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Erschienen in: Basic Research in Cardiology 2/2015

01.03.2015 | Original Contribution

Novel thiazolidinedione mitoNEET ligand-1 acutely improves cardiac stem cell survival under oxidative stress

verfasst von: Suzanna J. Logan, Liya Yin, Werner J. Geldenhuys, Molly K. Enrick, Kelly M. Stevanov, Richard T. Carroll, Vahagn A. Ohanyan, Christopher L. Kolz, William M. Chilian

Erschienen in: Basic Research in Cardiology | Ausgabe 2/2015

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Abstract

Ischemic heart disease (IHD) is a leading cause of death worldwide, and regenerative therapies through exogenous stem cell delivery hold promising potential. One limitation of such therapies is the vulnerability of stem cells to the oxidative environment associated with IHD. Accordingly, manipulation of stem cell mitochondrial metabolism may be an effective strategy to improve survival of stem cells under oxidative stress. MitoNEET is a redox-sensitive, mitochondrial target of thiazolidinediones (TZDs), and influences cellular oxidative capacity. Pharmacological targeting of mitoNEET with the novel TZD, mitoNEET Ligand-1 (NL-1), improved cardiac stem cell (CSC) survival compared to vehicle (0.1 % DMSO) during in vitro oxidative stress (H2O2). 10 μM NL-1 also reduced CSC maximal oxygen consumption rate (OCR) compared to vehicle. Following treatment with dexamethasone, CSC maximal OCR increased compared to baseline, but NL-1 prevented this effect. Smooth muscle α-actin expression increased significantly in CSC following differentiation compared to baseline, irrespective of NL-1 treatment. When CSCs were treated with glucose oxidase for 7 days, NL-1 significantly improved cell survival compared to vehicle (trypan blue exclusion). NL-1 treatment of cells isolated from mitoNEET knockout mice did not increase CSC survival with H2O2 treatment. Following intramyocardial injection of CSCs into Zucker obese fatty rats, NL-1 significantly improved CSC survival after 24 h, but not after 10 days. These data suggest that pharmacological targeting of mitoNEET with TZDs may acutely protect stem cells following transplantation into an oxidative environment. Continued treatment or manipulation of mitochondrial metabolism may be necessary to produce long-term benefits related to stem cell therapies.
Literatur
1.
Zurück zum Zitat Assmus B, Fischer-Rasokat U, Honold J, Seeger FH, Fichtlscherer S, Tonn T, Seifried E, Schachinger V, Dimmeler S, Zeiher AM (2007) Transcoronary transplantation of functionally competent BMCs is associated with a decrease in natriuretic peptide serum levels and improved survival of patients with chronic postinfarction heart failure: results of the TOPCARE-CHD registry. Circ Res 100:1234–1241. doi:10.1161/01.RES.0000264508.47717.6b CrossRefPubMed Assmus B, Fischer-Rasokat U, Honold J, Seeger FH, Fichtlscherer S, Tonn T, Seifried E, Schachinger V, Dimmeler S, Zeiher AM (2007) Transcoronary transplantation of functionally competent BMCs is associated with a decrease in natriuretic peptide serum levels and improved survival of patients with chronic postinfarction heart failure: results of the TOPCARE-CHD registry. Circ Res 100:1234–1241. doi:10.​1161/​01.​RES.​0000264508.​47717.​6b CrossRefPubMed
2.
Zurück zum Zitat Assmus B, Leistner DM, Schachinger V, Erbs S, Elsasser A, Haberbosch W, Hambrecht R, Sedding D, Yu J, Corti R, Mathey DG, Barth C, Mayer-Wehrstein C, Burck I, Sueselbeck T, Dill T, Hamm CW, Tonn T, Dimmeler S, Zeiher AM (2014) Long-term clinical outcome after intracoronary application of bone marrow-derived mononuclear cells for acute myocardial infarction: migratory capacity of administered cells determines event-free survival. Eur Heart J 35:1275–1283. doi:10.1093/eurheartj/ehu062 CrossRefPubMed Assmus B, Leistner DM, Schachinger V, Erbs S, Elsasser A, Haberbosch W, Hambrecht R, Sedding D, Yu J, Corti R, Mathey DG, Barth C, Mayer-Wehrstein C, Burck I, Sueselbeck T, Dill T, Hamm CW, Tonn T, Dimmeler S, Zeiher AM (2014) Long-term clinical outcome after intracoronary application of bone marrow-derived mononuclear cells for acute myocardial infarction: migratory capacity of administered cells determines event-free survival. Eur Heart J 35:1275–1283. doi:10.​1093/​eurheartj/​ehu062 CrossRefPubMed
3.
