AJP - Heart AJP: Heart and Circulatory Physiology
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
 QUICK SEARCH:   [advanced]


     


Am J Physiol Heart Circ Physiol 287: H841-H849, 2004. First published April 8, 2004; doi:10.1152/ajpheart.00678.2003
0363-6135/04 $5.00
This Article
Right arrow Abstract Freely available
Right arrow Full Text (PDF)
Right arrow All Versions of this Article:
287/2/H841    most recent
00678.2003v1
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Web of Science (82)
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Hausenloy, D. J.
Right arrow Articles by Duchen, M. R.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Hausenloy, D. J.
Right arrow Articles by Duchen, M. R.

Preconditioning protects by inhibiting the mitochondrial permeability transition

Derek J. Hausenloy,1 Derek M. Yellon,1 Siva Mani-Babu,1 and Michael R. Duchen2

1The Hatter Institute and Centre for Cardiology, University College London Hospitals and Medical School, London WC1E 6DB; and 2The Mitochondrial Biology Group, Department of Physiology, University College London, London WC1E 6BT, United Kingdom

Submitted 16 July 2003 ; accepted in final form 5 April 2004


    ABSTRACT
 TOP
 ABSTRACT
 EXPERIMENTAL PROCEDURES
 RESULTS
 DISCUSSION
 GRANTS
 REFERENCES
 
Mitochondrial permeability transition (mPT) is a crucial event in the progression to cell death in the setting of ischemia-reperfusion. We have used a model system in which mPT can be reliably and reproducibly induced to test the hypothesis that the profound protection associated with the phenomenon of myocardial preconditioning is mediated by suppression of the mPT. Adult rat myocytes were loaded with the fluorescent probe tetramethylrhodamine methyl ester, which generates oxidative stress on laser illumination, thus inducing the mPT (indicated by collapse of the mitochondrial membrane potential) and ATP depletion, seen as rigor contracture. The known inhibitors of the mPT, cyclosporin A (0.2 µM) and N-methyl-4-valine-cyclosporin A (0.4 µM), increased the time taken to induce the mPT by 1.8- and 2.9-fold, respectively, compared with control (P < 0.001) and rigor contracture by 1.5-fold compared with control (P < 0.001). Hypoxic preconditioning (HP) and pharmacological preconditioning, using diazoxide (30 µM) or nicorandil (100 µM), also increased the time taken to induce the mPT by 2.0-, 2.1-, and 1.5-fold, respectively (P < 0.001), and rigor contracture by 1.9-, 1.7-, and 1.5-fold, respectively, compared with control (P < 0.001). Effects of HP, diazoxide, and nicorandil were abolished in the presence of mitochondrial ATP-sensitive K+ (KATP) channel blockers glibenclamide (10 µM) and 5-hydroxydecanoate (100 µM) but were maintained in the presence of the sarcolemmal KATP channel blocker HMR-1098 (10 µM). In conclusion, preconditioning protects the myocardium by reducing the probability of the mPT, which normally occurs during ischemia-reperfusion in response to oxidative stress.

ischemia-reperfusion; myocardial preconditioning; oxidative stress


ISCHEMIC PRECONDITIONING (IPC) confers profound protection on the myocardium in response to ischemia-reperfusion injury and refers to the phenomenon whereby one or more brief periods of sublethal ischemia render the myocardium more resistant to a subsequent more prolonged lethal ischemic insult (33). Despite intensive investigation, the actual mechanism of protection remains elusive. Studies have shown that the protective effect can be mimicked by certain pharmacological agents (so-called pharmacological preconditioning), such as diazoxide and pinacidil, that are purported to open the mitochondrial ATP-sensitive K+ (mKATP) channel (15), although the actual identity of the mKATP channel is unknown. Most of the evidence supporting its role in preconditioning has been obtained through the pharmacological manipulation of the channel, using agents such as diazoxide and pinacidil. However, both these drugs have also been shown to exert effects on mitochondrial respiratory function, which may explain their cardioprotective properties without evoking activation of the mKATP channel (17, 35).

Several studies have shown consequences of IPC and pharmacological preconditioning that could be beneficial for mitochondrial function and cell survival in the setting of ischemia-reperfusion. These consequences include 1) reducing mitochondrial calcium load (19, 32, 43); 2) attenuation of the oxidative stress generated at reperfusion (36, 42); 3) improved mitochondrial respiratory function (14, 24); 4) maintaining the integrity of the mitochondrial intermembrane space, which has important implications for mitochondrial respiratory function (8, 29); and 5) reducing mitochondrial cytochrome c release and apoptosis (1). More recently, it has been suggested that the preconditioning stimulus may act as a "trigger" for other downstream effector mechanisms that initiate myocardial preconditioning, with reactive oxygen species (ROS) acting as the mediator, although the end effector of preconditioning remains elusive (3, 13, 37).

A potential target in this scheme may be the mitochondrial permeability transition (mPT), which represents a fundamental event in the pathway to reperfusion-induced cell death (6). The mPT has been shown to be mediated by the opening of a nonspecific large conductance pore of the inner mitochondrial membrane (20). Inducing the mPT permeates the inner mitochondrial membrane, leading to cell death by apoptosis (due to the release of mitochondrial cytochrome c) and necrosis (due to the collapse of the mitochondrial membrane potential and resultant uncoupling of oxidative phosphorylation, which leads to ATP depletion) (30).

Interestingly, the probability of inducing the mPT is increased by the same factors that prevail in the setting of ischemia-reperfusion injury and include oxidative stress, a high mitochondrial calcium and inorganic phosphate load, and ATP depletion (4). Therefore, conditions for inducing the mPT are present during ischemia-reperfusion, and its role in mediating the cell death associated with ischemia-reperfusion injury has been borne out by the fact that we and others have shown that pharmacologically suppressing the mPT in this setting is cardioprotective (16, 18). Because preconditioning has been shown also to modulate factors associated with inducing of the mPT, one might expect it to influence the probability of inducing the mPT in the setting of ischemia-reperfusion injury. We propose that preconditioning protects the myocardium by suppressing the mPT that occurs on reperfusing ischemic myocardium. In this regard, we have recently demonstrated for the first time the modulation of the mPT in the setting of IPC and pharmacological preconditioning (18). We investigated the effect of preconditioning on the mPT indirectly in the isolated perfused heart, and in isolated mitochondria we examined modulation of the mPT directly in the setting of pharmacological preconditioning (18). The objective of the present study was therefore to investigate more directly, using the intact cell, whether preconditioning protects by suppressing the mPT. Because ROS generated within mitochondria on reperfusing ischemic myocardium have been shown to play a pivotal role in both mediating cell death and inducing the mPT (28, 48), we investigated the effects of hypoxic and pharmacological preconditioning using a model in which oxidative stress generated within mitochondria is used to provoke the mPT followed by rigor contracture.


    EXPERIMENTAL PROCEDURES
 TOP
 ABSTRACT
 EXPERIMENTAL PROCEDURES
 RESULTS
 DISCUSSION
 GRANTS
 REFERENCES
 
Animals. Male Sprague-Dawley rats (300 ± 50 g body wt) were obtained from Charles River UK Limited (Margate, UK) and received humane care in accordance with The Guidance on the Operation of the Animals (Scientific Procedures) Act 1986 (The Stationery Office, London, UK).

