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Am J Physiol Heart Circ Physiol 281: H590-H595, 2001;
0363-6135/01 $5.00
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Vol. 281, Issue 2, H590-H595, August 2001

Menadione mimics the infarct-limiting effect of preconditioning in isolated rat hearts

Yuankun Yue1, Maike Krenz2, Michael V. Cohen2,3, James M. Downey2, and Stuart D. Critz1

Departments of 1 Cell Biology and Neuroscience, 2 Physiology, and 3 Medicine, University of South Alabama, College of Medicine, Mobile, Alabama 36688

The role of mitochondrial free radicals in the cardioprotective effect of ischemic preconditioning was examined in isolated buffer-perfused rat hearts. Infarct size in control rat hearts subjected to 30 min of regional ischemia and 120 min of reperfusion was 32.6 ± 3.4% of the risk zone. Ischemic preconditioning (3 cycles of 5-min global ischemia/5-min reperfusion) before the same regional ischemia and reperfusion protocol significantly reduced infarct size to 2.6 ± 0.8% of the risk zone. Perfusion with menadione (3.0 µM), a generator of mitochondrial free radicals, in lieu of preconditioning ischemia significantly reduced infarction to 10.9 ± 2.7%. N-2-mercaptopropionylglycine (1.0 mM), a free radical scavenger, blocked the protection of menadione, significantly increasing infarction to 23.5 ± 1.1%. Myxothiazol (0.6 µM), a site III mitochondrial inhibitor, blocked the protection of menadione and significantly increased infarction to 25.2 ± 3.8%. The infarct-limiting effect of menadione was attenuated to 19.7 ± 1.5% of the risk zone by 10 µM SB203580, a p38 mitogen-activated protein kinase (MAPK) inhibitor. Furthermore, menadione significantly increased p38 MAPK phosphorylation to a level 5.6-fold over basal. These results indicate that free radicals that originate within mitochondria can activate p38 MAPK and protect hearts against infarction.

myocardial infarction; ischemia; mitochondria; p38 MAPK


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