Zurück zum Zitat Beltrami A, Barlucchi L, Torella D, Baker M, Limana F, Chimenti S, Kasahara H, Rota M, Musso E, Urbanek K, Leri A, Kajstura J, Nadal-Ginard B, Anversa P (2003) Adult cardiac stem cells are multipotent and support myocardial regeneration. Cell 114:763–776. doi:10.1016/S0092-8674(03)00687-1 CrossRefPubMed Beltrami A, Barlucchi L, Torella D, Baker M, Limana F, Chimenti S, Kasahara H, Rota M, Musso E, Urbanek K, Leri A, Kajstura J, Nadal-Ginard B, Anversa P (2003) Adult cardiac stem cells are multipotent and support myocardial regeneration. Cell 114:763–776. doi:10.​1016/​S0092-8674(03)00687-1 CrossRefPubMed
4.
Zurück zum Zitat Bolli R, Chugh AR, D’Amario D, Loughran JH, Stoddard MF, Ikram S, Beache GM, Wagner SG, Leri A, Hosoda T, Sanada F, Elmore JB, Goichberg P, Cappetta D, Solankhi NK, Fahsah I, Rokosh DG, Slaughter MS, Kajstura J, Anversa P (2011) Cardiac stem cells in patients with ischaemic cardiomyopathy (SCIPIO): initial results of a randomised phase 1 trial. Lancet 378:1847–1857. doi:10.1016/S0140-6736(11)61590-0 CrossRefPubMedCentralPubMed Bolli R, Chugh AR, D’Amario D, Loughran JH, Stoddard MF, Ikram S, Beache GM, Wagner SG, Leri A, Hosoda T, Sanada F, Elmore JB, Goichberg P, Cappetta D, Solankhi NK, Fahsah I, Rokosh DG, Slaughter MS, Kajstura J, Anversa P (2011) Cardiac stem cells in patients with ischaemic cardiomyopathy (SCIPIO): initial results of a randomised phase 1 trial. Lancet 378:1847–1857. doi:10.​1016/​S0140-6736(11)61590-0 CrossRefPubMedCentralPubMed
5.
Zurück zum Zitat Chao-Hung W, Ming-Kuo T, Subodh V, Li-Tang K, Ning IY, Hsieh IC, Shin-Yi W, Agnes H, Wen-Jin C (2006) Pioglitazone increases the numbers and improves the functional capacity of endothelial progenitor cells in patients with diabetes mellitus. Am Heart J. doi:10.1016/j.ahj.2006.07.029 Chao-Hung W, Ming-Kuo T, Subodh V, Li-Tang K, Ning IY, Hsieh IC, Shin-Yi W, Agnes H, Wen-Jin C (2006) Pioglitazone increases the numbers and improves the functional capacity of endothelial progenitor cells in patients with diabetes mellitus. Am Heart J. doi:10.​1016/​j.​ahj.​2006.​07.​029
6.
Zurück zum Zitat Colca J, McDonald W, Waldon D, Leone J, Lull J, Bannow C, Lund E, Mathews W (2004) Identification of a novel mitochondrial protein (“mitoNEET”) cross-linked specifically by a thiazolidinedione photoprobe. Am J Physiol Endocrinol Metab 286:60. doi:10.1152/ajpendo.00424.2003 Colca J, McDonald W, Waldon D, Leone J, Lull J, Bannow C, Lund E, Mathews W (2004) Identification of a novel mitochondrial protein (“mitoNEET”) cross-linked specifically by a thiazolidinedione photoprobe. Am J Physiol Endocrinol Metab 286:60. doi:10.​1152/​ajpendo.​00424.​2003
11.
