Beclin-1 expression is upregulated by spermine in rat myocardial ische-mia-reperfusion injury

AIM: To observe the effects of spermine (SP) on myocardial ischemia-reperfusion (IR) injury in rats. METHODS: SD rats (weighing 220~250 g) were equally randomized to 3 groups:sham control group, in which the rats were only treated with thoracotomy; IR group, in which the rats were treated with ischemia for 30 min and reperfusion for 60 min; and IR+SP group, in which 0.5 mmol/L SP (2 mL/kg) was intravenously injected just 15 min before reperfusion. The morphological changes of myocardial tissues were assessed by HE staining. The levels of cardiac troponin I (cTnI) and creatine kinase isoenzyme MB (CK-MB) in plasma were determined. Myocardial infarct size and no-reflow range of the myocardium were measured by Evans blue and thioflavin S staining. Inflammatory responses in the myocardial tissues were detected by myeloperoxidase (MPO) assay. The autophagy function was detected by measuring the protein expression of beclin-1 by Western blot. RESULTS: The myocardial injury and inflammatory infiltration in IR+SP group were reduced under light microscope. Treatment with SP decreased the plasma levels of cTnI and CK-MB, and reduced the IR-induced infarct size and no-reflow range size of the left ventricle (P<0.05). Tissue MPO assay showed that myocardial inflammatory responses were attenuated in IR+SP group compared with IR group. Beclin-1 was upregulated in IR+SP group compared with IR group (P<0.05). CONCLUSION: Exogenous SP attenuates myocardial ischemia-reperfusion injury by upregulating the expression of beclin-1.