Materials. Diazoxide (Sigma) and glibenclamide (Sigma) were dissolved in DMSO, giving a final concentration of <0.1% DMSO. Cyclosporin A (CsA; Sigma) and N-methyl-4-valine-CsA (gift from Novartis Pharm; Basel, Switzerland) were dissolved in 50% ethanol, giving a final concentration of 0.05% ethanol. HMR-1098 (gift from Dr. J. Downey) and 5-hydroxydecanoate (5-HD; Sigma) were dissolved in distilled water. Tetramethylrhodamine methyl ester (TMRM; Molecular Probes Europe, Leiden, The Netherlands) was dissolved in DMSO. All other agents were of standard analytical grade and quality.

Preparation of adult rat myocytes. Adult rat myocytes were isolated by collagenase perfusion by use of a previously described method with modifications (45). Briefly, after anesthesia with sodium pentobarbital (55 mg/kg ip) and administration of heparin sodium (300 IU), hearts were rapidly excised, placed in ice-cold buffer, and mounted on a nonrecirculating perfusion apparatus. All solutions used were based on a modified calcium-free Krebs-Ringer-HEPES (KRH) buffer (in mM): 116.0 NaCl, 5.4 KCl, 0.4 MgSO4, 20.0 HEPES, 0.9 Na2HPO4, and 5.6 glucose (pH 7.4). The perfusate was bubbled with 100% O2 and maintained at 37°C. The hearts were first perfused at 14 ml/min with KRH buffer containing 1 mg/ml BSA and 3.3 µM EGTA. After 5 min, the hearts were perfused with KRH buffer containing 0.75 mg/ml collagenase (Worthington type II) and 25 µM calcium for 10–15 min. They were finally perfused with KRH buffer containing 50 µM calcium for 5 min. After perfusion, the hearts were removed from the perfusion apparatus, and the atria were trimmed away. The ventricles were minced and underwent several more digestions with collagenase. The cells were then filtered through a nylon mesh and washed with restoration buffer: KRH buffer plus 10 mg/ml BSA, 0.5 mM Na-pyruvate, 5.0 mM taurine, 2.0 mM carnitine, 1.0 mM creatine, and 75 µM calcium. The calcium concentration was gradually increased to 1.25 mM. After isolation, the cells were seeded onto sterilized laminin-coated 25-mm-diameter round coverslips and incubated overnight at 37°C in an atmosphere of 95% air-5% CO2 in M-199 medium (M7653, Sigma) containing 10% fetal calf serum and 1% penicillin-streptomycin (Sigma). The next day, cells were washed and kept in restoration buffer.

Model for induction and detection of the mPT in intact cells. We monitored induction of the mPT in a cellular model of oxidative stress (25). Isolated adult ventricular myocytes, in restoration buffer, were incubated with the fluorescent dye TMRM (3 µM) for 15 min at 37°C, washed, and visualized using confocal fluorescence microscopy. TMRM, a lipophilic cation, accumulates selectively into mitochondria according to the mitochondrial membrane potential. Laser illumination of the TMRM generates ROS from within the mitochondria that provoke the mPT. In this model, induction of the mPT is seen by collapse of the mitochondrial membrane potential (9, 22). Oxidative stress generated on reperfusing ischemic myocardium also involves the excess production of ROS from within the mitochondria, and this model should therefore simulate the events associated with reperfusion-induced cell injury. This model represents a widely reported and reliable way to reproducibly induce the loss of mitochondrial membrane potential, which has been unequivocally identified as a reflection of the mPT (7, 9, 11, 21, 22, 25, 47). The relatively high concentration of TMRM in the mitochondria causes autoquenching of fluorescence, such that the fluorescence signal becomes a nonlinear function of dye concentration; therefore, in this model, mitochondrial membrane depolarization results in loss of dye into the cytosol where the signal increases (2, 10). Laser-induced oxidative stress was applied until the mPT had been provoked (indicated by collapse of the mitochondrial potential) and continued until rigor contracture had been induced. The time taken to induce the mPT and the additional time required to induce rigor contracture (signaling ATP depletion) were measured.

To confirm the efficacy of the protocol in inducing the mPT, we also examined the effect of laser-induced oxidative stress on the redistribution of the fluorescent dye calcein from the mitochondrial matrix. We used an established method for detecting the induction of the mPT in the intact cell (26, 38) in which adult rat myocytes were incubated with calcein-AM (1.0 µmol/l) and cobalt chloride (CoCl2, 1.0 mmol/l). The cobalt quenches cytosolic calcein so that only the mitochondrial dye is seen. In this model, the mPT is indicated by the redistribution of the calcein signal out of the mitochondrial matrix. This was quantified by measuring the ratio of the standard deviation to the mean of the fluorescence signal. Localization of the signal to mitochondria results in a signal in which pixels over mitochondria are very bright and pixels in the cytosol are very dark (SD is high). Redistribution of dye will lead to a decrease in mean signal as the calcein is quenched but also a loss of significant difference as the distribution of signal becomes increasingly uniform.

Confocal fluorescence imaging and analysis. The coverslip containing the myocytes was placed in a chamber and mounted on the stage of a Zeiss 510 CLSM confocal microscope equipped with x40 oil immersion, quartz objective lens (numerical aperture 1.3). For TMRM fluorescence, the cells were illuminated by use of the 543-nm emission line of a HeNe laser. For all photosensitization experiments, all conditions of the confocal imaging system (laser power; confocal pinhole, set to give an optical slice of 1 µm; pixel dwell time; and detector sensitivity) were identical to ensure comparability between experiments. The fluorescence of TMRM was collected using a 585-nm long-pass filter. Images were analyzed by use of Zeiss software (LSM 2.8). For measurement of calcein fluorescence, cells were illuminated using the 488-nm emission line of an Argon laser, and fluorescence was measured by use of a 505-nm long-pass filter.

Treatment protocols. After being loaded with TMRM, cells were randomly assigned to the following treatment groups.

Treatment group 1 is control (n = 18) or incubation with 0.05% ethanol vehicle (n = 6) or 0.1% DMSO vehicle (n = 6).

Treatment groups 2 and 3 are CsA (0.2 µM, a known inhibitor of the mPT; n = 12) (5) and N-methyl-4-valine-CsA (0.4 µM, a known inhibitor of the mPT that does not inhibit the phosphatase calcineurin; n = 12), respectively (39).

Treatment group 4 is hypoxic preconditioning (HP; n = 12). Cells were incubated for two periods of 10 min at 37°C in anoxic buffer composed of (in mM) 137.0 NaCl, 12.0 KCl, 0.49 MgCl2, 4.0 HEPES, 0.9 CaCl2, 1.0 Na-dithionite, 20.0 2-deoxyglucose, and 20.0 lactate (pH 6.5) with an intervening 30-min reoxygenation in restoration buffer before undergoing the TMRM-induced oxidative stress protocol.