Zurück zum Zitat Heather LC, Cole MA, Tan JJ, Ambrose LJ, Pope S, Abd-Jamil AH, Carter EE, Dodd MS, Yeoh KK, Schofield CJ, Clarke K (2012) Metabolic adaptation to chronic hypoxia in cardiac mitochondria. Basic Res Cardiol 107:268. doi:10.1007/s00395-012-0268-2 CrossRefPubMed Heather LC, Cole MA, Tan JJ, Ambrose LJ, Pope S, Abd-Jamil AH, Carter EE, Dodd MS, Yeoh KK, Schofield CJ, Clarke K (2012) Metabolic adaptation to chronic hypoxia in cardiac mitochondria. Basic Res Cardiol 107:268. doi:10.​1007/​s00395-012-0268-2 CrossRefPubMed
12.
Zurück zum Zitat Kusminski C, Holland W, Sun K, Park J, Spurgin S, Lin Y, Askew G, Simcox J, McClain D, Li C, Scherer P (2012) MitoNEET-driven alterations in adipocyte mitochondrial activity reveal a crucial adaptive process that preserves insulin sensitivity in obesity. Nat Med 18:1539–1549. doi:10.1038/nm.2899 CrossRefPubMedCentralPubMed Kusminski C, Holland W, Sun K, Park J, Spurgin S, Lin Y, Askew G, Simcox J, McClain D, Li C, Scherer P (2012) MitoNEET-driven alterations in adipocyte mitochondrial activity reveal a crucial adaptive process that preserves insulin sensitivity in obesity. Nat Med 18:1539–1549. doi:10.​1038/​nm.​2899 CrossRefPubMedCentralPubMed
13.
Zurück zum Zitat Lamontagne J, Jalbert-Arsenault E, Pepin E, Peyot M-L, Ruderman N, Nolan C, Joly E, Madiraju S, Poitout V, Prentki M (2013) Pioglitazone acutely reduces energy metabolism and insulin secretion in rats. Diabetes. doi:10.2337/db12-0428 PubMedCentralPubMed Lamontagne J, Jalbert-Arsenault E, Pepin E, Peyot M-L, Ruderman N, Nolan C, Joly E, Madiraju S, Poitout V, Prentki M (2013) Pioglitazone acutely reduces energy metabolism and insulin secretion in rats. Diabetes. doi:10.​2337/​db12-0428 PubMedCentralPubMed
14.
Zurück zum Zitat Lamontagne J, Pepin E, Peyot M-L, Joly E, Ruderman N, Poitout V, Madiraju S, Nolan C, Prentki M (2009) Pioglitazone acutely reduces insulin secretion and causes metabolic deceleration of the pancreatic beta-cell at submaximal glucose concentrations. Endocrinology 150:3465–3474. doi:10.1210/en.2008-1557 CrossRefPubMedCentralPubMed Lamontagne J, Pepin E, Peyot M-L, Joly E, Ruderman N, Poitout V, Madiraju S, Nolan C, Prentki M (2009) Pioglitazone acutely reduces insulin secretion and causes metabolic deceleration of the pancreatic beta-cell at submaximal glucose concentrations. Endocrinology 150:3465–3474. doi:10.​1210/​en.​2008-1557 CrossRefPubMedCentralPubMed
16.
Zurück zum Zitat Lee MW, Kim DS, Kim HR, Kim HJ, Yang JM, Ryu S, Noh YH, Lee SH, Son MH, Jung HL, Yoo KH, Koo HH, Sung KW (2012) Cell death is induced by ciglitazone, a peroxisome proliferator-activated receptor gamma (PPARγ) agonist, independently of PPARγ in human glioma cells. Biochem Biophys Res Commun 417:552–557. doi:10.1016/j.bbrc.2011.12.001 CrossRefPubMed Lee MW, Kim DS, Kim HR, Kim HJ, Yang JM, Ryu S, Noh YH, Lee SH, Son MH, Jung HL, Yoo KH, Koo HH, Sung KW (2012) Cell death is induced by ciglitazone, a peroxisome proliferator-activated receptor gamma (PPARγ) agonist, independently of PPARγ in human glioma cells. Biochem Biophys Res Commun 417:552–557. doi:10.​1016/​j.​bbrc.​2011.​12.​001 CrossRefPubMed
17.
