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Am J Physiol Heart Circ Physiol (May 26, 2006). doi:10.1152/ajpheart.00313.2006
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Submitted on March 27, 2006
Accepted on May 22, 2006

First Molecular Evidence that Inositol Trisphosphate Signaling Contributes to Infarct Size Reduction with Preconditioning

Karin Przyklenk1*, Michelle Maynard1, and Peter Whittaker1

1 Emergency Medicine, University of Massachusetts Medical School, Worcester, Massachusetts, United States

* To whom correspondence should be addressed. E-mail: karin.przyklenk{at}umassmed.edu.

Considerable attention has focused on the role of protein kinase C in triggering the profound infarct-sparing effect of ischemic preconditioning (PC). In contrast, the involvement of inositol 1,4,5-trisphosphate (Ins(1,4,5)P3), the second messenger generated in parallel with the diacylglycerol-PKC pathway, remains poorly understood. We hypothesized that, if Ins(1,4,5)P3 signaling (i.e., release of Ins(1,4,5)P3 and subsequent binding to Ins(1,4,5)P3 receptors) contributes to PC-induced cardioprotection, then the reduction of infarct size achieved with PC would be attenuated in mice that are deficient in Ins(1,4,5)P3 receptor protein. To test this concept, hearts were harvested from: (1) B6C3Fe-a/a-Itpr-1opt+/-/J mutants displaying reduced expression of Ins(1,4,5)P3 receptor-1 protein; (2) Itpr-1opt+/+ wild-types from the colony; and (3) C57BL/6J mice. All hearts were buffer-perfused and randomized to receive: 2 5-min episodes of PC ischemia; pretreatment with D-myo-Ins(1,4,5)P3 (sodium salt of native Ins(1,4,5)P3); the mitochondrial KATP channel opener diazoxide; or no intervention (controls). After the treatment phase, all hearts underwent 30 min global ischemia followed by 2 hours of reperfusion, and infarct size was delineated by tetrazolium staining. In both wild-type and C57BL/6J cohorts, area of necrosis in hearts that received PC, D-myo-Ins(1,4,5)P3 and diazoxide averaged 28-35% of the total LV, significantly smaller than the values of 52-53% seen in controls (p<.05). In contrast, in Itpr-1opt+/- mutants, protection was only seen with diazoxide: neither PC nor D-myo-Ins(1,4,5)P3 limited infarct size (52-58% versus 56% of the LV in mutant-controls). These data provide novel evidence that Ins(1,4,5)P3 signaling contributes to infarct size reduction with preconditioning.







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