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(Circulation Research. 1995;77:611-621.)
© 1995 American Heart Association, Inc.


Articles

Role of Bradykinin in Protection of Ischemic Preconditioning in Rabbit Hearts

Mahiko Goto, Yongge Liu, Xi-Ming Yang, Jeffrey L. Ardell, Michael V. Cohen, James M. Downey

From the Departments of Medicine (M.V.C.) and Physiology, University of South Alabama, College of Medicine, Mobile.

Correspondence to Michael V. Cohen, MD, Department of Physiology, MSB 3050, University of South Alabama, College of Medicine, Mobile, AL 36688.

Abstract Bradykinin receptor activation has been proposed to be involved in ischemic preconditioning. In the present study, we further investigated the role of this agent in preconditioning in both isolated and in situ rabbit hearts. All hearts were subjected to 30 minutes of regional ischemia followed by reperfusion for 2 hours (in vitro hearts) and 3 hours (in situ hearts). Infarct size was measured by tetrazolium staining and expressed as a percentage of the size of the risk zone. Preconditioning in situ hearts with 5 minutes of ischemia and 10 minutes of reperfusion significantly reduced infarct size to 10.2±2.2% of the risk region (P<.0005 versus control infarct size of 36.7±2.6%). Pretreatment with HOE 140 (26 µg/kg), a bradykinin B2 receptor blocker, did not alter infarct size in nonpreconditioned hearts (40.6±5.3% infarction) but abolished protection from ischemic preconditioning (34.1±1.6% infarction). However, when HOE 140 was administered during the initial reflow period following 5 minutes of ischemia, protection was no longer abolished (15.6±3.9% infarction versus 13.3±3.8% without HOE 140, P=NS). Bradykinin infusion in isolated hearts mimicked preconditioning, and protection was not affected by pretreatment with the nitric oxide synthase inhibitor N{omega}-nitro-L-arginine methyl ester or the prostaglandin synthesis inhibitor indomethacin but could be completely abolished by the protein kinase C (PKC) inhibitors polymyxin B and staurosporine as well as by HOE 140. HOE 140 could not block the protection of ischemic preconditioning in isolated hearts. That failure was apparently due to the absence of blood-borne kininogens rather than autonomic nerves. When the preconditioning stimulus in the in situ model was amplified with four cycles of 5-minute ischemia/10-minute reperfusion, HOE 140 pretreatment could no longer block protection (infarct size was 10.7±3.5% versus 6.4±2.0% without HOE 140, P=NS). We propose that bradykinin receptors protect by coupling to PKC as do adenosine receptors, and blockade of either receptor will diminish the total stimulus of PKC below threshold and prevent protection. A more intense preconditioning ischemic stimulus can overcome bradykinin receptor blockade, however, by simply enhancing the amount of adenosine and possibly other agonists released.


Key Words: adenosine • bradykinin • ischemic preconditioning • HOE 140 • protein kinase C




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HeartHome page
D M Yellon and G F Baxter
Protecting the ischaemic and reperfused myocardium in acute myocardial infarction: distant dream or near reality?
Heart, April 1, 2000; 83(4): 381 - 387.
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Am. J. Physiol. Heart Circ. Physiol.Home page
R. D. Rakhit, R. J. Edwards, J. W. Mockridge, A. R. Baydoun, A. W. Wyatt, G. E. Mann, and M. S. Marber
Nitric oxide-induced cardioprotection in cultured rat ventricular myocytes
Am J Physiol Heart Circ Physiol, April 1, 2000; 278(4): H1211 - H1217.
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FASEB J.Home page
S. ZAHLER, C. KUPATT, and B. F. BECKER
Endothelial preconditioning by transient oxidative stress reduces inflammatory responses of cultured endothelial cells to TNF-{alpha}
FASEB J, March 1, 2000; 14(3): 555 - 564.
[Abstract] [Full Text]


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Am. J. Physiol. Renal Physiol.Home page
H. T. Lee and C. W. Emala
Protective effects of renal ischemic preconditioning and adenosine pretreatment: role of A1 and A3 receptors
Am J Physiol Renal Physiol, March 1, 2000; 278(3): F380 - F387.
[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.
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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. Heart Circ. Physiol.Home page
Y.-H. Liu, X.-P. Yang, D. Mehta, M. Bulagannawar, G. M. Scicli, and O. A. Carretero
Role of kinins in chronic heart failure and in the therapeutic effect of ACE inhibitors in kininogen-deficient rats
Am J Physiol Heart Circ Physiol, February 1, 2000; 278(2): H507 - H514.
[Abstract] [Full Text] [PDF]


