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Cytoprotective effect of survivin in doxorubicin-induced myocardial injury model
연세대학교 의과대학 세브란스심장혈관병원 심장내과
강석민, 정지형,이경혜, 이범섭, 홍주완, 오재원, 원호연, 장양수, 정남식
Survivin is one of the inhibitors of the apoptosis gene family that has been implicated in both inhibition of apoptosis and mitosis regulation. In this study, using a protein delivery system, we demonstrated the potential cytoprotective effect of survivin as a therapeutic protein in rat embryonic cardiac myoblasts (H9c2 cells) and acute doxorubicin(DXR)-induced cardiomyopathy rat model (a single intraperitoneal injection of DXR, 15 mg/kg). We constructed a recombinant survivin fused to the protein transduction domain (PTD) derived from HIV-1 TAT protein. Purified recombinant TAT-survivin protein was efficiently delivered to H9c2 cells, and its transduction showed cytoprotective effect against doxorubicin. Moreover, transduction of TAT-survivin also attenuated DXR-induced apoptosis, which was accompanied by reduced caspase-3 activity. TAT-survivin also blocked the p53 activation, Bax translocation, cytochrome C release and activation of caspase cascade induced by doxorubicin in H9c2 cells. However, the survivin mutant protein at phosphorylation site failed to protect doxorubicin-induced H9c2 cell death. In addition, intraperitoneal injection of TAT-survivin into rat resulted in efficient protein transduction in heart tissues and preserved heart function in Langendorff perfusion model of DXR-induced cardiomyopathy rat, as determined by 20 minutes of global no-flow ischemia, followed by 40 minutes of reperfusion. These results suggest that the PTD-mediated delivery of survivin pretreatment may offer significant protection against DXR-induced myocardial damage.


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