Clin Res Cardiol (2022). https://doi.org/10.1007/s00392-022-02002-5

HIF1-α induction via A2BR activation under normoxic conditions in post MI epicardial stromal cells and activated cardiac fibroblasts
J. Steinhausen1, J. Hesse1, Z. Ding1, C. Alter1, J. Schrader1
1Institut für Molekulare Kardiologie, Universitätsklinikum Düsseldorf, Düsseldorf;
Introduction: Myocardial infarction (MI) induces the activation of cardiac fibroblasts (aCF) and the de-novo formation of epicardial stromal cells (EpiSC). Both cell types are known to play a crucial role in the post MI healing process by secretion of paracrine factors. In a recent single cell transciptomics study of our group (Hesse et al. eLife 2021), EpiSC were found to express hypoxia-inducible factor 1 alpha (HIF1-α) and various glycolytic enzymes suggesting that the epicardium may be a hypoxic niche. Since tissue hypoxia is also well known to stimulate the extracellular formation of adenosine, the present study explored the crosstalk between A2B receptor (A2BR) activation and HIF1-α in cultured EpiSCs and aCFs obtained from infarcted hearts.

Methods: MI was induced in rat hearts by 50 min ischemia followed by reperfusion and 5 days after MI EpiSC were isolated according to a protocol recently reported by us (Owenier et al. Cardiovasc Res. 2020). Similar studies were also conducted in aCFs, isolated from mouse hearts 7 days after MI. Oxygen consumption and metabolic switches of the cells were analyzed by using the glycolytic rate assay with the Extracellular Flux Technology (Seahorse XFe96).
   
Results: Using the A2BR-selective agonist BAY 60-6583 we found that even under normoxic conditions, A2BR activation significantly increased HIF1-α mRNA expression in EpiSCs and aCFs. In addition, this activation was associated with a significant decrease in mitochondrial oxygen consumption. In aCFs, normoxic A2BR activation similarly induced a HIF1-α-associated metabolic switch towards glycolysis. Both, the upregulation of HIF1-α mRNA together with the glycolytic switch and decreased oxygen consumption, were also observed in cardiac fibroblasts obtained from healthy mouse hearts. 
Conclusion: Even under normoxic conditions, extracellular adenosine can induce HIF1-α in EpiSCs and aCFs, via A2BR activation. The resulting metabolic switch towards glycolysis may be cardioprotective and discloses a novel aspect in HIF1-α regulation. 
 

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