytoprotective+impact+of+yes-associated+protein+1+after+ischemia-reperfusion+injury+in+AC16+human+cardiomyocytes.">The cytoprotective impact of yes-associated protein 1 after ischemia-reperfusion injury in AC16 human cardiomyocytes.</a> EXPERIMENTAL BIOLOGY AND MEDICINE. 244 (10), 802-812 (2019).</li><li>Pan, J. A., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=miR-146a+attenuates+apoptosis+and+modulates+autophagy+by+targeting+TAF9b/P53+pathway+in+doxorubicin-induced+cardiotoxicity.">miR-146a attenuates apoptosis and modulates autophagy by targeting TAF9b/P53 pathway in doxorubicin-induced cardiotoxicity.</a> Cell Death Discovery. 10 (9), 668 (2019).</li><li>Schmitt, K. R., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=S100B+modulates+IL-6+release+and+cytotoxicity+from+hypothermic+brain+cells+and+inhibits+hypothermia-induced+axonal+outgrowth.">S100B modulates IL-6 release and cytotoxicity from hypothermic brain cells and inhibits hypothermia-induced axonal outgrowth.</a> NEUROSCIENCE RESEARCH. 59 (1), 68-73 (2007).</li><li>Tong, G., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Deep+hypothermia+therapy+attenuates+LPS-induced+microglia+neuroinflammation+via+the+STAT3+pathway.">Deep hypothermia therapy attenuates LPS-induced microglia neuroinflammation via the STAT3 pathway.</a> Neuroscience. 358, 201-210 (2017).</li><li>Yu, Z. P., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Troxerutin+attenuates+oxygenglucose+deprivation+and+reoxygenationinduced+oxidative+stress+and+inflammation+by+enhancing+the+PI3K/AKT/HIF1alpha+signaling+pathway+in+H9C2+cardiomyocytes.">Troxerutin attenuates oxygenglucose deprivation and reoxygenationinduced oxidative stress and inflammation by enhancing the PI3K/AKT/HIF1alpha signaling pathway in H9C2 cardiomyocytes.</a> Molecular Medicine Reports. 22 (2), 1351-1361 (2020).</li><li>Drescher, C., Diestel, A., Wollersheim, S., Berger, F., Schmitt, K. R. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=How+does+hypothermia+protect+cardiomyocytes+during+cardioplegic+ischemia.">How does hypothermia protect cardiomyocytes during cardioplegic ischemia.</a> European journal of cardiothoracic surgery. 40 (2), 352-359 (2011).</li><li>Diestel, A., Drescher, C., Miera, O., Berger, F., Schmitt, K. R. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Hypothermia+protects+H9c2+cardiomyocytes+from+H2O2+induced+apoptosis.">Hypothermia protects H9c2 cardiomyocytes from H2O2 induced apoptosis.</a> Cryobiology. 62 (1), 53-61 (2011).</li><li>Zhang, Y., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=HIF-1alpha/BNIP3+signaling+pathway-induced-autophagy+plays+protective+role+during+myocardial+ischemia-reperfusion+injury.">HIF-1alpha/BNIP3 signaling pathway-induced-autophagy plays protective role during myocardial ischemia-reperfusion injury.</a> BIOMEDICINE &amp; PHARMACOTHERAPY. 120, 109464 (2019).</li><li>An, W., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Exogenous+IL-19+attenuates+acute+ischaemic+injury+and+improves+survival+in+male+mice+with+myocardial+infarction.">Exogenous IL-19 attenuates acute ischaemic injury and improves survival in male mice with myocardial infarction.</a> BRITISH JOURNAL OF PHARMACOLOGY. 176 (5), 699-710 (2019).</li><li>Han, Y. S., Schaible, N., Tveita, T., Sieck, G. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Discontinued+stimulation+of+cardiomyocytes+provides+protection+against+hypothermia-rewarming-induced+disruption+of+excitation-contraction+coupling.">Discontinued stimulation of cardiomyocytes provides protection against hypothermia-rewarming-induced disruption of excitation-contraction coupling.</a> EXPERIMENTAL PHYSIOLOGY. 103 (6), 819-826 (2018).</li><li>Yarbrough, W. M., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Caspase+inhibition+attenuates+contractile+dysfunction+following+cardioplegic+arrest+and+rewarming+in+the+setting+of+left+ventricular+failure.">Caspase inhibition attenuates contractile dysfunction following cardioplegic arrest and rewarming in the setting of left ventricular failure.</a> Journal of cardiovascular pharmacology. 44 (6), 645-650 (2004).</li><li>Egorov, Y. V., Glukhov, A. V., Efimov, I. R., Rosenshtraukh, L. V. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Hypothermia-induced+spatially+discordant+action+potential+duration+alternans+and+arrhythmogenesis+in+nonhibernating+versus+hibernating+mammals.">Hypothermia-induced spatially discordant action potential duration alternans and arrhythmogenesis in nonhibernating versus hibernating mammals.</a> AMERICAN JOURNAL OF PHYSIOLOGY-HEART AND CIRCULATORY PHYSIOLOGY. 303 (8), 1035-1046 (2012).</li><li>Bobi, J., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Moderate+Hypothermia+Modifies+Coronary+Hemodynamics+and+Endothelium-Dependent+Vasodilation+in+a+Porcine+Model+of+Temperature+Management.">Moderate Hypothermia Modifies Coronary Hemodynamics and Endothelium-Dependent Vasodilation in a Porcine Model of Temperature Management.</a> Journal of the American Heart Association. 9 (3), 014035 (2020).</li><li>Dietrichs, E. 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Kompleksiteten af intakte dyr, herunder samspillet mellem forskellige typer celler, forhindrer ofte detaljerede undersøgelser af specifikke komponenter af I/R-skade. Derfor er det nødvendigt at etablere en in vitro cellemodel, der nøjagtigt kan afspejle de molekylære ændringer efter iskæmi in vivo. Forskning i OGD-modeller er tidligere blevet rapporteret13,22, og mange avancerede metoder er blevet etableret23,<sup class="x...

