
Mitochondrial aldehyde dehydrogenase-2 (ALDH2) has been shown to benefit  myopathic changes following alcohol intake, although the precise mechanism is  still unclear.
This study was designed to evaluate the role of ALDH2 on chronic  alcohol intake-induced myocardial geometric and functional damage with a focus  on autophagic signalling.
Wild-type friendly virus B (FVB) and transgenic mice  overexpressing ALDH2 driven by chicken β-actin promoter were fed a 4% alcohol  liquid diet for 12 weeks. Cardiac geometry and function were assessed using  echocardiographic and IonOptix systems. Western blot analysis was used to  evaluate the essential autophagy markers, Akt and AMP-dependent protein kinase  (AMPK) as well as their downstream signalling mammalian target of rapamycin  (mTOR) and signal transducer and activator of transcription 3 (STAT3).
Alcohol  intake altered cardiac geometry and function as demonstrated by lessened LV wall  and septal thickness, enlarged end systolic and diastolic diameters, decreased  fractional shortening and cell shortening, the effects of which were mitigated  by ALDH2 transgene.
Chronic alcohol intake triggered myocardial autophagy as shown by LC3B II isoform switch, as well as decreased phosphorylation of mTOR, the effects of which were ablated by ALDH2.
 Chronic alcohol intake suppressed  phosphorylation of Akt and AMPK, which was reconciled by ALDH2. Levels of Notch1  and STAT3 phosphorylation were dampened by chronic alcohol intake in FVB but not  ALDH2 myocardium.
Moreover, the γ-secretase Notch inhibitor N\xE2\x80\x90[N-(3,5-difluorophenacetyl)-1-alany1]-S-phenyglycine t-butyl ester exacerbated ethanol-induced cardiomyocyte contractile dysfunction, apoptosis and autophagy.
In summary, these findings suggested that ALDH2 elicits cardioprotection against chronic alcohol intake-induced cardiac geometric and functional anomalies by inhibition of autophagy possibly via restoring the Akt-mTOR-STAT3-Notch signalling cascade.
Request Reprint E-Mail: jren@uwyo.edu