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Experimental Research Laboratory, Division of Cardiology, University of Louisville, and the Jewish Hospital Heart and Lung Institute, Louisville, Kentucky 40292
In conscious rabbits, a
sequence of six 4-min coronary occlusion/4-min reperfusion cycles,
which elicits late preconditioning (PC), caused rapid activation of
calcium-dependent nitric oxide (NO) synthase (NOS) [cNOS; endothelial
NOS (eNOS) and/or neuronal NOS (nNOS)], whereas calcium-independent
NOS [inducible NOS (iNOS)] activity remained unchanged. The enhanced
cNOS activity was associated with increased myocardial levels of
NO2 and/or NO3 (NOx). Twenty-four hours after ischemic PC was induced, the opposite pattern was observed,
i.e., there was a pronounced increase in cytosolic iNOS activity but no
change in cNOS activity. The initial burst of ischemia-induced cNOS
activity was not affected by pretreatment with the antioxidant
N-2-mercaptopropionyl glycine (MPG), the protein kinase C
(PKC) inhibitor chelerythrine, or the tyrosine kinase inhibitor
lavendustin A, indicating that it is independent of the generation of
oxidant species and the activation of PKC and tyrosine kinases. In
contrast, the delayed upregulation of iNOS 24 h after PC was
prevented by pretreatment with
N
-nitro-L-arginine, MPG, or
chelerythrine before the PC ischemia, indicating that it is triggered
by a signaling mechanism that involves the generation of NO, the
formation of oxidant species, and the activation of PKC. Taken
together, these results demonstrate that, in conscious animals,
ischemic PC elicits a biphasic response in cardiac NOS activity, i.e.,
an immediate activation of cNOS (most likely eNOS) followed 24 h
later by a delayed upregulation of iNOS. To our knowledge, this is the
first study to directly measure NOS activity after brief myocardial
ischemia in vivo. In conjunction with previous functional studies, the
data support a distinctive role of NOS isoforms in late PC, with eNOS
serving as the trigger on day 1 and iNOS as the mediator on
day 2.
nitric oxide synthase; chelerythrine; N
-nitro-L-arginine; reactive
oxygen species; protein tyrosine kinases
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