PERK signal pathway is involved in hypoxia-induced endoplasmic reti-culum stress and apoptosis in cultured cardiac myocytes

AIM:To investigate the role of endoplasmic reticulum(ER) stress in the process of hypoxia-induced neonatal rat myocardial injury through PERK signal pathway. METHODS:Neonatal rat cardiac myocytes were randomly divided into control group and hypoxia 1 h, 4 h, 8 h, 12 h and 24 h groups. Cell viability was evaluated by determining the intracellular content of ATP. Apoptosis was measured by high-content analysis(HCA) cell imaging system. The protein levels of GRP78, calreticulin, p-PERK, p-eIF2α, ATF4 and CHOP were detected by Western blotting at different time points. The primary cultured neonatal rat cardiac myocytes were treated with an agonist of PERK pathway salubrinal and the cell apoptosis was observed under hypoxia. RESULTS:In the early phase, hypoxia induced an increase in the expression of calreticulin and GPR78. In the middle phase of hypoxia, the levels of p-PERK, p-eIF2α and ATF4 were increased. In the later phase of hypoxia, increased CHOP level was also observed. Salubrinal effectively protected the cardiac myocytes from hypoxic injury. CONCLUSION:Hypoxia activates ER stress in cardiac myocytes and also activates PERK signal pathway. PERK signaling protects cardiac myocytes from hypoxic damage in the early stage and triggers apoptosis of the cells in the later phase.