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Activation of melatonin receptor 2 but not melatonin receptor 1 mediates melatonin-conferred cardioprotection against myocardial ischemia/reperfusion injury.

Journal of pineal research
August 1, 2019
Dong Han et al. (13 authors)
Journal ArticleAnimal Study
Extracted Claims (13)
InterventionDirectionEndpointPopulationDosageImpactClaim #
melatonin administration
decrease
myocardial injury
mice exposed to MI/R injury
-
significantly reduced
#1
melatonin administration
increase
cardiac function
mice exposed to MI/R injury
-
improved
#2
melatonin treatment
decrease
MI/R-initiated myocardial oxidative stress
mice exposed to MI/R injury
-
suppressed
#3
melatonin treatment
decrease
nitrative stress
mice exposed to MI/R injury
-
suppressed
#4
melatonin treatment
decrease
endoplasmic reticulum stress
mice exposed to MI/R injury
-
alleviated
#5
melatonin treatment
decrease
mitochondrial injury
mice exposed to MI/R injury
-
alleviated
#6
melatonin treatment
decrease
myocardial apoptosis
mice exposed to MI/R injury
-
inhibited
#7
AAV9-mediated cardiomyocyte-specific overexpression of MT2
decrease
MI/R injury
mice
-
mitigated
#8
AAV9-mediated cardiomyocyte-specific overexpression of MT2
increase
cardiac dysfunction
mice
-
improved
#9
AAV9-mediated cardiomyocyte-specific overexpression of MT2
decrease
oxidative stress
mice
-
significant amelioration
#10
AAV9-mediated cardiomyocyte-specific overexpression of MT2
decrease
endoplasmic reticulum stress
mice
-
significant amelioration
#11
AAV9-mediated cardiomyocyte-specific overexpression of MT2
decrease
mitochondrial dysfunction
mice
-
significant amelioration
#12
MT2
decrease
primary cardiomyocytes against hypoxia/reoxygenation injury
primary cardiomyocytes
-
protected
#13
Abstract

Accumulated pieces of evidence have proved the beneficial effects of melatonin on myocardial ischemia/reperfusion (MI/R) injury, and these effects were largely dependent on melatonin membrane receptor activation. In humans and other mammals, there are two types of melatonin receptors, including the melatonin receptor 1 (MT1, melatonin receptor 1a or MTNR1A) and melatonin receptor 1 (MT2, melatonin receptor 1b or MTNR1B) receptor subtypes. However, which receptor mediates melatonin-conferred cardioprotection remains unclear. In this study, we employed both loss-of-function and gain-of-function approaches to reveal the answer. Mice (wild-type; MT1 or MT2 silencing by in vivo minicircle vector; and those overexpressing MT1 or MT2 by in vivo AAV9 vector) were exposed to MI/R injury. Both MT1 and MT2 were present in wild-type myocardium. MT2, but not MT1, was essentially upregulated after MI/R Melatonin administration significantly reduced myocardial injury and improved cardiac function after MI/R Mechanistically, melatonin treatment suppressed MI/R-initiated myocardial oxidative stress and nitrative stress, alleviated endoplasmic reticulum stress and mitochondrial injury, and inhibited myocardial apoptosis. These beneficial actions of melatonin were absent in MT2-silenced heart, but not the MT1 subtype. Furthermore, AAV9-mediated cardiomyocyte-specific overexpression of MT2, but not MT1, mitigated MI/R injury and improved cardiac dysfunction, which was accompanied by significant amelioration of oxidative stress, endoplasmic reticulum stress, and mitochondrial dysfunction. Mechanistically, MT2 protected primary cardiomyocytes against hypoxia/reoxygenation injury via MT2/Notch1/Hes1/RORα signaling. Our study presents the first direct evidence that the MT2 subtype, but not MT1, is a novel endogenous cardiac protective receptor against MI/R injury. Medications specifically targeting MT2 may hold promise in fighting ischemic heart disease.

Medical Subject Headings (MeSH)
AnimalsApoptosisDisease Models, AnimalEndoplasmic Reticulum StressHumansMaleMiceMyocardial Reperfusion InjuryMyocardiumMyocytes, CardiacOxidative StressReceptor, Melatonin, MT1Receptor, Melatonin, MT2Signal Transduction
Study Links
PubMed ID30903623
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