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Circulation Research. 1992;70:223-233

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Circulation Research, Vol 70, 223-233, Copyright © 1992 by American Heart Association


ARTICLES

Blockade of ATP-sensitive potassium channels prevents myocardial preconditioning in dogs

GJ Gross and JA Auchampach
Department of Pharmacology and Toxicology, Medical College of Wisconsin, Milwaukee 53226.

Single or multiple brief periods of ischemia (preconditioning) have been shown to protect the myocardium from infarction after a subsequent more prolonged ischemic insult. To test the hypothesis that preconditioning is the result of opening ATP-sensitive potassium (KATP) channels, a selective KATP channel antagonist, glibenclamide, was administered before or immediately after preconditioning in barbital- anesthetized open-chest dogs subjected to 60 minutes of left circumflex coronary artery (LCX) occlusion followed by 5 hours of reperfusion. Preconditioning was elicited by 5 minutes of LCX occlusion followed by 10 minutes of reperfusion before the 60-minute occlusion period. Glibenclamide (0.3 mg/kg i.v.) or vehicle was given 10 minutes before the initial ischemic insult in each of four groups. In a fifth group, glibenclamide was administered immediately after preconditioning. In a final series (group 6), a selective potassium channel opener, RP 52891 (10 micrograms/kg bolus and 0.1 micrograms/mg/min i.v.) was started 10 minutes before occlusion and continued throughout reperfusion. Transmural myocardial blood flow was measured at 30 minutes of occlusion, and infarct size was determined by triphenyltetrazolium staining and expressed as a percent of the area at risk. There were no significant differences in hemodynamics, collateral blood flow, or area at risk between groups. The ratio of infarct size to area at risk in the control group (28 +/- 6%) was not different from the group pretreated with glibenclamide in the absence of preconditioning (31 +/- 6%). Preconditioning produced a marked reduction (p less than 0.002) in infarct size (28 +/- 6% to 6 +/- 2%), whereas glibenclamide administered before or immediately after preconditioning completely abolished the protective effect (28 +/- 6% and 30 +/- 8%, respectively). RP 52891 also produced a significant (p less than 0.03) reduction (28 +/- 6% to 13 +/- 3%) in infarct size. These results suggest that myocardial preconditioning in the canine heart is mediated by activation of KATP channels and that these channels may serve an endogenous myocardial protective role.


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B. P. Lipton, J. B. Delcarpio, and K. H. McDonough
Effects of Endotoxin on Neutrophil-Mediated Ischemia/Reperfusion Injury in the Rat Heart In Vivo
Experimental Biology and Medicine, April 1, 2001; 226(4): 320 - 327.
[Abstract] [Full Text]


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Diabetes CareHome page
P. Spallarossa, M. Schiavo, P. Rossettin, S. Cordone, L. Olivotti, R. Cordera, and C. Brunelli
Sulfonylurea Treatment of Type 2 Diabetic Patients Does Not Reduce the Vasodilator Response to Ischemia
Diabetes Care, April 1, 2001; 24(4): 738 - 742.
[Abstract] [Full Text]


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Physiol. Rev.Home page
G. Vassort
Adenosine 5'-Triphosphate: a P2-Purinergic Agonist in the Myocardium
Physiol Rev, April 1, 2001; 81(2): 767 - 806.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
J. R. Kersten, M. W. Montgomery, T. Ghassemi, E. R. Gross, W. G. Toller, P. S. Pagel, and D. C. Warltier
Diabetes and hyperglycemia impair activation of mitochondrial KATP channels
Am J Physiol Heart Circ Physiol, April 1, 2001; 280(4): H1744 - H1750.
[Abstract] [Full Text] [PDF]


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Cardiovasc ResHome page
K. Mackay and D. Mochly-Rosen
Arachidonic acid protects neonatal rat cardiac myocytes from ischaemic injury through {epsilon} protein kinase C
Cardiovasc Res, April 1, 2001; 50(1): 65 - 74.
[Abstract] [Full Text] [PDF]


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J Am Coll CardiolHome page
P. Bogaty, J. G. Kingma, J. Guimond, P. Poirier, L. Boyer, L. Charbonneau, and G. R. Dagenais
Myocardial perfusion imaging findings and the role of adenosine in the warm-up angina phenomenon
J. Am. Coll. Cardiol., February 1, 2001; 37(2): 463 - 469.
[Abstract] [Full Text] [PDF]


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Ann. Thorac. Surg.Home page
Z. Ren, Q. Yang, H. S. Floten, A. P. Furnary, A. P.C. Yim, and G.-W. He
ATP-sensitive potassium channel openers may mimic the effects of hypoxic preconditioning on the coronary artery
Ann. Thorac. Surg., February 1, 2001; 71(2): 642 - 647.
[Abstract] [Full Text] [PDF]