Treatment groups 5 and 6 are HP in the presence of either 5-HD (100 µM, a purported mKATP channel blocker; n = 6) or glibenclamide (10 µM, a nonspecific mKATP channel blocker; n = 6), respectively.

Treatment group 7 is diazoxide (30 µM, a purported mKATP channel opener; n = 6) (15).

Treatment groups 8, 9, and 10 are diazoxide in the presence of either 5-HD (n = 6), glibenclamide (n = 6), or HMR-1098 (10 µM, a specific sarcolemmal KATP channel blocker; n = 6), respectively.

Treatment group 11 is nicorandil (100 µM, another purported mKATP channel opener; n = 12).

Treatment groups 12 and 13 are nicorandil in the presence of either 5-HD (n = 6) or glibenclamide (n = 6), respectively.

Treatment groups 14, 15, and 16 are 5-HD (n = 6), glibenclamide (n = 6), or HMR-1098 alone (n = 6), respectively.

In all groups, the cells were incubated for 20 min with the treatment drug(s) before the TMRM-induced oxidative stress protocol.

Statistical analysis. All values are expressed as means ± SE. Times taken to induce global mitochondrial depolarization and rigor contracture were analyzed by one-way ANOVA and Fisher's protected least significant difference test for multiple comparisons. Differences were considered significant when P < 0.05.


    RESULTS
 TOP
 ABSTRACT
 EXPERIMENTAL PROCEDURES
 RESULTS
 DISCUSSION
 GRANTS
 REFERENCES
 
Model for induction and detection of the mPT in intact cells. Confocal fluorescence imaging of adult rat ventricular myocytes loaded with TMRM revealed mitochondria as fluorescent bands orientated with the longitudinal axis of the cell (Fig. 1A). TMRM localizes selectively to the mitochondria according to the mitochondrial membrane potential.



View larger version (59K):
[in this window]
[in a new window]
 
Fig. 1. Representative time series showing confocal fluorescence images of a representative adult rat myocyte loaded with tetramethylrhodamine methyl ester (TMRM) and subjected to laser-induced oxidative stress over time. A: time 0 s, before oxidative stress. B: time 575 s, localized areas devoid of TMRM fluorescence appear (see arrows). C: time 612 s, a "wave" of global mitochondrial depolarization begins at one end of the myocyte and is represented by an increase in the intensity of fluorescence, signifying the mitochondrial permeability transition (mPT) starting in the mitochondria located at one end of the myocyte (see arrow). D: time 778 s, the whole myocyte has now undergone global mitochondrial depolarization. E: time 1,070 s, after the collapse of mitochondrial membrane potential, ATP is depleted and the cell undergoes rigor contracture.

 
Figure 1 (AE) shows representative images extracted from a time sequence in which a myocyte was loaded with TMRM and subjected to laser-induced oxidative stress and demonstrates the sequential changes that take place in mitochondrial membrane potential over time. Laser illumination first induces occasional and reversible local depolarizations of individual mitochondria (which appear as areas in which TMRM fluorescence suddenly disappears; Fig. 1B, arrows). With continued laser-induced oxidative stress, global mitochondrial membrane depolarization occurs, seen usually as a wave of increased TMRM fluorescence that propagates slowly and progressively from one end of the cell to the other, reflecting progression of irreversible mPT pore opening (Fig. 1C, arrow, and Fig. 2, A and B). The basis for the propagation of this wave of global mitochondrial depolarization is not known but may represent a self-propagating wave of mitochondria undergoing the mPT, with calcium and/or ROS released from one mitochondria on induction of the mPT, initiating the mPT in the adjacent mitochondria and so on (23, 40), until the whole cell has undergone global mitochondrial depolarization (Fig. 1D). After the depolarization, mitochondria consume ATP, ultimately leading to rigor contracture (Fig. 1E). The times taken to induce global mitochondrial membrane depolarization and rigor contracture were noted, and in the control group, the mPT was routinely induced after 252.0 ± 18.1 s of laser-induced oxidative stress. A further 384 s were required for the progression to irreversible contraction, with rigor contracture occurring after a total of 636.1 ± 26.4 s of laser-induced oxidative stress.



View larger version (31K):
[in this window]
[in a new window]
 
Fig. 2. A: representative confocal fluorescence image of a myocyte loaded with TMRM showing the wave of global mitochondrial depolarization (indicating the mPT), demonstrated by a wave of increased TMRM fluorescence propagating across the cell from left to right across 5 regions of interest (ROI). B: graph showing intensity of TMRM fluorescence in arbitrary units (a.u.) in the 5 ROI over time.

 
To verify that the observed global mitochondrial membrane depolarization induced by laser-induced oxidative stress represents the mPT, it is necessary to demonstrate that it is sensitive to CsA, the most reliable inhibitor of the mPT (5). CsA was shown to extend the time required to induce the mPT more than twofold, from 252.0 ± 18.1 to 450.7 ± 26.1 s, and it also extended the time required to induce rigor contracture from 636.1 ± 26.4 to 945.4 ± 69.7 s (P < 0.001; Figs. 3 and 4). However, as well as inhibiting the mPT, CsA inhibits the phosphatase calcineurin. To exclude any effect of CsA-induced inhibition of calcineurin in this model, we tested the nonimmunosuppressive CsA analog, N-methyl-4-valine-CsA, as this drug has been shown to inhibit the mPT without inhibiting calcineurin (39). This mPT inhibitor also increased the time taken to induce both mPT and rigor contracture to 605.8 ± 74.5 s and 1055.3 ± 79.4 s, respectively (P < 0.001; Figs. 3 and 4). Furthermore, in this model, N-methyl-4-valine-CsA was shown to be a more potent inhibitor of the mPT than CsA, extending the time taken to induce the mPT even further than CsA (605.8 ± 74.5 s with N-methyl-4-valine-CsA vs. 450.7 ± 26.1 s with CsA; P < 0.005; Fig. 3), although there was no significant difference with respect to the times taken to induce rigor contracture. One can speculate that its greater specificity for inhibiting the mPT than CsA may explain its more potent inhibition of the mPT (39).



View larger version (14K):
[in this window]
[in a new window]
 
Fig. 3. Effect of hypoxic preconditioning (HP) in the presence or absence of the mitochondrial ATP-sensitive K+ (mKATP) channel blockers 5-hydroxydecanoate (5-HD) and glibenclamide (Glib) and the effect of inhibitors of the mPT [cyclosporin A (CsA) and N-methyl-4-valine-CsA] on the time taken to induce the mPT in TMRM-loaded myocytes. Values are means ± SE; n ≥ 6/group. mPTP, mPT pore. *P < 0.001 and #P < 0.005.

 


View larger version (16K):
[in this window]
[in a new window]
 
Fig. 4. Effect of HP in the presence or absence of the mitochondrial KATP channel blockers 5-HD and Glib and the effect of inhibitors of the mPT (CsA and N-methyl-4-valine-CsA) on the time taken to induce rigor contracture in TMRM-loaded myocytes. Values are means ± SE; n ≥ 6/group. *P < 0.001.