Zurück zum Zitat Li T-S, Kubo M, Ueda K, Murakami M, Ohshima M, Kobayashi T, Tanaka T, Shirasawa B, Mikamo A, Hamano K (2009) Identification of risk factors related to poor angiogenic potency of bone marrow cells from different patients. Circulation 120:61. doi:10.1161/CIRCULATIONAHA.108.837039 CrossRef Li T-S, Kubo M, Ueda K, Murakami M, Ohshima M, Kobayashi T, Tanaka T, Shirasawa B, Mikamo A, Hamano K (2009) Identification of risk factors related to poor angiogenic potency of bone marrow cells from different patients. Circulation 120:61. doi:10.​1161/​CIRCULATIONAHA.​108.​837039 CrossRef
19.
21.
Zurück zum Zitat Pedada KK, Zhou X, Jogiraju H, Carroll RT, Geldenhuys WJ, Lin L, Anderson DJ (2014) A quantitative LC-MS/MS method for determination of thiazolidinedione mitoNEET ligand NL-1 in mouse serum suitable for pharmacokinetic studies. J Chromatogr B Analyt Technol Biomed Life Sci 945–946:141–146. doi:10.1016/j.jchromb.2013.11.048 CrossRefPubMed Pedada KK, Zhou X, Jogiraju H, Carroll RT, Geldenhuys WJ, Lin L, Anderson DJ (2014) A quantitative LC-MS/MS method for determination of thiazolidinedione mitoNEET ligand NL-1 in mouse serum suitable for pharmacokinetic studies. J Chromatogr B Analyt Technol Biomed Life Sci 945–946:141–146. doi:10.​1016/​j.​jchromb.​2013.​11.​048 CrossRefPubMed
22.
Zurück zum Zitat Penn MS, Ellis S, Gandhi S, Greenbaum A, Hodes Z, Mendelsohn FO, Strasser D, Ting AE, Sherman W (2012) Adventitial delivery of an allogeneic bone marrow-derived adherent stem cell in acute myocardial infarction: phase I clinical study. Circ Res 110:304–311. doi:10.1161/CIRCRESAHA.111.253427 CrossRefPubMed Penn MS, Ellis S, Gandhi S, Greenbaum A, Hodes Z, Mendelsohn FO, Strasser D, Ting AE, Sherman W (2012) Adventitial delivery of an allogeneic bone marrow-derived adherent stem cell in acute myocardial infarction: phase I clinical study. Circ Res 110:304–311. doi:10.​1161/​CIRCRESAHA.​111.​253427 CrossRefPubMed
25.
Zurück zum Zitat Schutt RC, Trachtenberg BH, Cooke JP, Traverse JH, Henry TD, Pepine CJ, Willerson JT, Perin EC, Ellis SG, Zhao DX, Bhatnagar A, Johnstone BH, Lai D, Resende M, Ebert RF, Wu JC, Sayre SL, Orozco A, Zierold C, Simari RD, Moye L, Cogle CR, Taylor DA (2015) Bone marrow characteristics associated with changes in infarct size after STEMI: a biorepository evaluation from the CCTRN TIME trial. Circ Res 116:99–107. doi:10.1161/CIRCRESAHA.116.304710 CrossRefPubMed Schutt RC, Trachtenberg BH, Cooke JP, Traverse JH, Henry TD, Pepine CJ, Willerson JT, Perin EC, Ellis SG, Zhao DX, Bhatnagar A, Johnstone BH, Lai D, Resende M, Ebert RF, Wu JC, Sayre SL, Orozco A, Zierold C, Simari RD, Moye L, Cogle CR, Taylor DA (2015) Bone marrow characteristics associated with changes in infarct size after STEMI: a biorepository evaluation from the CCTRN TIME trial. Circ Res 116:99–107. doi:10.​1161/​CIRCRESAHA.​116.​304710 CrossRefPubMed
26.