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Anesth. Analg.Home page
E. R. Gross, M. Gare, W. G. Toller, J. R. Kersten, D. C. Warltier, and P. S. Pagel
Ethanol Enhances the Functional Recovery of Stunned Myocardium Independent of KATP Channels in Dogs
Anesth. Analg., February 1, 2001; 92(2): 299 - 305.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
S. Sanada, M. Kitakaze, H. Asanuma, K. Harada, H. Ogita, K. Node, S. Takashima, Y. Sakata, M. Asakura, Y. Shinozaki, et al.
Role of mitochondrial and sarcolemmal KATP channels in ischemic preconditioning of the canine heart
Am J Physiol Heart Circ Physiol, January 1, 2001; 280(1): H256 - H263.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
G.-Y. Wang, S. Wu, J.-M. Pei, X.-C. Yu, and T.-M. Wong
{kappa}- but not {delta}-opioid receptors mediate effects of ischemic preconditioning on both infarct and arrhythmia in rats
Am J Physiol Heart Circ Physiol, January 1, 2001; 280(1): H384 - H391.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
Y. Toyoda, I. Friehs, R. A. Parker, S. Levitsky, and J. D. McCully
Differential role of sarcolemmal and mitochondrial KATP channels in adenosine-enhanced ischemic preconditioning
Am J Physiol Heart Circ Physiol, December 1, 2000; 279(6): H2694 - H2703.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
H. Takano, X.-L. Tang, and R. Bolli
Differential role of KATP channels in late preconditioning against myocardial stunning and infarction in rabbits
Am J Physiol Heart Circ Physiol, November 1, 2000; 279(5): H2350 - H2359.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
P. S. Pagel, W. G. Toller, E. R. Gross, M. Gare, J. R. Kersten, and D. C. Warltier
KATP channels mediate the beneficial effects of chronic ethanol ingestion
Am J Physiol Heart Circ Physiol, November 1, 2000; 279(5): H2574 - H2579.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
W. Tang, M. H. Weil, S. Sun, A. Pernat, and E. Mason
KATP channel activation reduces the severity of postresuscitation myocardial dysfunction
Am J Physiol Heart Circ Physiol, October 1, 2000; 279(4): H1609 - H1615.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
W. G. Pyle, T. D. Smith, and P. A. Hofmann
Cardioprotection with kappa -opioid receptor stimulation is associated with a slowing of cross-bridge cycling
Am J Physiol Heart Circ Physiol, October 1, 2000; 279(4): H1941 - H1948.
[Abstract] [Full Text] [PDF]


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Circ. Res.Home page
G. J. Gross and R. M. Fryer
Mitochondrial KATP Channels : Triggers or Distal Effectors of Ischemic or Pharmacological Preconditioning?
Circ. Res., September 15, 2000; 87(6): 431 - 433.
[Full Text] [PDF]


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Circ. Res.Home page
T. Pain, X.-M. Yang, S. D. Critz, Y. Yue, A. Nakano, G. S. Liu, G. Heusch, M. V. Cohen, and J. M. Downey
Opening of Mitochondrial KATP Channels Triggers the Preconditioned State by Generating Free Radicals
Circ. Res., September 15, 2000; 87(6): 460 - 466.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
E. J. Tanhehco, K. Yasojima, P. L. McGeer, E. G. McGeer, and B. R. Lucchesi
Preconditioning reduces myocardial complement gene expression in vivo
Am J Physiol Heart Circ Physiol, September 1, 2000; 279(3): H1157 - H1165.
[Abstract] [Full Text] [PDF]


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CirculationHome page
T. Zhao, L. Xi, J. Chelliah, J. E. Levasseur, and R. C. Kukreja
Inducible Nitric Oxide Synthase Mediates Delayed Myocardial Protection Induced by Activation of Adenosine A1 Receptors : Evidence From Gene-Knockout Mice
Circulation, August 22, 2000; 102(8): 902 - 907.
[Abstract] [Full Text] [PDF]


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CirculationHome page
T. Sato, N. Sasaki, B. O'Rourke, and E. Marban
Adenosine Primes the Opening of Mitochondrial ATP-Sensitive Potassium Channels : A Key Step in Ischemic Preconditioning?
Circulation, August 15, 2000; 102(7): 800 - 805.
[Abstract] [Full Text] [PDF]


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Ann. Thorac. Surg.Home page
G. R. Gaudette, I. B. Krukenkamp, A. E. Saltman, H. Horimoto, and S. Levitsky
Preconditioning with PKC and the ATP-sensitive potassium channels: a codependent relationship
Ann. Thorac. Surg., August 1, 2000; 70(2): 602 - 608.
[Abstract] [Full Text] [PDF]


