Review Article

Insights for Oxidative Stress and mTOR Signaling in Myocardial Ischemia/Reperfusion Injury under Diabetes

Table 1

Cardioprotective and cardiotoxic effects of mTOR signaling in MI/R injury under diabetes.

Effect of mTORStudyAnimal modelInterventionsOutcomes

CardioprotectiveGlazer et al. [67]Transgenic miceOverexpression of cardiac mTOROverexpression of cardiac mTOR reduced mortality in the acute phase and preserved cardiac function in the chronic phase after transient ischemia in vivo

CardioprotectiveLand and Tee [68]Transgenic miceOverexpression of cardiac mTORmTOR-Tg mice performed better cardiac function recovery and had less of the necrotic markers CK and LDH subjected to I/R injury in high fat diet-induced obesity

CardioprotectivePark et al. [69]Diabetic mice induced by STZRapamycin (5 mg/kg i.v.) 10 min before I/RLin28a overexpression increased p-mTOR and p-p70s6k expression in myocardium exposed to I/R injury in diabetic mice while inhibition of mTOR reduced Lin28a’s cardioprotective effects

CardioprotectiveSchenkel et al. [70]C57BL/6 miceTorin1 (i.p.) immediately after MI with a short 2-day follow-up treatment to inhibit both mTORC1 and mTORC2
Rictor and Raptor siRNA (i.v.) to selectively inhibit mTORC1 or mTORC2
PRAS40 siRNA (i.v.) to inhibit mTOR1
Inhibition of both mTORC1 and mTORC2 with Torin1 led to increased cardiomyocyte apoptosis and tissue damage after MI. Predominant mTORC1 signaling by suppression of mTORC2 similarly increased cardiomyocyte apoptosis and tissue damage after myocardial infarction. In comparison, preferentially shifting toward mTORC2 signaling by inhibition of mTORC1 with PRAS40 led to decreased cardiomyocyte damage after MI

CardioprotectiveTanguy et al. [50]Neonatal rat ventricular cardiomyocytesRapamycin: 50 nM
Adenovirus overexpressing mTOR
Inhibition of mTOR by rapamycin antagonized high glucose-induced inhibition of autophagy and enhanced cardiomyocyte death, while adenovirus-mediated overexpression of mTOR was sufficient to block autophagic flux regardless of glucose concentrations

CardioprotectiveRajapakse et al. [71]Human umbilical vein endothelial cells (HUVECs)Rapamycin: 25 nMmTOR activation enhances the activity of HIF1α by inhibiting proteolytic degradation, resulting in elevated VEGF expression

CardioprotectiveChong et al. [72]Human endothelial cellsRapamycin: 5–10 ng/mLLoss of mTOR blocks endothelial proliferation and angiogenesis as well as the proliferation of endothelial progenitor cells ex vivo

CardiotoxicYao et al. [73]APN knockout miceRapamycin (2 mg/kg, i.p.)Rapamycin reversed APN deficiency-induced drop of fat oxidation in high fat diet feeding

CardiotoxicSi et al. [74]Transgenic miceConditional mTOR knockout miceInhibition of mTORC1 reduced endoplasmic reticulum stress, thereby reducing cardiomyocytes death

CardiotoxicLemaître et al. [75]CD-1 miceRapamycin (0.25 mg/kg, i.p.)Inhibition of mTOR by rapamycin before ischemia reduced I/R-induced myocardial infarction via activating the JAK2 signal transducer and activator of transcription 3 (STAT3) signaling pathway

CardiotoxicFourcade et al. [76]Transgenic miceCardiac-specific knockout Raptor to inhibit mTORC1 in vivoIn cardiac mTORC1 disrupted mice, fatty acid oxidation is significantly decreased, whereas glucose oxidation is increased subjected to transverse aortic constriction (TAC)

CardiotoxicMaiese et al. [77]Male WKY rats and HUVECsRecombinant adenoviral (rAd) expressing short hairpin RNA (shRNA), S6K1 to inhibit mTORC1Inhibition of mTORC1/S6K1 signaling protected endothelial dysfunction related to eNOS uncoupling in vivo and in vitro

CardiotoxicWang et al. [78]AMPKα2 knockout miceMetformin (100 mg/kg/day, gavage) for 3 weeksAdministration of metformin was effective in attenuating TAC-induced LV remodeling in both wild-type and AMPKα2 knockout mice and reduced p-mTOR at Ser2448 and its downstream target p-p70S6K at Thr389