Perm1 protects cardiomyocytes from cellular damage induced by hypoxia-reoxygenation. Primary cultured NCM were infected adenoviruses (Ad) expressing LacZ or Perm1. Forty-eight hours later, the cells were subjected to hypoxia and reoxygenation (H/R). A, LDH released into the media was analyzed and Perm1-infected cell levels were detected, were quantified relative to that detected in Ad-LacZ infected cells. Data are the mean ± SD. ∗p < 0.05 versus Normoxia. #p < 0.05 versus LacZ. Data are the mean of eight experimental replicates from two representative experiments. B, cardiomyocyte apoptosis was determined by staining with TUNEL and DAPI, and representative images of TUENL-positive (green) and DAPI (blue) are shown. Scale bar: 50 μm. C, quantitative analysis of TUNEL-positive nuclei is shown. Data are the mean ± SD. ∗p < 0.05 versus Normoxia. #p < 0.05 and ##p < 0.01 versus LacZ. Data are the mean of eight experimental replicates from two representative experiments.