Iskæmi/reperfusion-afledt myokardie dysfunktion er et almindeligt klinisk scenarie hos patienter efter hjertekirurgi1,2. Under nonpulsatile lav flow perfusion og perioder med total kredsløbsstop, skader, der involverer alle typer af hjerteceller stadig opstår. Især følsomheden af kardiomyocytter til iskæmisk skade er højere end for andre cellepopulationer. På nuværende tidspunkt giver terapeutisk hypotermi (TH) betydelig beskyttelse mod en forventet iskæmisk fornærmelse hos patienter, der gennemgår hjertekirurgi3,4. TH defineres som en kernetemperatur på 14-34 °C, selv om der ikke er enighed om en definition af køling under hjertekirurgi5,6,7. I 2013 foreslog et internationalt ekspertpanel et standardiseret rapporteringssystem til klassificering af forskellige temperaturområder af systemisk hypotermisk kredsløbsstop8. Baseret på elektroencefalografi og metabolismeundersøgelser af hjernen delte de hypotermi i fire niveauer: dyb hypotermi (≤ 14 °C), dyb hypotermi (14,1-20 °C), moderat hypotermi (20,1-28 °C) og mild hypotermi (28,1-34 °C). Ekspertkonsensussen gav en klar og ensartet klassificering, der gjorde det muligt for undersøgelser at være mere sammenlignelige og give mere klinisk relevante resultater. Denne beskyttelse, som TH yder , er baseret på dens evne til at reducere cellernes metaboliske aktivitet og yderligere begrænse deres højenergifosfatforbrug9,10. Men den rolle, TH i myokardie beskyttelse er kontroversiel og kan have flere virkninger afhængigt af graden af hypotermi.
Myokardie I/R er velkendt for at være ledsaget af øget celleapoptise11. Nylige rapporter har observeret, at programmeret kardiomyocytdød stiger under åben hjertekirurgi og kan falde sammen med nekrose og derved øge antallet af døde myokardieceller12. Derfor er reduktion af kardiomyocytapoptose en nyttig terapeutisk tilgang i klinisk praksis. I mus atrie HL-1 kardiomyocyt model, terapeutisk hypotermi blev vist sig at reducere mitokondrie frigivelse af cytochrom c og apoptose-inducerende faktor (AIF) under reperfusion13. Men effekten af temperatur i reguleringen af apoptose er kontroversiel og synes at afhænge af graden af hypotermi. Cooper og kolleger bemærkede, at sammenlignet med en normoterm kardiopulmonisk bypass kontrolgruppe blev apoptosehastigheden af myokardievæv fra svin med den dybe hypotermiske kredsløbsstop øget14. Derudover har resultaterne af nogle undersøgelser antydet, at dyb hypotermi kan aktivere apoptosevejen, mens mindre aggressiv hypotermi ser ud til at hæmme vejen12,15,16. Årsagen til dette resultat kan skyldes forvirrende virkninger forbundet med iskæmisk skade og manglende forståelse af de mekanismer, hvormed temperaturen påvirker myokardievæv. Derfor bør de temperaturgrænser, hvor apoptose forbedres eller dæmpes, defineres nøjagtigt.
For at få en bedre forståelse af de mekanismer, der er forbundet med hypotermiens effektivitet og give et rationelt grundlag for dens gennemførelse hos mennesker, er det vigtigt at identificere en kulturtilstand svarende til in vivo-tilstande, der kan producere skader svarende til den, der observeres for den kliniske tilstand på en reproducerbar måde. Et vigtigt skridt i retning af at nå dette mål er at etablere de optimale betingelser for at fremkalde kardiomyocytapoptose. Derfor undersøgte vi i denne undersøgelse de metodologiske detaljer om ilt-glukosemangelforsøg med dyrkede celler, en let in vitro-model af iskæmi-reperfusion. Desuden vurderede vi effekten af forskellige hypoxic-iskæmiske tider på kardiomyocytapoptose, og verificerede vores hypotese om effekten af forskellige temperaturforhold på celleapoptose in vitro.