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Ann. Thorac. Surg.Home page
A. E. Saltman, G. R. Gaudette, S. Levitsky, and I. B. Krukenkamp
Amrinone preconditioning in the isolated perfused rabbit heart
Ann. Thorac. Surg., August 1, 2000; 70(2): 609 - 613.
[Abstract] [Full Text] [PDF]


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J. Pharmacol. Exp. Ther.Home page
R. M. Fryer, A. K. Hsu, H. Nagase, and G. J. Gross
Opioid-Induced Cardioprotection against Myocardial Infarction and Arrhythmias: Mitochondrial versus Sarcolemmal ATP-Sensitive Potassium Channels
J. Pharmacol. Exp. Ther., August 1, 2000; 294(2): 451 - 457.
[Abstract] [Full Text]


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J. Thorac. Cardiovasc. Surg.Home page
B. J. Pomerantz, T. N. Robinson, T. D. Morrell, J. K. Heimbach, A. Banerjee, and A. H. Harken
Selective mitochondrial adenosine triphosphate-sensitive potassium channel activation is sufficient to precondition human myocardium
J. Thorac. Cardiovasc. Surg., August 1, 2000; 120(2): 387 - 392.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Regul. Integr. Comp. Physiol.Home page
R. A. Hopper, C. R. Forrest, H. Xu, A. Zhong, W. He, J. Rutka, P. Neligan, and C. Y. Pang
Role and mechanism of PKC in ischemic preconditioning of pig skeletal muscle against infarction
Am J Physiol Regulatory Integrative Comp Physiol, August 1, 2000; 279(2): R666 - R676.
[Abstract] [Full Text] [PDF]


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Ann. Thorac. Surg.Home page
M. Kawasuji, M. Ikeda, N. Sakakibara, S. Fujii, S. Tomita, and Y. Watanabe
Near-infrared monitoring of myocardial oxygenation during ischemic preconditioning
Ann. Thorac. Surg., June 1, 2000; 69(6): 1806 - 1810.
[Abstract] [Full Text] [PDF]


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CirculationHome page
T. Sato, N. Sasaki, J. Seharaseyon, B. O'Rourke, and E. Marban
Selective Pharmacological Agents Implicate Mitochondrial but Not Sarcolemmal KATP Channels in Ischemic Cardioprotection
Circulation, May 23, 2000; 101(20): 2418 - 2423.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
J. R. Kersten, W. G. Toller, E. R. Gross, P. S. Pagel, and D. C. Warltier
Diabetes abolishes ischemic preconditioning: role of glucose, insulin, and osmolality
Am J Physiol Heart Circ Physiol, April 1, 2000; 278(4): H1218 - H1224.
[Abstract] [Full Text] [PDF]


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Circ. Res.Home page
T. L. V. Hoek, L. B. Becker, Z.-H. Shao, C.-Q. Li, and P. T. Schumacker
Preconditioning in Cardiomyocytes Protects by Attenuating Oxidant Stress at Reperfusion
Circ. Res., March 17, 2000; 86(5): 541 - 548.
[Abstract] [Full Text] [PDF]


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Eur J Heart FailHome page
H. H. Chen, K. Y. Oh, A. Terzic, and J. C. Burnett Jr.
The modulating actions of sulfonylurea on atrial natriuretic peptide release in experimental acute heart failure
Eur J Heart Fail, March 1, 2000; 2(1): 33 - 40.
[Abstract] [Full Text] [PDF]


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Cardiovasc ResHome page
S. Ghosh, N. B Standen, and M. Galinanes
Evidence for mitochondrial KATP channels as effectors of human myocardial preconditioning
Cardiovasc Res, March 1, 2000; 45(4): 934 - 940.
[Abstract] [Full Text] [PDF]


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J Am Coll CardiolHome page
T. Matsubara, S. Minatoguchi, H. Matsuo, K. Hayakawa, T. Segawa, Y. Matsuno, S. Watanabe, M. Arai, Y. Uno, M. Kawasaki, et al.
Three minute, but not one minute, ischemia and nicorandil have a preconditioning effect in patients with coronary artery disease
J. Am. Coll. Cardiol., February 1, 2000; 35(2): 345 - 351.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Cell Physiol.Home page
W. Matar, T. M. Nosek, D. Wong, and J.-M. Renaud
Pinacidil suppresses contractility and preserves energy but glibenclamide has no effect during muscle fatigue
Am J Physiol Cell Physiol, February 1, 2000; 278(2): C404 - C416.
[Abstract] [Full Text] [PDF]


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Cardiovasc ResHome page
M. Nakamura, N.-P. Wang, Z.-Q. Zhao, J. N Wilcox, V. Thourani, R. A Guyton, and J. Vinten-Johansen
Preconditioning decreases Bax expression, PMN accumulation and apoptosis in reperfused rat heart
Cardiovasc Res, February 1, 2000; 45(3): 661 - 670.
[Abstract] [Full Text] [PDF]