A polipoprotein D is expressed in many tissues after injury, such as reperfusion injury after myocardial infarction. Antioxidant activity of apolipoprotein D appears to confer cardioprotective properties after myocardial infarction in a mouse model of severe rapidly progressing coronary atherosclerosis and in a mouse model of ischemia/reperfusion injury.Mice with homozygous-null mutations in the high-density lipoprotein (HDL) scavenger receptor class B type I (SR-BI) and also with homozygous-null mutations in apolipoprotein E (apoE) experience development of severe occlusive coronary atherosclerosis and have myocardial infarction (MI) starting at approximately 31 days after birth. By 42 days after birth, ≈50% have died from cardiac causes. Tsukamoto et al 1 studied myocardial gene expression before MI (21 days after birth) and at 31 and 43 days after birth in these mice (SR-BI −/− /apoE −/− ). The expression of the gene for osteopontin increased 416-fold, and the gene for apoD increased 80-fold. Because it had previously been reported that the gene for osteopontin increased post-MI, 2-5 the authors concentrated on the study of apoD. In an ischemia/reperfusion injury model, adenoviral expression of apoD in the liver was associated with high plasma apoD levels and reduced MI size. In contrast, deficiency of apoD (in apoD-null mice) was associated with increased MI size. The ability of apoD to protect cultured rat cardiomyocytes from hypoxia/reoxygenation injury correlated with the ability of apoD to inhibit oxidation in an in vitro antioxidant assay, suggesting that the antioxidant properties of apoD are important in mediating its cardioprotective properties. mice at 43 days, 81 were shown to be induced after coronary ligation. The 81 genes included those encoding matricellular proteins, matrix proteases, tissue inhibitors of metalloproteinases, and inflammation-associated and fibrosis-associated proteins. In the coronary ligation experiment, apoD increased early (48 hours) after ligation and was substantially increased in noninfarcted, but not in infarcted, tissue. Four days after the mice were administered adenoviruses without (empty vector) or expressing apoD, the mice were subjected to 60 minutes of coronary ischemia followed by ≈24 hours of reperfusion. The mice receiving apoD adenoviruses had ≈20-fold increase in plasma levels of apoD and had a relative infarct size of 59% compared with 81% for the mice receiving empty vector (P<0.005). Conversely, mice that were genetically null for apoD and that were subjected to the same procedure had a significant increase in the infarct area (76% versus 37% for wild-type; P<0.0001). In vitro primary adult rat ventricular myocytes or neonatal rat ventricular myocytes were subjected to hypoxia followed by reoxygenation in the presence of either bovine serum albumin or human apoD. Only apoD was protective against cell death. The authors noted that osteopontin was also previously reported to protect cultured neonatal rat ventricular myocytes from similar stress.
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