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Am J Physiol Heart Circ Physiol (December 9, 2005). doi:10.1152/ajpheart.00772.2005
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Submitted on July 21, 2005
Accepted on November 30, 2005

Nitric oxide-cGMP-protein kinase G signaling pathway induces anoxic preconditioning through activation of ATP-sensitive K+ channels in rat hearts

Van Cuong Dang1, Nari Kim1, Jae Boum Youm1, Hyun Joo1, Mohamad Warda1, Jae-Hwa Lee2, Won Sun Park1, Taeho Kim1, Sunghyun Kang1, Hyungkyu Kim1, and Jin Han1*

1 Department of Physiology and Biophysics, College of Medicine, Inje University, Busan, Korea, Republic of
2 Department of Pharmaceutical Engineering, Silla University, Busan, Korea, Republic of

* To whom correspondence should be addressed. E-mail: phyhanj{at}ijnc.inje.ac.kr.

Nitric oxide (NO) plays an important role in anoxic preconditioning to protect the heart against ischemia/reperfusion (I/R) injuries. The present work was performed to study better the NO-cGMP-PKG signaling pathway in the activation of both sarcolemmal and mitochondrial ATP-sensitive K+ (KATP) channels during anoxic preconditioning (APC) and final influence on reducing anoxia/reperfusion (A/R)-induced cardiac damage in rat hearts. The upstream regulating elements controlling NO-cGMP-PKG signal-induced KATP channel opening that leads to cardioprotection were investigated. The involvement of both inducible and endothelial NO synthases (iNOS, eNOS) in the progression of this signaling pathway was followed. Final cellular outcomes of ischemia-induced injury after different preconditioning in the form of LDH release, DNA strand breaks and MDA formation in rat hearts as indices of cell injury and lipid peroxidation, respectively, were investigated. The LDH and MDA values decreased in the groups that underwent three, 5-min preconditioning periods with pinacidil (50 µM), diazoxide (100 µM), S-nitroso-N-acetylpenicillamine (SNAP, 300 µM), or phenyl-1,N2-etheno-8-bromo guanosine-3',5'-cyclic monophosphorothioate, Sp-isomer (Sp-8-Br-PET-cGMPS, 10 µM) prior to the A/R period. Preconditioning with SNAP significantly reduced the DNA damage. The effect was blocked by the presence of glibenclamide (50 µM), 5-hydroxydecanoate (5-HD, 100 µM), N(G)-nitro-L-arginine methyl ester (L-NAME, 200 µM), and phenyl-1,N2-etheno-8-bromoguanosine-3',5'-cyclic monophosphorothioate, Rp-isomer (Rp-8-Br-PET-cGMPS, 1 µM). The results suggest iNOS, rather than eNOS, as major contributing NO synthase during APC treatment. Moreover, the PKG shows priority over NO as upstream regulator of NO-cGMP-PKG signal-induced KATP channel opening that leads to cardioprotection during APC treatment.




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