 
Laser irradiation of myocytes loaded with calcein (in the presence of cobalt) resulted in the redistribution of calcein fluorescence out of the mitochondrial matrix, indicating induction of the mPT (Fig. 5; n = 4), confirming that laser-induced oxidative stress is sufficient in itself to induce the mPT in adult rat myocytes, and supporting the interpretation of phototoxicity-induced mitochondrial depolarization as a reflection of mPT.



View larger version (27K):
[in this window]
[in a new window]
 
Fig. 5. Illumination of calcein-loaded cardiomyocytes causes redistribution of mitochondrial calcein. Cardiomyocytes were loaded with calcein in the presence of cobalt. Cobalt quenches dye in the cytosol, revealing the mitochondrially localized dye (Ai). After a period of illumination, the cells went into rigor contracture, and the mitochondrial localization of the signal was lost (Aii). This is illustrated further in B, in which the intensity profile along the dotted line shown in Ai is plotted as a function of time. There is some general loss of signal that may be due to cobalt quenching of dye that is leaving mitochondria or some bleaching of signal. However, the spatial variation of signal due to the localization of dye in mitochondria is clearly lost with time (time points at which example images were obtained are shown as i and ii). The loss of specific mitochondrial signal is further quantified in C, which shows a plot of the ratio of the SD to the mean of the calcein signal, which falls progressively with time of illumination. Arb U, arbitrary units; sec, seconds.

 
Hypoxic and pharmacological preconditioning protects myocytes from oxidative stress by inhibiting the mPT. Pretreatment of cells by either hypoxic or pharmacological preconditioning, using diazoxide or nicorandil, also increased the illumination time required to induce global mitochondrial membrane depolarization from 252.0 ± 18.1 s in control to 464.1 ± 53.8 s in hypoxic preconditioned cells, 528.5 ± 28.5 s after diazoxide, and 386.1 ± 33.4 s after nicorandil (P < 0.001; Figs. 3 and 6). The times taken to induce rigor were also extended from 636.1 ± 26.4 s in control to 1,140.7 ± 84.0 s, 1,095.6 ± 102.4 s, and 967.6 ± 61.8 s, respectively (P < 0.001; Figs. 4 and 7). These results suggest that hypoxic and pharmacological preconditioning all act to inhibit the mPT induced by oxidative stress, resulting in protection from oxidative stress-induced rigor contracture.



View larger version (14K):
[in this window]
[in a new window]
 
Fig. 6. Effect of pharmacological preconditioning using diazoxide (DZX) or nicorandil (NIC) in the presence or absence of the mKATP channel blockers 5-HD, Glib, and HMR-1098 (HMR) on the time taken to induce the mPT in TMRM-loaded myocytes. Values are means ± SE; n ≥ 6/group. *P < 0.001.

 


View larger version (17K):
[in this window]
[in a new window]
 
Fig. 7. Effect of pharmacological preconditioning using DZX or NIC in the presence or absence of the mKATP channel blockers 5-HD, Glib, and HMR on the time taken to induce rigor contracture in TMRM-loaded myocytes. Values are means ± SE; n ≥ 6/group. *P < 0.001.

 
The purported mKATP channel blockers glibenclamide and 5-HD abrogated this effect of hypoxic and pharmacological preconditioning on the mPT and ATP depletion. HP in the presence of either glibenclamide or 5-HD abolished both the delay in the time taken to induce the mPT (464.1 ± 53.8 s with HP vs. 256.6 ± 27.0 s with glibenclamide and 247.4 ± 7.0 s with 5-HD; P < 0.001; Fig. 3) and the delay in the time taken to induce rigor contracture (1,140.7 ± 84.0 s with HP vs. 692.3 ± 68.0 s with glibenclamide and 687.8 ± 30.1 s with 5-HD; P < 0.001; Fig. 4).

With respect to pharmacological preconditioning, diazoxide in the presence of either glibenclamide or 5-HD also abolished both the delay in the time taken to induce the mPT (528.3 ± 28.5 s with diazoxide vs. 261.7 ± 24.1 s with glibenclamide and 283.3 ± 14.4 s with 5-HD; P < 0.001; Fig. 6) and the delay in the time taken to induce rigor contracture (1,095.6 ± 102.4 s with diazoxide vs. 543.4 ± 47.1 s with glibenclamide and 664.0 ± 48.3 s with 5-HD; P < 0.001; Fig. 7). Furthermore, nicorandil in the presence of either glibenclamide or 5-HD also abolished both the delay in the time taken to induce the mPT (386.1 ± 33.4 s with nicorandil vs. 256.1 ± 25.6 s with glibenclamide and 249.1 ± 36.1 s with 5-HD; P < 0.001; Fig. 6) and the delay in the time taken to induce rigor contracture (967.6 ± 61.8 s with nicorandil vs. 482.3 ± 48.1 s with glibenclamide and 661.0 ± 77.4 s with 5-HD; P < 0.001; Fig. 7).

However, the specific sarcolemmal KATP channel blocker HMR-1098 did not abolish the effects of diazoxide on either the time taken to induce the mPT [528.5 ± 28.5 s with diazoxide vs. 485.9 ± 11.5 s with HMR-1098; P = not significant (NS); Fig. 6] or the time taken to induce rigor contracture (1,095.6 ± 102.4 s with diazoxide vs. 1,076.8 ± 30.3 s with HMR-1098; P = NS; Fig. 7). Given alone, the KATP channel blockers did not influence either the time required to induce the mPT (216.3 ± 13.5 s in control vs. 239.4 ± 22.3 s with glibenclamide, 197.3 ± 11.2 s with 5-HD, and 216.3 ± 13.5 s with HMR-1098; P = NS; Figs. 3 and 6) or the time taken to induce rigor contracture (636.1 ± 26.4 s in control vs. 732.6 ± 77.3 s with glibenclamide, 496.4 ± 28.2 s with 5-HD, and 729.4 ± 18.8 s with HMR-1098; P = NS; Figs. 4 and 7).


    DISCUSSION
 TOP
 ABSTRACT
 EXPERIMENTAL PROCEDURES
 RESULTS
 DISCUSSION
 GRANTS
 REFERENCES
 
This study shows for the first time that hypoxic and pharmacological preconditionings protect the myocyte by suppressing the mPT induced in the setting of oxidative stress. Myocytes treated by preconditioning were shown to be more resistant to oxidative stress, and the time taken to induce rigor contracture was shown to relate directly to suppression of the mPT. We chose to examine the induction of the mPT in the setting of oxidative stress, as this relationship pertains to events that occur in ischemia-reperfusion. Reperfusion of ischemic myocardium has been shown not only to generate oxidative stress but also to induce the mPT, both factors that contribute to the cell death associated with ischemia-reperfusion injury (28, 48). We used a well-established model for inducing and detecting the mPT in the intact cell (7, 9, 11, 21, 22, 25, 47). Interestingly, we show that a preconditioning stimulus is able to protect by modulating crucial events that take place at reperfusion that determine cell survival in the setting of ischemia-reperfusion. Specifically, both hypoxic and pharmacological preconditioning were shown to inhibit the mPT that normally occurs in response to oxidative stress, a major determinant of reperfusion-induced cell death.