<table>
	<tbody>
		<tr>
			<td>Annexin V-FITC cell apoptosis detection kit</td>
			<td>Bio-Technology,China</td>
			<td>C1062M</td>
			<td></td>
		</tr>
		<tr>
			<td>Cardiac myocyte growth supplement</td>
			<td>Sciencell,USA</td>
			<td>6252</td>
			<td></td>
		</tr>
		<tr>
			<td>Caspase 3 activity assay kit</td>
			<td>Bio-Technology,China</td>
			<td>C1115</td>
			<td></td>
		</tr>
		<tr>
			<td>Caspase 8 activity assay kit</td>
			<td>Bio-Technology,China</td>
			<td>C1151</td>
			<td></td>
		</tr>
		<tr>
			<td>DMEM, no glucose</td>
			<td>Gibco,USA</td>
			<td>11966025</td>
			<td></td>
		</tr>
		<tr>
			<td>Dulbecco&#39;s modified eagle medium</td>
			<td>Gibco,USA</td>
			<td>11960044</td>
			<td></td>
		</tr>
		<tr>
			<td>Fetal bovine serum</td>
			<td>Gibco,USA</td>
			<td>16140071</td>
			<td></td>
		</tr>
		<tr>
			<td>Flow cytometry</td>
			<td>CytoFLEX,USA</td>
			<td>B49007AF</td>
			<td></td>
		</tr>
		<tr>
			<td>Human myocardial cells</td>
			<td>BLUEFBIO,China</td>
			<td>BFN60808678</td>
			<td></td>
		</tr>
		<tr>
			<td>Mitochondrial membrane potential assay kit with JC-1</td>
			<td>Bio-Technology,China</td>
			<td>C2006</td>
			<td></td>
		</tr>
		<tr>
			<td>Penicillin/Streptomycin solution</td>
			<td>Gibco,USA</td>
			<td>10378016</td>
			<td></td>
		</tr>
		<tr>
			<td>Reactive oxygen species assay kit</td>
			<td>Bio-Technology,China</td>
			<td>S0033S</td>
			<td></td>
		</tr>
		<tr>
			<td>Three-gas incubator</td>
			<td>Memmert,Germany</td>
			<td>ICO50</td>
			<td></td>
		</tr>
		<tr>
			<td>Trypsin-EDTA (0.25%)</td>
			<td>Gibco,USA</td>
			<td>25200056</td>
			<td></td>
		</tr>
	</tbody>
</table>

