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Departments of Human Anatomy and Cell Sciences and Physiology, Faculty of Medicine, University of Manitoba, Winnipeg, Canada R2H 2A6
We examined the effect of
fibroblast growth factor (FGF)-2 on myocardial resistance to injury
when administered after the onset of ischemia, in
vivo and ex vivo, and the role of FGF-2 receptors and protein kinase C
(PKC). FGF-2 was injected into the left ventricle of rats undergoing
permanent surgical coronary occlusion leading to myocardial infarction
(MI). After 24 h, FGF-2-treated hearts displayed significantly
reduced injury, determined by histological staining and troponin T
release, and improved developed pressure compared with untreated
controls. An FGF-2 mutant with diminished affinity for the tyrosine
kinase FGF-2 receptor 1 (FGFR1) was not cardioprotective. FGF-2-treated
hearts retained improved function and decreased damage at 6 wk after
MI. In the ex vivo heart, FGF-2 administration during reperfusion after
30-min ischemia improved functional recovery and increased
relative levels of PKC subtypes
,
, and
in the particulate
fraction, in a chelerythrine-preventable mode; it also decreased loss
of energy metabolites. We conclude that intramyocardial FGF-2
administration shortly after the onset of ischemia confers
protection from acute and chronic cardiac dysfunction and damage; FGF-2
delivered during reperfusion protects from ischemia-reperfusion
injury; and protection by FGF-2 requires intact binding to FGFR1 and is
likely mediated by PKC.
cardioprotection; growth factors; reperfusion injury; signal transduction; protein therapy
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