Cardiac CYP epoxygenases convert AA to biologically active EETs that have well established effects within the cardiovascular system.
12,18 The activity of these compounds is terminated mainly through conversion to less active DHETs by sEH.
2 Recent studies demonstrate that CYP epoxygenase-derived eicosanoids can affect cardiomyocyte function
11,13,14 and improve postischemic LVDP recovery.
12,14,15 In addition, EET biosynthesis is enhanced in stenosed coronary arteries
23 and during cardiac ischemia/reperfusion injury.
24 The data presented herein provide further evidence that EETs are involved in the cardioprotective response. We demonstrate, for the first time, that targeted disruption of the
Ephx2 gene leads to improved recovery of left ventricular function and reduced infarction after ischemia. Moreover, the putative EET receptor antagonist 14,15-EEZE abolishes the cardio-protection in these mice specifically implicating EETs in this process. Taken together, these data suggest that EETs have important functional effects in the ischemic heart and that augmentation of EET levels by inhibition of sEH may represent a novel approach to the treatment of ischemic heart disease.
Heart anatomy and basal contractile function are similar in sEH null and WT mice, suggesting that disruption of the
Ephx2 gene has no detrimental cardiac effects under normal conditions. However, sEH null mice have altered fatty acid metabolism compared with WT mice at baseline. Indeed, increased LA and AA epoxide:diol ratios were found in the circulation and in cardiomyocyte cell culture media from sEH null mice. Moreover, conversion of 14,15-EET to 14,15-DHET was absent in heart cytosolic fractions from sEH null mice. The majority of endogenous EETs (>85%) are esterified to membrane glycerophospoholipids where they are generally considered inactive until their release.
25 The cardiac effects of sEH disruption occurred only after ischemia, presumably attributable to enhanced release of EETs from phospholipid stores. In this regard, ischemia has been shown to activate cytosolic phospholipase A
2, leading to the release of bioactive eicosanoids from glycerophospholipids.
26 The results in the current article are consistent with our recent findings that mice overexpressing human CYP2J2 in the heart have normal heart anatomy and function at baseline, but have elevated cardiomyocyte EET levels and improved postischemic functional recovery.
12AA can be metabolized by CYP epoxygenases and CYP
ω-hydroxylases to products that have different physiologic effects. For example, EETs have potent vasodilatory properties and 20-HETE has vasoconstrictive effects.
1 Changes in expression or activity of specific CYP enzymes can alter the delicate balance between EETs and 20-HETE. For example, recent data demonstrates that inhibition of CYP
ω-hydroxylases results in reduction of infarction after ischemic injury, suggesting that 20-HETE has detrimental effects within the heart.
27,28 These studies highlight the complexity of the CYP enzyme system and emphasize the role of different CYP metabolites in cardioprotection. Many CYP inhibitors lack isoform specificity and also may have effects in other signaling pathways. By targeting sEH, our study can more directly address the role of CYP epoxygenase products in the cardiovascular system and minimize ambiguity in deciphering the relative importance of individual enzymes and their metabolites.
The sEH null hearts have reduced levels of LA diols (DHOMEs) which have been shown to cause adverse cardiac effects, such as mitochondrial dysfunction
29 and altered cardiac electrical activity.
30 Thus, increased EETs and decreased DHOMEs are beneficial to the cardiovascular system and could both be responsible for the observed cardioprotection in sEH null mice. To determine the relative importance of EETs in this model, we used 14,15-EEZE, which has been shown to be selective for inhibition of EET effects within the cardiovascular system.
31 At the highest dose, treatment with 14,15-EEZE caused a small reduction in postischemic LVDP recovery in WT mouse hearts consistent with a role for EETs in this process. Importantly, 14,15-EEZE abolished the improved postischemic LVDP recovery in sEH null mouse hearts, indicating that the cardioprotective effects were mediated by EETs. Although it is possible that 14,15-EEZE has effects that are unrelated to EET antagonism,
32 these results are consistent with both current and previous data demonstrating that addition of EETs to heart perfusates before ischemia results in improved postischemic functional recovery in both rats and mice.
12,14Hydrolysis of EETs by sEH is dependent on both regio-and stereoselective parameters.
33 14,15-EET is the preferred sEH substrate, and 5,6-EET is an extremely poor substrate for this enzyme.