in vitro assessment of myocardial protection following hypothermia-preconditioning in a human cardiac myocytes model

Iskæmi /reperfusion-afledt myokardie dysfunktion er et almindeligt klinisk scenarie hos patienter efter hjertekirurgi. Især følsomheden af kardiomyocytter til iskæmisk skade er højere end for andre cellepopulationer. På nuværende tidspunkt giver hypotermi betydelig beskyttelse mod en forventet iskæmisk fornærmelse. Undersøgelser af komplekse hypotermi-inducerede molekylære ændringer er dog fortsat begrænsede. Derfor er det vigtigt at identificere en kulturtilstand svarende til in vivo-forhold, der kan fremkalde skader svarende til den, der observeres i den kliniske tilstand, på en reproducerbar måde. For at efterligne iskæmilignende tilstande in vitro blev cellerne i disse modeller behandlet med ilt/ glukosemangel (OGD). Derudover anvendte vi en standardtidstemperaturprotokol, der blev brugt under hjertekirurgi. Desuden foreslår vi en tilgang til at anvende en enkel, men omfattende metode til kvantitativ analyse af myokardieskader. Apoptose og ekspressionsniveauer for apoptoserelaterede proteiner blev vurderet ved flowcytometri og ved hjælp af et ELISA-kit. I denne model testede vi en hypotese om virkningerne af forskellige temperaturforhold på kardiomyocytapoptose in vitro. Pålideligheden af denne model afhænger af streng temperaturkontrol, kontrollerbare eksperimentelle procedurer og stabile eksperimentelle resultater. Derudover kan denne model bruges til at studere den molekylære mekanisme af hypotermisk kardibeskyttelse, hvilket kan have vigtige konsekvenser for udviklingen af komplementære terapier til brug med hypotermi.

Virkningen af OGD-eksponering på HCMs levedygtighed blev bestemt af CCK-8-analysen. Sammenlignet med den, der blev observeret i kontrolgruppen, blev celledygtigheden væsentligt reduceret på en tidsafhængig måde (figur 2A). Apoptoseraterne for HCMs på forskellige tidspunkter efter reperfusion viste en specifik tendens, hvor apoptoseraterne fra 0 til 16 timer gradvist steg og nåede maksimalsatsen ved 16 timer tidspunktet (Figur 2B). Som OGD for 12 timer red...

Watch this Scientific Journal Video about In vitro Assessment of Myocardial Protection following Hypothermia-Preconditioning in a Human Cardiac Myocytes Model at JoVE.com

In vitro Assessment of Myocardial Protection following Hypothermia-Preconditioning in a Human Cardiac Myocytes Model

De forskellige virkninger af forskellige grader af hypotermi på myokardiebeskyttelse er ikke blevet grundigt evalueret. Formålet med denne undersøgelse var at kvantificere niveauet af celledød efter forskellige hypotermibehandlinger i en human kardiomyocytbaseret model, hvilket lagde grunden til fremtidig dybdegående molekylær forskning.

In vitro vurdering af myokardie beskyttelse efter hypotermi-forkonditionering i en human hjerte myocytter model

Ischemia/reperfusion-derived myocardial dysfunction is a common clinical scenario in patients after cardiac surgery. In particular, the sensitivity of ...

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Medicine

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