Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Serelaxin Protects H9c2 Cardiac Myoblasts against Hypoxia and Reoxigenation-Induced Damage by Up-Regulation of AMPK/SIRT1: Further Insight into the Molecular Mechanisms of Cardioprotection of This Hormone

Version 1 : Received: 18 December 2023 / Approved: 18 December 2023 / Online: 19 December 2023 (05:17:43 CET)

A peer-reviewed article of this Preprint also exists.

Zizi, V.; Becatti, M.; Bani, D.; Nistri, S. Serelaxin Protects H9c2 Cardiac Myoblasts against Hypoxia and Reoxygenation-Induced Damage through Activation of AMP Kinase/Sirtuin1: Further Insight into the Molecular Mechanisms of the Cardioprotection of This Hormone. Antioxidants 2024, 13, 163. Zizi, V.; Becatti, M.; Bani, D.; Nistri, S. Serelaxin Protects H9c2 Cardiac Myoblasts against Hypoxia and Reoxygenation-Induced Damage through Activation of AMP Kinase/Sirtuin1: Further Insight into the Molecular Mechanisms of the Cardioprotection of This Hormone. Antioxidants 2024, 13, 163.

Abstract

Serelaxin (RLX), the recombinant form of human Relaxin-2 hormone, protects the heart from the ischemia/reperfusion (I/R)-induced damage due to its anti-inflammatory, anti-apoptotic and antioxidant properties. RLX exerts its actions by binding to its specific RXFP1 receptor whereby it regulates multiple cellular transduction pathways. In this in vitro study we offer first evidence for the involvement of AMP kinase/Sirtuin1 (AMPK/SIRT1) pathway in the protection afforded by RLX against H/R-induced damage in H9c2 cells. Treatment of the H/R-exposed cells with RLX (17 nmol L−1) enhanced SIRT1 expression and activity. Inhibition of SIRT1 signaling with EX527 (10 µmol L-1) reduced the beneficial effect of the hormone on mitochondrial efficiency and cell apoptosis. Moreover, RLX upregulated AMPK pathway, as shown by the increase in the expression of phospho-AMPK active protein. Finally, AMPK pathway inhibition by Compound C (10 and 20 μmol L−1) abrogated the increase in SIRT1 expression induced by RLX, thus suggesting the involvement of AMPK pathway in this effect of RLX. The results of this study strengthen the concept that RLX exerts its cardioprotective effects against H/R-induced injury by multiple pathways which also include AMPK/SIRT1.

Keywords

Serelaxin; SIRT1; AMPK; hypoxia-reoxygenation; apoptosis; oxidative stress; H9c2 cells

Subject

Medicine and Pharmacology, Medicine and Pharmacology

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