Abstract:Aim To explore the roles of silent information regulator 1 (Sirt1) in edaravone (EDA)-induced myocardial protection in isoprenaline (ISO)-damaged H9c2 cardiomyocytes. Methods H9c2 cardiomyocytes were treated with ISO to establish an in vitro model of myocardial injury induced by persistent beta-1 adrenergic receptor excitement. Prior to the treatment with ISO, EDA was administered to test its protection. To clarify the roles of Sirt1, a selective inhibitor Sirtinol was used before ISO or EDA. Cell viability, lactate dehydrogenase (LDH) release, intracellular malondialdehyde (MDA) content, Sirt1 protein and glucose-regulated protein (GPR78) (an endoplasmic reticulum stress protein) expressions were measured. Results Treatment with ISO reduced viability and Sirt1 expression, raised LDH release from H9c2 cardiomyocytes. Preconditioning with 20 μmol/L Sirtinol for 30 min significantly attenuated the cell injury induced by treatment with 80 μmol/L ISO for 48 h (P<0.01). Preconditioning with 40 μmol/L EDA partially decreased ISO-induced downregulation of Sirt1 (P<0.01). In addition, pretreatment with EDA exhibited obvious cardiac protection, evidenced by increased viability (P<0.01), suppressed LDH release (P<0.01), MDA generation (P<0.01) and GRP78 expression (P<0.01). These protective effects were markedly impeded by pretreatment with 20 μmol/L Sirtinol for 30 min. Conclusion Sirt1 participates in EDA-induced myocardial protection against ISO-caused injury in H9c2 cardiomyocytes.