The present study extends previous work we have undertaken (18) in which we showed for the first time that cardioprotection arising from either ischemic or pharmacological preconditioning may be due to suppression of the mPT that normally occurs on reperfusing ischemic myocardium. In that study, we demonstrated in the isolated perfused rat heart that pharmacologically inducing the mPT at reperfusion reversed the protection induced by both ischemic and pharmacological preconditioning, using infarct size as the measured end point of cell death. This finding suggested to us that preconditioning may manifest its protection by suppressing the mPT but did not directly prove it. To prove suppression of the mPT as the mechanism responsible for preconditioning-induced protection, it was imperative to assess the consequences of preconditioning on the mPT directly. In this regard, we and others (18, 27) have shown that diazoxide, an agent used to pharmacologically precondition the myocardium, was able to inhibit the mPT associated with mitochondrial calcium loading, a major contributor to reperfusion-induced cell death. An interesting study by Xu et al. (46) in myocytes had previously shown that pharmacologically inducing the mPT abrogated the protection associated with calcium-induced preconditioning. However, the authors failed to examine the consequence of calcium-induced preconditioning on the mPT directly. In the present study, we examined directly the effect of hypoxic and pharmacological preconditioning on the mPT in the intact cell.

The effects of hypoxic and pharmacological preconditioning (using diazoxide or nicorandil, purported openers of the mKATP channel) on suppressing the mPT and protecting against rigor contracture in the face of oxidative stress were abrogated in the presence of 5-HD and glibenclamide, agents that have been shown to antagonize the putative mKATP channel. Controversy surrounds the nature of protection associated with agents such as diazoxide and pinacidil that are reported to act via the putative mKATP channel (17, 35). Methods employed in investigating the role of the mKATP channel have relied heavily on using pharmacological agents to manipulate the mKATP channel (15, 31). It is clear that agents such as diazoxide or pinacidil do protect the myocardium from ischemia-reperfusion injury, but because they also have nonspecific effects on mitochondrial function, the mechanism through which they cardioprotect may be independent of mKATP channel activation. For example, as far back as 1969, it was noted that diazoxide can inhibit the electron transport carrier II, succinate dehydrogenase (SDH) (41). Several studies have confirmed this effect of diazoxide on SDH and have shown that this effect is not restricted to diazoxide and may also apply to pinacidil (17, 35). Even abrogation by 5-HD of the cardioprotective effect induced by diazoxide or pinacidil may be explained by a nonspecific effect of 5-HD on mitochondrial function (17). Recently, it has been shown that 5-HD can be metabolized to a fatty acid that acts as a substrate for SDH, thereby antagonizing the inhibitory effects of diazoxide or pinacidil on SDH rather than antagonizing at the mKATP channel (17). Furthermore, it has been demonstrated that inhibition of SDH, using a low dose of 3-nitropropionic acid (3-NPA), protected rabbit hearts from infarction, an effect abolished by 5-HD (34).

By inhibiting electron flow through the electron transport chain, agents such as diazoxide or pinacidil may be expected to generate ROS from complexes I or III (12). It is exciting to consider that this may be the source for the ROS that have been recently implicated as mediating preconditioning-induced protection through their activation of prosurvival kinases. (3, 13, 37). In this regard, it has been shown that in cerebral tissue, 3-NPA, through its inhibition of SDH, caused a burst of ROS, which were then shown to mediate preconditioning-type protection (44).

It may transpire therefore that ischemic and pharmacological preconditionings (using agents such as diazoxide and nicorandil) induce cardioprotection through their nonspecific effects on mitochondrial function, including respiratory chain inhibition, and ROS release from the mitochondria. We propose that preconditioning confers beneficial effects on mitochondrial function and calcium handling that result in mitochondria that are better equipped or "preconditioned" to withstand the crucial phase of reperfusion, which is associated with an influx of calcium into the mitochondria and oxidant stress (see Fig. 8). Although these events would normally precipitate the mPT and cell death, the events of preconditioning reduce the probability of inducing the mPT at reperfusion and so protect the heart from cell death.



View larger version (29K):
[in this window]
[in a new window]
 
Fig. 8. A: scheme showing how opening of the mPTP at the time of reperfusion mediates cell death. Opening of the mPTP, which occurs in response to reactive oxygen species (ROS) and calcium, permeates the inner mitochondrial membrane; this allows water to enter the mitochondrial matrix, which leads to rupture of the outer mitochondrial membrane, thereby allowing the release of cytochrome c and other proapoptotic factors into the cytosol. The mPTP is believed to be composed of 3 core components: the voltage-dependent anion channel (VDAC) of the outer mitochondrial membrane, the adenine nucleotide translocase (ANT) of the inner mitochondrial membrane, and mitochondrial cyclophillin D. B: proposed scheme depicting how mPTP opening may be inhibited at the time of reperfusion in response to ischemic preconditioning and mitochondrial KATP channel opening. Preconditioning confers beneficial effects on mitochondrial function that act in concert to reduce the opening probability of the mPTP opening at the time of reperfusion, thereby mediating cellular protection.

 

    GRANTS
 TOP
 ABSTRACT
 EXPERIMENTAL PROCEDURES
 RESULTS
 DISCUSSION
 GRANTS
 REFERENCES
 
D. Hausenloy is supported by British Heart Foundation Clinical Ph.D. Studentship FS/02017. Work in M. R. Duchen's laboratory is funded by the Wellcome Trust, to whom we express our gratitude.


    ACKNOWLEDGMENTS
 
S. Mani-Babu carried out some of this work as part of a B.S. final year project.


    FOOTNOTES
 

Address for reprint requests and other correspondence: D. M. Yellon, The Hatter Institute and Centre for Cardiology, Univ. College London Hospitals and Medical School, Grafton Way, London WC1E 6DB, UK (E-mail: hatter-institute{at}ucl.ac.uk).

The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.


