Research Abstract |
There is no adequate in vivo model of apoptotic cardiomyocyte. The purpose of the present study was to develop a new apoptosis model of heart, and to delineate sensitivity to the apoptotic signal and the clearance rate and ultrastructure of apoptosis in in vivo adult cardiomyocytes and interstitial cells of the heart in comparison with those of hepatocytes and interstitial cells of the liver by use of a direct injection method of soluble Fas ligand (sFL) into adult rat hearts and livers. In addition, it was studied whether Bcl-2 gene therapy can inhibit the Fas-induced apoptosis. To minimize the systemic influence, soluble Fas ligand was injected directly into in vivo rat hearts and livers (as the control) at concentrations of 0, 0.5, 2, and 5 μg/mL (groups C, F0.5, F2, and F5). Apoptotic cardiomyocytes and apoptotic noncardiomyocytes of the heart were identified with similar incidences only in F5. Their incidents peaked at 12 hours after injecction (2.0±0.09% in cardiomyocytes) and dim
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inished markedly 24 hours later. Caspase-3 was activated only in F5. Boc-Asp-fmk, a pancaspase inhibitor, inhibited apoptosis, suggesting that the apoptosis sensitivity was regulated upstream of caspase-3. Apoptotic noncardiomyocytes showed typical ultrastructure. In addition to the typical ultrastructure, such as cellular shrinkage, chromatin condensation, and apoptotic bodies, however, apoptotic cardiomyocytes showed unique features : doughnut-like, but not half-moon- or crescent-like, chromatin condensation : frequent plasma membrane rupture even during the early stage ; condensed mitochondria with wrinkled cristae inside ; the appearance of cytoplasmic lipid-like droplets ; and myofibrillar derangement. In the livers, typical apoptosis was induced in hepatocytes and nonhepatocytes of the liver even in the F0.5 group, which were cleared 24 hours later. Bcl-2 gene therapy blocked significantly apoptotic cells. Compared with liver cells, cardiomyocytes as well as noncardiomyocytes of the heart are more resistant against the apoptotic signal, but the clearance is similarly rapid (within 24 hours). The ultrastructure of apoptotic cardiomyocytes is unique. These findings provide new insights into the dynamics of cell death in the heart. Less
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