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Adora2b-elicited Per2 stabilization promotes a HIF-dependent metabolic switch crucial for myocardial adaptation to ischemia

  • Tobias Eckle*
  • , Katherine Hartmann
  • , Stephanie Bonney
  • , Susan Reithel
  • , Michel Mittelbronn
  • , Lori A. Walker
  • , Brian D. Lowes
  • , Jun Han
  • , Christoph H. Borchers
  • , Peter M. Buttrick
  • , Douglas J. Kominsky
  • , Sean P. Colgan
  • , Holger K. Eltzschig
  • *Corresponding author for this work

Research output: Contribution to journalArticleResearchpeer-review

287 Citations (Scopus)

Abstract

Adenosine signaling has been implicated in cardiac adaptation to limited oxygen availability. In a wide search for adenosine receptor A2b (Adora2b)-elicited cardioadaptive responses, we identified the circadian rhythm protein period 2 (Per2) as an Adora2b target. Adora2b signaling led to Per2 stabilization during myocardial ischemia, and in this setting, Per2 -/- mice had larger infarct sizes compared to wild-type mice and loss of the cardioprotection conferred by ischemic preconditioning. Metabolic studies uncovered a limited ability of ischemic hearts in Per2 -/- mice to use carbohydrates for oxygen-efficient glycolysis. This impairment was caused by a failure to stabilize hypoxia-inducible factor-1Î ± (Hif-1Î ±). Moreover, stabilization of Per2 in the heart by exposing mice to intense light resulted in the transcriptional induction of glycolytic enzymes and Per2-dependent cardioprotection from ischemia. Together, these studies identify adenosine-elicited stabilization of Per2 in the control of HIF-dependent cardiac metabolism and ischemia tolerance and implicate Per2 stabilization as a potential new strategy for treating myocardial ischemia.

Original languageEnglish
Pages (from-to)774-782
Number of pages9
JournalNature Medicine
Volume18
Issue number5
DOIs
Publication statusPublished - May 2012
Externally publishedYes

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