    REFERENCES
 TOP
 ABSTRACT
 EXPERIMENTAL PROCEDURES
 RESULTS
 DISCUSSION
 GRANTS
 REFERENCES
 

  1. Akao M, Ohler A, O'Rourke B, and Marban E. Mitochondrial ATP-sensitive potassium channels inhibit apoptosis induced by oxidative stress in cardiac cells. Circ Res 88: 1267–1275, 2001.[Abstract/Free Full Text]
  2. Bunting JR, Phan TV, Kamali E, and Dowben RM. Fluorescent cationic probes of mitochondria. Metrics and mechanism of interaction. Biophys J 56: 979–993, 1989.[Medline]
  3. Carroll R, Gant VA, and Yellon DM. Mitochondrial K(ATP) channel opening protects a human atrial-derived cell line by a mechanism involving free radical generation. Cardiovasc Res 51: 691–700, 2001.[Abstract/Free Full Text]
  4. Crompton M and Costi A. Kinetic evidence for a heart mitochondrial pore activated by Ca2+, inorganic phosphate and oxidative stress. A potential mechanism for mitochondrial dysfunction during cellular Ca2+ overload. Eur J Biochem 178: 489–501, 1988.[Web of Science][Medline]
  5. Crompton M, Ellinger H, and Costi A. Inhibition by cyclosporin A of a Ca2+-dependent pore in heart mitochondria activated by inorganic phosphate and oxidative stress. Biochem J 255: 357–360, 1988.[Web of Science][Medline]
  6. Crompton M, Virji S, Doyle V, Johnson N, and Ward JM. The mitochondrial permeability transition pore. Biochem Soc Symp 66: 167–179, 1999.[Medline]
  7. De Giorgi F, Lartigue L, Bauer MK, Schubert A, Grimm S, Hanson GT, Remington SJ, Youle RJ, and Ichas F. The permeability transition pore signals apoptosis by directing Bax translocation and multimerization. FASEB J 16: 607–609, 2002.[Free Full Text]
  8. Dos SP, Kowaltowski AJ, Laclau MN, Seetharaman S, Paucek P, Boudina S, Thambo JB, Tariosse L, and Garlid KD. Mechanisms by which opening the mitochondrial ATP- sensitive K+ channel protects the ischemic heart. Am J Physiol Heart Circ Physiol 283: H284–H295, 2002.[Abstract/Free Full Text]
  9. Duchen MR. Mitochondria and Ca(2+)in cell physiology and pathophysiology. Cell Calcium 28: 339–348, 2000.[CrossRef][Web of Science][Medline]
  10. Duchen MR and Biscoe TJ. Relative mitochondrial membrane potential and [Ca2+]i in type I cells isolated from the rabbit carotid body. J Physiol 450: 33–61, 1992.[Abstract/Free Full Text]
  11. Duchen MR, Leyssens A, and Crompton M. Transient mitochondrial depolarizations reflect focal sarcoplasmic reticular calcium release in single rat cardiomyocytes. J Cell Biol 142: 975–988, 1998.[Abstract/Free Full Text]
  12. Fleury C, Mignotte B, and Vayssiere JL. Mitochondrial reactive oxygen species in cell death signaling. Biochimie 84: 131–141, 2002.[Medline]
  13. Forbes RA, Steenbergen C, and Murphy E. Diazoxide-induced cardioprotection requires signaling through a redox-sensitive mechanism. Circ Res 88: 802–809, 2001.[Abstract/Free Full Text]
  14. Fryer RM, Eells JT, Hsu AK, Henry MM, and Gross GJ. Ischemic preconditioning in rats: role of mitochondrial KATP channel in preservation of mitochondrial function. Am J Physiol Heart Circ Physiol 278: H305–H312, 2000.[Abstract/Free Full Text]
  15. Garlid KD, Paucek P, Yarov-Yarovoy V, Murray HN, Darbenzio RB, D'Alonzo AJ, Lodge NJ, Smith MA, and Grover GJ. Cardioprotective effect of diazoxide and its interaction with mitochondrial ATP-sensitive K+ channels. Possible mechanism of cardioprotection. Circ Res 81: 1072–1082, 1997.[Abstract/Free Full Text]
  16. Griffiths EJ and Halestrap AP. Protection by cyclosporin A of ischemia/reperfusion-induced damage in isolated rat hearts. J Mol Cell Cardiol 25: 1461–1469, 1993.[CrossRef][Web of Science][Medline]
  17. Hanley PJ, Mickel M, Loffler M, Brandt U, and Daut J. K(ATP) channel-independent targets of diazoxide and 5-hydroxydecanoate in the heart. J Physiol 542: 735–741, 2002.[Abstract/Free Full Text]
  18. Hausenloy DJ, Maddock HL, Baxter GF, and Yellon DM. Inhibiting mitochondrial permeability transition pore opening: a new paradigm for myocardial preconditioning? Cardiovasc Res 55: 534–543, 2002.[Abstract/Free Full Text]
  19. Holmuhamedov EL, Wang L, and Terzic A. ATP-sensitive K+ channel openers prevent Ca2+ overload in rat cardiac mitochondria. J Physiol 519: 347–360, 1999.[Abstract/Free Full Text]
  20. Hunter DR and Haworth RA. The Ca2+-induced membrane transition in mitochondria. I. The protective mechanisms. Arch Biochem Biophys 195: 453–459, 1979.[CrossRef][Web of Science][Medline]
  21. Huser J and Blatter LA. Fluctuations in mitochondrial membrane potential caused by repetitive gating of the permeability transition pore. Biochem J 343: 311–317, 1999.[CrossRef][Web of Science][Medline]
  22. Huser J, Rechenmacher CE, and Blatter LA. Imaging the permeability pore transition in single mitochondria. Biophys J 74: 2129–2137, 1998.[Web of Science][Medline]
  23. Ichas F, Jouaville LS, and Mazat JP. Mitochondria are excitable organelles capable of generating and conveying electrical and calcium signals. Cell 89: 1145–1153, 1997.[CrossRef][Web of Science][Medline]
  24. Iwai T, Tanonaka K, Koshimizu M, and Takeo S. Preservation of mitochondrial function by diazoxide during sustained ischaemia in the rat heart. Br J Pharmacol 129: 1219–1227, 2000.[CrossRef][Web of Science][Medline]
  25. Jacobson J and Duchen MR. Mitochondrial oxidative stress and cell death in astrocytes—requirement for stored Ca2+ and sustained opening of the permeability transition pore. J Cell Sci 115: 1175–1188, 2002.[Abstract/Free Full Text]
  26. Katoh H, Nishigaki N, and Hayashi H. Diazoxide opens the mitochondrial permeability transition pore and alters Ca2+ transients in rat ventricular myocytes. Circulation 105: 2666–2671, 2002.[Abstract/Free Full Text]
  27. Korge P, Honda HM, and Weiss JN. Protection of cardiac mitochondria by diazoxide and protein kinase C: implications for ischemic preconditioning. Proc Natl Acad Sci USA 99: 3312–3317, 2002.[Abstract/Free Full Text]
  28. Kowaltowski AJ, Castilho RF, and Vercesi AE. Mitochondrial permeability transition and oxidative stress. FEBS Lett 495: 12–15, 2001.[CrossRef][Web of Science][Medline]
  29. Kowaltowski AJ, Seetharaman S, Paucek P, and Garlid KD. Bioenergetic consequences of opening the ATP-sensitive K+ channel of heart mitochondria. Am J Physiol Heart Circ Physiol 280: H649–H657, 2001.[Abstract/Free Full Text]
  30. Kroemer G, Dallaporta B, and Resche-Rigon M. The mitochondrial death/life regulator in apoptosis and necrosis. Annu Rev Physiol 60: 619–642, 1998.[CrossRef][Web of Science][Medline]
  31. Liu Y, Sato T, O'Rourke B, and Marban E. Mitochondrial ATP-dependent potassium channels: novel effectors of cardioprotection? Circulation 97: 2463–2469, 1998.[Abstract/Free Full Text]
  32. Murata M, Akao M, O'Rourke B, and Marban E. Mitochondrial ATP-sensitive potassium channels attenuate matrix Ca(2+) overload during simulated ischemia and reperfusion: possible mechanism of cardioprotection. Circ Res 89: 891–898, 2001.[Abstract/Free Full Text]
  33. Murry CE, Jennings RB, and Reimer KA. Preconditioning with ischemia: a delay of lethal cell injury in ischemic myocardium. Circulation 74: 1124–1136, 1986.[Abstract/Free Full Text]
  34. Ockaili RA, Bhargava P, and Kukreja RC. Chemical preconditioning with 3-nitropropionic acid in hearts: role of mitochondrial KATP channel. Am J Physiol Heart Circ Physiol 280: H2406–H2411, 2001.[Abstract/Free Full Text]
  35. Ovide-Bordeaux S, Ventura-Clapier R, and Veksler V. Do modulators of the mitochondrial K(ATP) channel change the function of mitochondria in situ? J Biol Chem 275: 37291–37295, 2000.[Abstract/Free Full Text]
  36. Ozcan C, Bienengraeber M, Dzeja PP, and Terzic A. Potassium channel openers protect cardiac mitochondria by attenuating oxidant stress at reoxygenation. Am J Physiol Heart Circ Physiol 282: H531–H539, 2002.[Abstract/Free Full Text]
  37. Pain T, Yang XM, Critz SD, Yue Y, Nakano A, Liu GS, Heusch G, Cohen MV, and Downey JM. Opening of mitochondrial K(ATP) channels triggers the preconditioned state by generating free radicals. Circ Res 87: 460–466, 2000.[Abstract/Free Full Text]
  38. Petronilli V, Miotto G, Canton M, Brini M, Colonna R, Bernardi P, and Di Lisa F. Transient and long-lasting openings of the mitochondrial permeability transition pore can be monitored directly in intact cells by changes in mitochondrial calcein fluorescence. Biophys J 76: 725–734, 1999.[Web of Science][Medline]
  39. Petronilli V, Nicolli A, Costantini P, Colonna R, and Bernardi P. Regulation of the permeability transition pore, a voltage-dependent mitochondrial channel inhibited by cyclosporin A. Biochim Biophys Acta 1187: 255–259, 1994.[Medline]
  40. Riley WW Jr and Pfeiffer DR. Relationships between Ca2+ release, Ca2+ cycling, and Ca2+-mediated permeability changes in mitochondria. J Biol Chem 260: 12416–12425, 1985.[Abstract/Free Full Text]
  41. Schafer G, Wegener C, Portenhauser R, and Bojanovski D. Diazoxide, an inhibitor of succinate oxidation. Biochem Pharmacol 18: 2678–2681, 1969.[CrossRef][Web of Science][Medline]
  42. Vanden Hoek T, Becker LB, Shao ZH, Li CQ, and Schumacker PT. Preconditioning in cardiomyocytes protects by attenuating oxidant stress at reperfusion. Circ Res 86: 541–548, 2000.[Abstract/Free Full Text]
  43. Wang L, Cherednichenko G, Hernandez L, Halow J, Camacho SA, Figueredo V, and Schaefer S. Preconditioning limits mitochondrial Ca2+ during ischemia in rat hearts: role of KATP channels. Am J Physiol Heart Circ Physiol 280: H2321–H2328, 2001.[Abstract/Free Full Text]
  44. Wiegand F, Liao W, Busch C, Castell S, Knapp F, Lindauer U, Megow D, Meisel A, Redetzky A, Ruscher K, Trendelenburg G, Victorov I, Riepe M, Diener HC, and Dirnagl U. Respiratory chain inhibition induces tolerance to focal cerebral ischemia. J Cereb Blood Flow Metab 19: 1229–1237, 1999.[CrossRef][Web of Science][Medline]
  45. Wientzek M, Allen BG, McDonald-Jones G, and Katz S. Characterization of calcium-dependent forms of protein kinase C in adult rat ventricular myocytes. Mol Cell Biochem 166: 11–23, 1997.[CrossRef][Web of Science][Medline]
  46. Xu M, Wang Y, Hirai K, Ayub A, and Ashraf M. Calcium preconditioning inhibits mitochondrial permeability transition and apoptosis. Am J Physiol Heart Circ Physiol 280: H899–H908, 2001.[Abstract/Free Full Text]
  47. Zoratti M and Szabo I. The mitochondrial permeability transition. Biochim Biophys Acta 1241: 139–176, 1995.[Medline]
  48. Zweier JL, Flaherty JT, and Weisfeldt ML. Direct measurement of free radical generation following reperfusion of ischemic myocardium. Proc Natl Acad Sci USA 84: 1404–1407, 1987.[Abstract/Free Full Text]