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Cardiovasc ResHome page
S. Ghosh, N. B Standen, and M. Galinanes
Preconditioning the human myocardium by simulated ischemia: studies on the early and delayed protection
Cardiovasc Res, January 14, 2000; 45(2): 339 - 350.
[Abstract] [Full Text] [PDF]


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Cardiovasc ResHome page
C. E. Ganote and S. C. Armstrong
Adenosine and preconditioning in the rat heart
Cardiovasc Res, January 1, 2000; 45(1): 134 - 140.
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Ann. Thorac. Surg.Home page
L. P. Perrault and P. Menasche
Preconditioning: can nature’s shield be raised against surgical ischemic-reperfusion injury?
Ann. Thorac. Surg., November 1, 1999; 68(5): 1988 - 1994.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
T. Okamura, T. Miura, H. Iwamoto, K. Shirakawa, S. Kawamura, Y. Ikeda, M. Iwatate, and M. Matsuzaki
Ischemic preconditioning attenuates apoptosis through protein kinase C in rat hearts
Am J Physiol Heart Circ Physiol, November 1, 1999; 277(5): H1997 - H2001.
[Abstract] [Full Text] [PDF]


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J Am Coll CardiolHome page
M. A. Leesar, M. F. Stoddard, S. Manchikalapudi, and R. Bolli
Bradykinin-induced preconditioning in patients undergoing coronary angioplasty
J. Am. Coll. Cardiol., September 1, 1999; 34(3): 639 - 650.
[Abstract] [Full Text] [PDF]


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Cardiovasc ResHome page
R. D Rakhit, R. J Edwards, and M. S Marber
Nitric oxide, nitrates and ischaemic preconditioning
Cardiovasc Res, August 15, 1999; 43(3): 621 - 627.
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Am. J. Physiol. Heart Circ. Physiol.Home page
P. B. Anning, B. D. Prendergast, P. A. MacCarthy, A. M. Shah, D. C. Buss, and M. J. Lewis
ATP is involved in myocardial and vascular effects of exogenous bradykinin in ejecting guinea pig heart
Am J Physiol Heart Circ Physiol, August 1, 1999; 277(2): H818 - H825.
[Abstract] [Full Text] [PDF]


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SEMIN CARDIOTHORAC VASC ANESTHHome page
H.-S. V. Chen, S. C. Body, and S. K. Shernan
Myocardial Preconditioning: Characteristics, Mechanisms, and Clinical Applications
Seminars in Cardiothoracic and Vascular Anesthesia, July 1, 1999; 3(2): 85 - 97.
[Abstract] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
S. Shigematsu, S. Ishida, D. C. Gute, and R. J. Korthuis
Bradykinin prevents postischemic leukocyte adhesion and emigration and attenuates microvascular barrier disruption
Am J Physiol Heart Circ Physiol, July 1, 1999; 277(1): H161 - H171.
[Abstract] [Full Text] [PDF]


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Cardiovasc ResHome page
S. Takeo and Y. Nasa
Role of energy metabolism in the preconditioned heart - a possible contribution of mitochondria
Cardiovasc Res, July 1, 1999; 43(1): 32 - 43.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
P. Ping, J. Zhang, X. Cao, R. C. X. Li, D. Kong, X.-L. Tang, Y. Qiu, S. Manchikalapudi, J. A. Auchampach, R. G. Black, et al.
PKC-dependent activation of p44/p42 MAPKs during myocardial ischemia-reperfusion in conscious rabbits
Am J Physiol Heart Circ Physiol, May 1, 1999; 276(5): H1468 - H1481.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
C. P. Baines, G. S. Liu, M. Birincioglu, S. D. Critz, M. V. Cohen, and J. M. Downey
Ischemic preconditioning depends on interaction between mitochondrial KATP channels and actin cytoskeleton
Am J Physiol Heart Circ Physiol, April 1, 1999; 276(4): H1361 - H1368.
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Circ. Res.Home page
P. Ping, H. Takano, J. Zhang, X.-L. Tang, Y. Qiu, R. C. X. Li, S. Banerjee, B. Dawn, Z. Balafonova, and R. Bolli
Isoform-Selective Activation of Protein Kinase C by Nitric Oxide in the Heart of Conscious Rabbits : A Signaling Mechanism for Both Nitric Oxide–Induced and Ischemia-Induced Preconditioning
Circ. Res., March 19, 1999; 84(5): 587 - 604.
[Abstract] [Full Text] [PDF]


