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Am J Physiol Heart Circ Physiol (August 26, 2004). doi:10.1152/ajpheart.00600.2004
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Submitted on June 16, 2004
Accepted on August 5, 2004

Acetylcholine and bradykinin trigger preconditioning in the heart through a pathway that includes Akt and NOS

Thomas Krieg1, Qining Qin1, Sebastian Philipp1, Mikhail F Alexeyev2, Michael V Cohen3*, and James M Downey1

1 Physiology, University of South Alabama, Mobile, AL, USA
2 Pharmacology, University of South Alabama, Mobile, AL, USA
3 Physiology, University of South Alabama, Mobile, AL, USA; Medicine, University of South Alabama, Mobile, AL, USA

* To whom correspondence should be addressed. E-mail: mcohen{at}usouthal.edu.

In the rabbit heart bradykinin and acetylcholine (ACh) trigger preconditioning by a mechanism involving KATP channel-dependent production of reactive oxygen species (ROS). Recent evidence indicates that the pathway by which bradykinin causes ROS generation includes nitric oxide synthase (NOS) and protein kinase G (PKG). On the other hand, Akt was shown to be essential for ACh to generate ROS. This study determines whether these two G-coupled receptor agonists indeed have similar signaling targets, i.e., whether Akt is involved in bradykinin's pathway and whether NOS and PKG are involved in ACh's pathway. Isolated adult rabbit cardiomyocytes were incubated for 15 minutes in reduced MitoTracker Red which becomes fluorescent only after exposure to ROS. Bradykinin (400nM) and ACh (250µM) caused a 51.4±14.8% and 39.8±11.7% increase, resp., in ROS production (p< 0.005). Co-incubation of either agonist with Akt inhibitor (20µM) or infecting the cells with an adenovirus containing a dominant-negative Akt abolished this increase. The NO donor S-nitroso N-acetyl penicillamine (SNAP) (1µM) also increased the ROS signal by 40.8±15.7%, but this increase was unaffected by Akt inhibitor (39.0±6.4%), implying that Akt is upstream of NOS. ACh-induced ROS production could be abolished by either of the NOS inhibitors N{omega}-monomethyl-L-arginine monoacetate (L-NMMA, 100µM) or N5-(1-iminoethyl)-L-ornithine dihydrochloride (L-NIO, 5µM). L-NIO also blocked the anti-infarct effect of ACh (550µM) in isolated rabbit hearts exposed to 30 minutes of regional ischemia. We conclude that both bradykinin and ACh trigger ROS generation by sequentially activating Akt and NOS.




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