This article has been cited by other articles:


Home page
Am. J. Physiol. Heart Circ. Physiol.Home page
C. L. Quinlan, A. D. T. Costa, C. L. Costa, S. V. Pierre, P. Dos Santos, and K. D. Garlid
Conditioning the heart induces formation of signalosomes that interact with mitochondria to open mitoKATP channels
Am J Physiol Heart Circ Physiol, September 1, 2008; 295(3): H953 - H961.
[Abstract] [Full Text] [PDF]


Home page
Circ. Res.Home page
Y. Nishino, I. G. Webb, S. M. Davidson, A. I. Ahmed, J. E. Clark, S. Jacquet, A. M. Shah, T. Miura, D. M. Yellon, M. Avkiran, et al.
Glycogen Synthase Kinase-3 Inactivation Is Not Required for Ischemic Preconditioning or Postconditioning in the Mouse
Circ. Res., August 1, 2008; 103(3): 307 - 314.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Physiol. Heart Circ. Physiol.Home page
G. C. Rodrigo and N. J. Samani
Ischemic preconditioning of the whole heart confers protection on subsequently isolated ventricular myocytes
Am J Physiol Heart Circ Physiol, January 1, 2008; 294(1): H524 - H531.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Physiol. Heart Circ. Physiol.Home page
T. Toda, T. Kadono, M. Hoshiai, Y. Eguchi, S. Nakazawa, H. Nakazawa, N. Higashijima, and H. Ishida
Na+/H+ exchanger inhibitor cariporide attenuates the mitochondrial Ca2+ overload and PTP opening
Am J Physiol Heart Circ Physiol, December 1, 2007; 293(6): H3517 - H3523.
[Abstract] [Full Text] [PDF]


Home page
Cardiovasc ResHome page
G.-X. Zhang, X.-M. Lu, S. Kimura, and A. Nishiyama
Role of mitochondria in angiotensin II-induced reactive oxygen species and mitogen-activated protein kinase activation
Cardiovasc Res, November 1, 2007; 76(2): 204 - 212.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Physiol. Heart Circ. Physiol.Home page
P. A. Townsend, S. M. Davidson, S. J. Clarke, I. Khaliulin, C. J. Carroll, T. M. Scarabelli, R. A. Knight, A. Stephanou, D. S. Latchman, and A. P. Halestrap
Urocortin prevents mitochondrial permeability transition in response to reperfusion injury indirectly by reducing oxidative stress
Am J Physiol Heart Circ Physiol, August 1, 2007; 293(2): H928 - H938.
[Abstract] [Full Text] [PDF]