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CirculationHome page
S. Hoshida, N. Yamashita, K. Kawahara, T. Kuzuya, and M. Hori
Amelioration by Quinapril of Myocardial Infarction Induced by Coronary Occlusion/Reperfusion in a Rabbit Model of Atherosclerosis : Possible Mechanisms
Circulation, January 26, 1999; 99(3): 434 - 440.
[Abstract] [Full Text] [PDF]


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CirculationHome page
T. Haruna, M. Horie, I. Kouchi, R. Nawada, K. Tsuchiya, M. Akao, H. Otani, T. Murakami, and S. Sasayama
Coordinate Interaction Between ATP-Sensitive K+ Channel and Na+,K+-ATPase Modulates Ischemic Preconditioning
Circulation, December 22, 1998; 98(25): 2905 - 2910.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
T. Miki, T. Miura, R. Bunger, K. Suzuki, J. Sakamoto, and K. Shimamoto
Ecto-5'-nucleotidase is not required for ischemic preconditioning in rabbit myocardium in situ
Am J Physiol Heart Circ Physiol, October 1, 1998; 275(4): H1329 - H1337.
[Abstract] [Full Text] [PDF]


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CirculationHome page
R. Schulz, H. Post, C. Vahlhaus, and G. Heusch
Ischemic Preconditioning in Pigs: A Graded Phenomenon : Its Relation to Adenosine and Bradykinin
Circulation, September 8, 1998; 98(10): 1022 - 1029.
[Abstract] [Full Text] [PDF]


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Cardiovasc ResHome page
C. Weinbrenner, G. S Liu, J. M Downey, and M. V Cohen
Cyclosporine A limits myocardial infarct size even when administered after onset of ischemia
Cardiovasc Res, June 1, 1998; 38(3): 676 - 684.
[Abstract] [Full Text] [PDF]


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CirculationHome page
R. A. Kloner, R. Bolli, E. Marban, L. Reinlib, and E. Braunwald
Medical and Cellular Implications of Stunning, Hibernation, and Preconditioning : An NHLBI Workshop
Circulation, May 19, 1998; 97(18): 1848 - 1867.
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Am. J. Physiol. Regul. Integr. Comp. Physiol.Home page
D. R. Meldrum
Tumor necrosis factor in the heart
Am J Physiol Regulatory Integrative Comp Physiol, March 1, 1998; 274(3): R577 - R595.
[Abstract] [Full Text] [PDF]


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Cardiovasc ResHome page
T. Miura, T. Miura, S. Kawamura, M. Goto, J. Sakamoto, A. Tsuchida, M. Matsuzaki, and K. Shimamoto
Effect of protein kinase C inhibitors on cardioprotection by ischemic preconditioning depends on the number of preconditioning episodes
Cardiovasc Res, March 1, 1998; 37(3): 700 - 709.
[Abstract] [Full Text] [PDF]


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Cardiovasc ResHome page
L. R.C Dekker
Toward the heart of ischemic preconditioning
Cardiovasc Res, January 1, 1998; 37(1): 14 - 20.
[Full Text] [PDF]


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Cardiovasc ResHome page
D. M Yellon, G. F Baxter, D. Garcia-Dorado, G. Heusch, and M. S Sumeray
Ischaemic preconditioning: present position and future directions
Cardiovasc Res, January 1, 1998; 37(1): 21 - 33.
[Abstract] [Full Text] [PDF]


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Cardiovasc ResHome page
J. Starkopf, T. V Andreasen, E. Bugge, and K. Ytrehus
Lipid peroxidation, arachidonic acid and products of the lipoxygenase pathway in ischaemic preconditioning of rat heart
Cardiovasc Res, January 1, 1998; 37(1): 66 - 75.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
Y. Qiu, A. Rizvi, X.-L. Tang, S. Manchikalapudi, H. Takano, A. K. Jadoon, W.-J. Wu, and R. Bolli
Nitric oxide triggers late preconditioning against myocardial infarction in conscious rabbits
Am J Physiol Heart Circ Physiol, December 1, 1997; 273(6): H2931 - H2936.
[Abstract] [Full Text] [PDF]