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Articles in PresS, published online ahead of print March 7, 2002
Am J Physiol Heart Circ Physiol, 10.1152/ajpheart.01040.2001
Submitted on November 30, 2001
Accepted on March 4, 2002
1 Division of Pediatric Surgery, Medical College of Wisconsin, Milwaukee, WI, USA
2 Department of Pharmacology & Toxicology, Medical College of Wisconsin, Milwaukee, WI, USA
3 Department of Anesthesiology, Medical College of Wisconsin, Milwaukee, WI, USA
4 Division of Cardiothoracic Surgery, Medical College of Wisconsin, Milwaukee, WI, USA; Section of Cardiothoracic Surgery, Children's Hospital of Wisconsin, Milwaukee, WI, USA
5 Department of Surgery, Medical College of Wisconsin, Milwaukee, WI, USA
6 Division of Pediatric Surgery, Medical College of Wisconsin, Milwaukee, WI, USA; Department of Pharmacology & Toxicology, Medical College of Wisconsin, Milwaukee, WI, USA
* To whom correspondence should be addressed. E-mail: jbaker{at}mcw.edu.
Isoflurane mimics the cardioprotective effect of acute ischemic preconditioning with an acute memory phase. We determined if isoflurane can induce delayed cardioprotection, the involvement of ATP-sensitive potassium (KATP) channels and cellular location of the channels. New Zealand White rabbits at 7-10 days of age (n=5-16/group) were exposed to 1% isoflurane/100% oxygen for 2 hours. Hearts exposed 2 hours to 100% oxygen served as untreated controls. Twenty-four hours later resistance to myocardial ischemia was determined using an isolated perfused heart model. Isoflurane significantly reduced infarct size/area at risk (mean±SD) by 50% (10±5%) versus untreated controls (20±6%). Isoflurane increased recovery of pre-ischemic left ventricular developed pressure by 28% (69±4%) versus untreated controls (54±6%). The mitochondrial KATP channel blocker 5-HD completely (55±3%) and the sarcolemmal KATP channel blocker HMR partially (62±3%) attenuated the cardioprotective effects of isoflurane. The combination of 5-HD and HMR1098 completely abolished the cardioprotective effect of isoflurane (56±5%). We conclude that both mitochondrial and sarcolemmal KATP channels contribute to isoflurane induced delayed cardioprotection.
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