Original article
Role of lipid rafts in ceramide and nitric oxide signaling in the ischemic and preconditioned hearts

https://doi.org/10.1016/j.yjmcc.2005.10.005Get rights and content

Abstract

Nitric oxide plays a crucial role in myocardial ischemia reperfusion injury as well as in myocardial adaptation to ischemic stress. To understand the dichotomy of nitric oxide behavior in the ischemic myocardium, isolated rat hearts were subjected to ischemia/reperfusion protocol. The tissue contents of sphingomyelin (SM), ceramide and sphingosine were determined by high performance thin layer chromatography (HPTLC). The myocardial plasma proteins were immunoprecipitated with caveolin-1 specific antibody. Ischemia/reperfusion resulted in the breakdown of SM with corresponding accumulation of ceramide and sphingosine. Immunoprecipitation with eNOS-specific antibody revealed the association of eNOS with caveolin-1 fraction of the heart. Ischemia/reperfusion caused a depression of contractile function and an increased apoptotic cell death and myocardial infarct size, which were reversed by preperfusing the hearts with desipramine, an sphingomyelinase inhibitor that also prevented ceramide accumulation and eNOS association with caveolin-1. The similar results were obtained when the hearts were adapted to ischemic stress by subjecting them to repeated reversible ischemia and reperfusion. The results indicate that ischemia/reperfusion causes an increase in eNOS, which is unavailable to the ischemic heart because of its binding with caveolin-1. Ceramide plays a crucial role in this process, because prevention of ceramide formation either by myocardial adaptation to ischemia or with desipramine results in the inhibition of eNOS association with caveolin-1 thereby reducing myocardial ischemic reperfusion injury.

Introduction

In animal models of tissue ischemia, brief cyclic episodes of ischemia and reperfusion induce tolerance and protect the tissue from subsequent otherwise lethal ischemia. This phenomenon has been named as “myocardial adaptation to ischemia” or “ischemic preconditioning (PC)”, and PC remains a state-of-the-art technique for protection of many vital organs including brain, liver, kidney, lung and heart [1], [2], [3], [4], [5]. The mechanism of PC has been extensively studied in the heart [5], [6]. A series of events regulated by the intracellular mediators occurs immediately during the development of stress tolerance by PC [7], [8]. A cascade of signaling events initiated by intracellular mediators and/or reactive oxygen species (ROS) follow, resulting in a stress-resistant heart, which can protect itself from subsequent lethal ischemic injury [9], [10].

Recently, a role of the intracellular messenger ceramide has been indicated in PC [11], [12]. Ceramide generated from sphingomyelin (SM) during ischemia/reperfusion can induce cardiomyocyte death [13]. Ischemia/reperfusion can also generate another second messenger sn-1,2-diacylglycerol (DAG) that tends to inhibit the effects of ceramide [14]. In a recent study, PC was found to enhance DAG, which in turn neutralized the damaging effects of ceramide [15]. In another study, TNFα-mediated PC occurred through ceramide signaling [16]. Cell permeable exogenous ceramide reduced the infarct size of the brain supporting the role of ceramide in PC [17].

Evidence is rapidly accumulating suggesting that ceramide performs its signaling function from within the lipid rafts, ordered sphingolipid and cholesterol-rich lipid domains [18], which can function as an ordered support for receptor-mediated signaling events. Caveolae, 50–100 nm invaginations of the plasma membrane, are subset of lipid rafts enriched in sphingolipids and cholesterol. The caveolae can selectively sequestrate membrane-targeted proteins and create a unique signaling microdomain, thereby controlling transmembrane signaling [19]. Caveolae are characterized by the presence caveolins, which distinguishes caveolae from other lipid raft domains. At least three caveolins isoforms of molecular weights between 22 and 24 kDa have been identified of which caveolin-1 and caveolin-2 are abundant in most cell types while caveolin-3 is specific to muscle cells [20]. Caveolin-1, a substrate for nonreceptor tyrosine kinases including Fyn, Abl and Src, acts as a scaffolding protein and can be phosphorylated on tyrosine 14 by these kinases in response to external stimuli such as oxidative stress [21]. Such tyrosine phosphorylation activates the downstream signaling targets, and thus, serves as a crucial step for intracellular signaling occurring within caveolae.

Nitric oxide plays a crucial role in myocardial PC [22], [23]. Both iNOS and eNOS have been found to be activated in the preconditioned heart [24], [25]. Because ceramide signaling may occur through NO and NOS can localize in lipid raft/caveolin-rich microdomains, we sought to determine if lipid rafts play any role in ceramide-NO signaling in the ischemic and preconditioned heart. The results of our study determined that sphingosine-1-phosphate derived from ceramide in the PC heart could reduce cardiomyocyte apoptosis. There was an increased association of eNOS with caveolin-1 in the ischemic reperfused heart, which was disrupted either by PC or with desipramine, both of which functioned by reducing ceramide formation in the ischemic reperfused myocardium.

Section snippets

Chemicals

SM, sphingosine, sphingosine-1-phosphate (sphingosine-1-P) and ceramide were obtained from Sigma, St. Louis, MO, Antibodies against caveolin-1, iNOS, eNOS and cSrc were purchased from Santa Cruz Biotechnology, Inc., Santa Cruz, CA.

Experimental protocol

The study used two different protocols using isolated working rat heart model: i) isolated working rat hearts preperfused with the Krebs Henseleit buffer (KHB) for 15 min in the absence or presence of desipramine followed by 30 min ischemia and 2 h of reperfusion and

Effects of ischemia/reperfusion and PC on caramide and spgingosine-1-P accumulation in caveolae

We estimated the amount of ceramide and sphingosine-1-P content in the isolated caveolae fraction. As shown in Fig. 1, significant amount of ceramide was associated with caveolae after ischemia/reperfusion. The amount of ceramide in caveolae fraction was significantly lower (threefold less) when the heart was subjected to PC. In the preconditioned heart, the reduction of ceramide content was associated with an enhancement in sphingosine-1-P content in the caveolae, suggesting that

Discussion

The results of the present study demonstrate that significant amount of ceramide is accumulated in the caveolin-rich membrane as a result of ischemia/reperfusion. An increased amount of eNOS becomes associated with caveolin-1 in these hearts. PC results in a reduction of ceramide with corresponding increase in its metabolite, sphingosine-1-P. The amount of caveolin-1-associated eNOS is reduced when the heart is subjected to PC. Inhibition of ceramide formation with desipramine also resulted in

Acknowledgments

This study was supported in part by NIH HL 34360, HL 22559 and HL 33889.

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