33 The lipid metabolite profiles observed in cardiomyocyte cultures in sEH null mice showed altered epoxide:diol ratios for the 8,9-, 11,12-, and 14,15-EET regioisomers, but not for the 5,6-EET regioisomer. These data are consistent with the known substrate preferences of sEH.
The lack of difference in p42/p44-MAPK activation between sEH null and WT mice is in sharp contrast to our previous study, where phosphorylation of p42/p44 was enhanced in CYP2J2 transgenic mice and administration of PD98059 completely blocked the improved function recovery.
12 This suggests that different mechanisms may underlie the cardioprotection in sEH null and CYP2J2 transgenic mice, both of which have increased cardiac EETs. Possible reasons for these differences include: (1) CYP2J2 overexpression was restricted to cardiomyocytes in the transgenic mice whereas sEH disruption occurred in both cardiomyocytes and endothelial cells; and (2) DHETs are reduced in sEH null mice but increased in CYP2J2 transgenic mice.
Activation of the PI3K signaling pathway targets multiple cellular functions, including survival, proliferation, and vesicle trafficking.
34 The PI3K signaling pathway has been shown to be involved in cardioprotective responses after ischemia/reperfusion.
35,36 Signaling through PI3K promotes a prosurvival mechanism involving recruitment of downstream kinases such as GSK-3
β.
34,35 The fact that two structurally different PI3K inhibitors attenuate the improved postischemic LVDP recovery in sEH null mice provides strong evidence for enhanced activation of this pathway. In this regard, we observed increased phospho–GSK-3
β expression during early reperfusion in sEH null hearts, a phenomenon which was abolished by PI3K inhibition. Consistent with these data, cell culture studies have demonstrated that EETs activate the PI3K-Akt pathway.
8 Recent evidence suggests that convergence of multiple cardioprotective signaling pathways onto GSK-3
β may represent an integrated mechanism of cellular protection.
21 It was purposed that this convergence targets the mitochondrial permeability transition pore (MPTP) complex limiting its opening.
21 Inhibition of MPTP induction early during reperfusion has cardioprotective effects.
35A large body of research suggests a role for K
ATP channels in cardioprotection.
37 Cardiomyocyte studies have demonstrated that EETs enhance both sarcK
ATP and mitoK
ATP channel activities.
11,12 In the current study, administration of either the sarcK
ATP channel inhibitor glibenclamide or the mitoK
ATP channel inhibitor 5-HD attenuated the improved postischemic recovery of sEH null hearts. The precise identity of the mitoK
ATP channel has yet to be determined, therefore it is unknown whether EETs directly target these channels or work through upstream signals such as PI3K. Recent work has suggested the role of BK
Ca channels in protection against ischemia/reperfusion injury.
38 EETs are known activators and
ω-HETEs are known inhibitors of these channels in vascular smooth muscle cells.
1,5 Newly identified K
Ca channels in cardiac mitochondria (mitoK
Ca) are thought to work in concert with mitoK
ATP and other mitochondrial proteins to mediate cardioprotection.
38,39 Our experiments demonstrate that the BK
Ca channel inhibitor paxilline abolished the improved postischemic functional recovery in sEH hearts, suggesting a role for this channel in the cardioprotective mechanism. Activation of the channels might protect the myocardium by increasing mitochondrial K
+ uptake and, in turn, reducing Ca
2+ overload, with a net effect of protecting mitochondrial function.
38,39We postulate that the enhanced functional recovery observed in the sEH null mice entails modulation of both PI3K and mitochondrial K+ channels. shows a schematic of the proposed mechanisms whereby disruption of sEH leads to cardioprotection via increasing EET levels.
Recent epidemiologic data suggests an association between polymorphisms in the genes encoding
CYP2J2,
CYP2C8,
CYP2C9, and
EPHX2 and cardiovascular disease risk in humans suggesting the relevance of the CYP epoxygenase pathway in the heart.
40–42 The data in the current manuscript is consistent with an important modulatory effect of CYP-derived eicosanoids in general and sEH in particular in cardioprotection. The present study demonstrates that targeted disruption of
Ephx2 in mice has no effect on basal heart anatomy and function but results in improved postischemic recovery of LVDP. Taken together, these data suggest that manipulating sEH activity may represent a novel therapeutic approach to management of ischemic heart disease in humans.