Zurück zum Zitat Sorrentino S, Bahlmann F, Besler C, Müller M, Schulz S, Kirchhoff N, Doerries C, Horváth T, Limbourg A, Limbourg F, Fliser D, Haller H, Drexler H, Landmesser U (2007) Oxidant stress impairs in vivo reendothelialization capacity of endothelial progenitor cells from patients with type 2 diabetes mellitus: restoration by the peroxisome proliferator-activated receptor-gamma agonist rosiglitazone. Circulation 116:163–173. doi:10.1161/CIRCULATIONAHA.106.684381 CrossRefPubMed Sorrentino S, Bahlmann F, Besler C, Müller M, Schulz S, Kirchhoff N, Doerries C, Horváth T, Limbourg A, Limbourg F, Fliser D, Haller H, Drexler H, Landmesser U (2007) Oxidant stress impairs in vivo reendothelialization capacity of endothelial progenitor cells from patients with type 2 diabetes mellitus: restoration by the peroxisome proliferator-activated receptor-gamma agonist rosiglitazone. Circulation 116:163–173. doi:10.​1161/​CIRCULATIONAHA.​106.​684381 CrossRefPubMed
27.
Zurück zum Zitat Spigoni V, Picconi A, Cito M, Ridolfi V, Bonomini S, Casali C, Zavaroni I, Gnudi L, Metra M, Dei Cas A (2012) Pioglitazone improves in vitro viability and function of endothelial progenitor cells from individuals with impaired glucose tolerance. PLoS ONE. doi:10.1371/journal.pone.0048283 PubMedCentralPubMed Spigoni V, Picconi A, Cito M, Ridolfi V, Bonomini S, Casali C, Zavaroni I, Gnudi L, Metra M, Dei Cas A (2012) Pioglitazone improves in vitro viability and function of endothelial progenitor cells from individuals with impaired glucose tolerance. PLoS ONE. doi:10.​1371/​journal.​pone.​0048283 PubMedCentralPubMed
28.
Zurück zum Zitat Tallini Y, Greene K, Craven M, Spealman A, Breitbach M, Smith J, Fisher P, Steffey M, Hesse M, Doran R, Woods A, Singh B, Yen A, Fleischmann B, Kotlikoff M (2009) c-kit expression identifies cardiovascular precursors in the neonatal heart. Proc Natl Acad Sci USA 106:1808–1813. doi:10.1073/pnas.0808920106 CrossRefPubMedCentralPubMed Tallini Y, Greene K, Craven M, Spealman A, Breitbach M, Smith J, Fisher P, Steffey M, Hesse M, Doran R, Woods A, Singh B, Yen A, Fleischmann B, Kotlikoff M (2009) c-kit expression identifies cardiovascular precursors in the neonatal heart. Proc Natl Acad Sci USA 106:1808–1813. doi:10.​1073/​pnas.​0808920106 CrossRefPubMedCentralPubMed
29.
Zurück zum Zitat Werner C, Kamani CH, Gensch C, Bohm M, Laufs U (2007) The peroxisome proliferator activated receptor-agonist pioglitazone increases number and function of endothelial progenitor cells in patients with coronary artery disease and normal glucose tolerance. Diabetes. doi:10.2337/db07-0069 PubMed Werner C, Kamani CH, Gensch C, Bohm M, Laufs U (2007) The peroxisome proliferator activated receptor-agonist pioglitazone increases number and function of endothelial progenitor cells in patients with coronary artery disease and normal glucose tolerance. Diabetes. doi:10.​2337/​db07-0069 PubMed
31.