Home page
Cardiovasc ResHome page
S. Y. Lim, S. M. Davidson, D. J. Hausenloy, and D. M. Yellon
Preconditioning and postconditioning: The essential role of the mitochondrial permeability transition pore
Cardiovasc Res, August 1, 2007; 75(3): 530 - 535.
[Abstract] [Full Text] [PDF]


Home page
J. Physiol.Home page
I. Khaliulin, S. J. Clarke, H. Lin, J. Parker, M.-S. Suleiman, and A. P. Halestrap
Temperature preconditioning of isolated rat hearts - a potent cardioprotective mechanism involving a reduction in oxidative stress and inhibition of the mitochondrial permeability transition pore
J. Physiol., June 15, 2007; 581(3): 1147 - 1161.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Physiol. Heart Circ. Physiol.Home page
S. A. Hamid, H. S. Bower, and G. F. Baxter
Rho kinase activation plays a major role as a mediator of irreversible injury in reperfused myocardium
Am J Physiol Heart Circ Physiol, June 1, 2007; 292(6): H2598 - H2606.
[Abstract] [Full Text] [PDF]


Home page
Cardiovasc ResHome page
J. P. Brennan, R. G. Berry, M. Baghai, M. R. Duchen, and M. J. Shattock
FCCP is cardioprotective at concentrations that cause mitochondrial oxidation without detectable depolarisation
Cardiovasc Res, November 1, 2006; 72(2): 322 - 330.
[Abstract] [Full Text] [PDF]


Home page
Cardiovasc ResHome page
M. Ruiz-Meana, D. Garcia-Dorado, E. Miro-Casas, A. Abellan, and J. Soler-Soler
Mitochondrial Ca2+ uptake during simulated ischemia does not affect permeability transition pore opening upon simulated reperfusion
Cardiovasc Res, September 1, 2006; 71(4): 715 - 724.
[Abstract] [Full Text] [PDF]


Home page
Cardiovasc ResHome page
S. M. Davidson and M. R. Duchen
Effects of NO on mitochondrial function in cardiomyocytes: Pathophysiological relevance
Cardiovasc Res, July 1, 2006; 71(1): 10 - 21.
[Abstract] [Full Text] [PDF]


Home page
Cardiovasc ResHome page
F. Di Lisa and P. Bernardi
Mitochondria and ischemia-reperfusion injury of the heart: Fixing a hole
Cardiovasc Res, May 1, 2006; 70(2): 191 - 199.
[Abstract] [Full Text] [PDF]


Home page
Cardiovasc ResHome page
D. J. Hausenloy and D. M. Yellon
Survival kinases in ischemic preconditioning and postconditioning
Cardiovasc Res, May 1, 2006; 70(2): 240 - 253.
[Abstract] [Full Text] [PDF]


Home page
Cardiovasc ResHome page
D. Garcia-Dorado, A. Rodriguez-Sinovas, M. Ruiz-Meana, J. Inserte, L. Agullo, and A. Cabestrero
The end-effectors of preconditioning protection against myocardial cell death secondary to ischemia-reperfusion
Cardiovasc Res, May 1, 2006; 70(2): 274 - 285.
[Abstract] [Full Text] [PDF]


Home page
Cardiovasc ResHome page
R. J. Diaz and G. J. Wilson
Studying ischemic preconditioning in isolated cardiomyocyte models
Cardiovasc Res, May 1, 2006; 70(2): 286 - 296.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Physiol. Heart Circ. Physiol.Home page
M. Marcil, K. Bourduas, A. Ascah, and Y. Burelle
Exercise training induces respiratory substrate-specific decrease in Ca2+-induced permeability transition pore opening in heart mitochondria
Am J Physiol Heart Circ Physiol, April 1, 2006; 290(4): H1549 - H1557.
[Abstract] [Full Text] [PDF]


Home page
SEMIN CARDIOTHORAC VASC ANESTHHome page
J. G. Bovill
Intravenous Anesthesia for the Patient with Left Ventricular Dysfunction
Seminars in Cardiothoracic and Vascular Anesthesia, March 1, 2006; 10(1): 43 - 48.
[Abstract] [PDF]


Home page
J. Physiol.Home page
D. A. Brown, A. J. Chicco, K. N. Jew, M. S. Johnson, J. M. Lynch, P. A. Watson, and R. L. Moore
Cardioprotection afforded by chronic exercise is mediated by the sarcolemmal, and not the mitochondrial, isoform of the KATP channel in the rat
J. Physiol., December 15, 2005; 569(3): 913 - 924.
[Abstract] [Full Text] [PDF]


Home page
PhysiologyHome page
B. O'Rourke, S. Cortassa, and M. A. Aon
Mitochondrial Ion Channels: Gatekeepers of Life and Death
Physiology, October 1, 2005; 20(5): 303 - 315.
[Abstract] [Full Text] [PDF]


Home page
JCBHome page
M. Madesh, B. J. Hawkins, T. Milovanova, C. D. Bhanumathy, S. K. Joseph, S. P. RamachandraRao, K. Sharma, T. Kurosaki, and A. B. Fisher
Selective role for superoxide in InsP3 receptor-mediated mitochondrial dysfunction and endothelial apoptosis
J. Cell Biol., September 26, 2005; 170(7): 1079 - 1090.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Physiol. Heart Circ. Physiol.Home page
S. Shanmuganathan, D. J. Hausenloy, M. R. Duchen, and D. M. Yellon
Mitochondrial permeability transition pore as a target for cardioprotection in the human heart
Am J Physiol Heart Circ Physiol, July 1, 2005; 289(1): H237 - H242.
[Abstract] [Full Text] [PDF]


Home page
Cardiovasc ResHome page
F. Di Lisa and P. Bernardi
Mitochondrial function and myocardial aging. A critical analysis of the role of permeability transition
Cardiovasc Res, May 1, 2005; 66(2): 222 - 232.
[Abstract] [Full Text] [PDF]


Home page
Cardiovasc ResHome page
M. Juhaszova, C. Rabuel, D. B. Zorov, E. G. Lakatta, and S. J. Sollott
Protection in the aged heart: preventing the heart-break of old age?
Cardiovasc Res, May 1, 2005; 66(2): 233 - 244.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Physiol. Heart Circ. Physiol.Home page
G. Wang, D. A. Liem, T. M. Vondriska, H. M. Honda, P. Korge, D. M. Pantaleon, X. Qiao, Y. Wang, J. N. Weiss, and P. Ping
Nitric oxide donors protect murine myocardium against infarction via modulation of mitochondrial permeability transition
Am J Physiol Heart Circ Physiol, March 1, 2005; 288(3): H1290 - H1295.
[Abstract] [Full Text] [PDF]


This Article
Right arrow Abstract Freely available
Right arrow Full Text (PDF)
Right arrow All Versions of this Article:
287/2/H841    most recent
00678.2003v1
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Web of Science (82)
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Hausenloy, D. J.
Right arrow Articles by Duchen, M. R.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Hausenloy, D. J.
Right arrow Articles by Duchen, M. R.


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Visit Other APS Journals Online
Copyright © 2004 by the American Physiological Society.