Zurück zum Zitat Williams AR, Trachtenberg B, Velazquez DL, McNiece I, Altman P, Rouy D, Mendizabal AM, Pattany PM, Lopera GA, Fishman J, Zambrano JP, Heldman AW, Hare JM (2011) Intramyocardial stem cell injection in patients with ischemic cardiomyopathy: functional recovery and reverse remodeling. Circ Res 108:792–796. doi:10.1161/CIRCRESAHA.111.242610 CrossRefPubMedCentralPubMed Williams AR, Trachtenberg B, Velazquez DL, McNiece I, Altman P, Rouy D, Mendizabal AM, Pattany PM, Lopera GA, Fishman J, Zambrano JP, Heldman AW, Hare JM (2011) Intramyocardial stem cell injection in patients with ischemic cardiomyopathy: functional recovery and reverse remodeling. Circ Res 108:792–796. doi:10.​1161/​CIRCRESAHA.​111.​242610 CrossRefPubMedCentralPubMed
33.
Zurück zum Zitat Wu J-S, Lin T-N, Wu K (2009) Rosiglitazone and PPAR-gamma overexpression protect mitochondrial membrane potential and prevent apoptosis by upregulating anti-apoptotic Bcl-2 family proteins. J Cell Physiol 220:58–71. doi:10.1002/jcp.21730 CrossRefPubMed Wu J-S, Lin T-N, Wu K (2009) Rosiglitazone and PPAR-gamma overexpression protect mitochondrial membrane potential and prevent apoptosis by upregulating anti-apoptotic Bcl-2 family proteins. J Cell Physiol 220:58–71. doi:10.​1002/​jcp.​21730 CrossRefPubMed
34.
Zurück zum Zitat Zhang H-F, Wang L, Yuan H-J, Ma Y-H, Wang Y-F, Hu Z-Y, Su Y, Zhao Z-G (2013) PPAR-γ agonist pioglitazone prevents apoptosis of endothelial progenitor cells from rat bone marrow. Cell Biol Int 37:430–435. doi:10.1002/cbin.10046 CrossRefPubMed Zhang H-F, Wang L, Yuan H-J, Ma Y-H, Wang Y-F, Hu Z-Y, Su Y, Zhao Z-G (2013) PPAR-γ agonist pioglitazone prevents apoptosis of endothelial progenitor cells from rat bone marrow. Cell Biol Int 37:430–435. doi:10.​1002/​cbin.​10046 CrossRefPubMed
36.
Zurück zum Zitat Zuris JA, Harir Y, Conlan AR, Shvartsman M, Michaeli D, Tamir S, Paddock ML, Onuchic JN, Mittler R, Cabantchik ZI, Jennings PA, Nechushtai R (2011) Facile transfer of [2Fe-2S] clusters from the diabetes drug target mitoNEET to an apo-acceptor protein. Proc Natl Acad Sci USA 108:13047–13052. doi:10.1073/pnas.1109986108 CrossRefPubMedCentralPubMed Zuris JA, Harir Y, Conlan AR, Shvartsman M, Michaeli D, Tamir S, Paddock ML, Onuchic JN, Mittler R, Cabantchik ZI, Jennings PA, Nechushtai R (2011) Facile transfer of [2Fe-2S] clusters from the diabetes drug target mitoNEET to an apo-acceptor protein. Proc Natl Acad Sci USA 108:13047–13052. doi:10.​1073/​pnas.​1109986108 CrossRefPubMedCentralPubMed
Metadaten
Titel
Novel thiazolidinedione mitoNEET ligand-1 acutely improves cardiac stem cell survival under oxidative stress
verfasst von
Suzanna J. Logan
Liya Yin
Werner J. Geldenhuys
Molly K. Enrick
Kelly M. Stevanov
Richard T. Carroll
Vahagn A. Ohanyan
Christopher L. Kolz
William M. Chilian
Publikationsdatum
01.03.2015
Verlag
Springer Berlin Heidelberg
Erschienen in
Basic Research in Cardiology / Ausgabe 2/2015
Print ISSN: 0300-8428
Elektronische ISSN: 1435-1803
DOI
https://doi.org/10.1007/s00395-015-0471-z

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