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Circulation Research. 1998;83:110-114

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(Circulation Research. 1998;83:110-114.)
© 1998 American Heart Association, Inc.


Rapid Communications

Modulation of Mitochondrial ATP-Dependent K+ Channels by Protein Kinase C

Toshiaki Sato, Brian O'Rourke, , Eduardo Marbán

From the Section of Molecular and Cellular Cardiology, Department of Medicine, Johns Hopkins University, Baltimore, Md.

Correspondence to Eduardo Marbán, MD, PhD, Section of Molecular and Cellular Cardiology, Department of Medicine, Johns Hopkins University, Ross 844/720 Rutland Ave, Baltimore, MD 21205. E-mail marban{at}welchlink.welch.jhu.edu

Abstract—Pharmacological openers of mitochondrial ATP-dependent K+ (mitoKATP) channels mimic ischemic preconditioning, and such cardioprotection can be prevented by mitoKATP channel blockers. It is also known that protein kinase C (PKC) plays a key role in the induction and maintenance of preconditioning. To look for possible mechanistic links between these 2 sets of observations, we measured mitochondrial matrix redox potential as an index of mitoKATP channel activity in rabbit ventricular myocytes. The mitoKATP channel opener diazoxide (100 µmol/L) partially oxidized the matrix redox potential. Exposure to phorbol 12-myristate 13-acetate (PMA, 100 nmol/L) potentiated and accelerated the effect of diazoxide. These effects of PMA were blocked by the mitoKATP channel blocker 5-hydroxydecanoate, which we verified to be a selective blocker of the mitoKATP channel in simultaneous recordings of membrane current and flavoprotein fluorescence. The inactive control compound 4{alpha}-phorbol (100 nmol/L) did not alter the effects of diazoxide. We conclude that the activity of mitoKATP channels can be regulated by PKC in intact heart cells. Potentiation of mitoKATP channel opening by PKC provides a direct mechanistic link between the signal transduction of ischemic preconditioning and pharmacological cardioprotection targeted at ATP-dependent K+ channels.


Key Words: diazoxide • preconditioning • protein kinase C • mitochondria • 5-hydroxydecanoate




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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.
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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.
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Cardiovasc ResHome page
M. Tani, Y. Honma, H. Hasegawa, and K. Tamaki
Direct activation of mitochondrial KATP channels mimics preconditioning but protein kinase C activation is less effective in middle-aged rat hearts
Cardiovasc Res, January 1, 2001; 49(1): 56 - 68.
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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.
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Cardiovasc ResHome page
S. Ghosh, L. L Ng, S. Talwar, I. B Squire, and M. Galinanes
Cardiotrophin-1 protects the human myocardium from ischemic injury: Comparison with the first and second window of protection by ischemic preconditioning
Cardiovasc Res, December 1, 2000; 48(3): 440 - 447.
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J. Physiol.Home page
B. O'Rourke
Pathophysiological and protective roles of mitochondrial ion channels
J. Physiol., November 15, 2000; 529(1): 23 - 36.
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Circ. Res.Home page
B. O'Rourke
Myocardial KATP Channels in Preconditioning
Circ. Res., November 10, 2000; 87(10): 845 - 855.
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Am. J. Physiol. Heart Circ. Physiol.Home page
S. Okubo, N. L. Bernardo, G. T. Elliott, M. L. Hess, and R. C. Kukreja
Tyrosine kinase signaling in action potential shortening and expression of HSP72 in late preconditioning
Am J Physiol Heart Circ Physiol, November 1, 2000; 279(5): H2269 - H2276.
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Am. J. Physiol. Heart Circ. Physiol.Home page
Q. Zhang and Z. Yao
Flumazenil preconditions cardiomyocytes via oxygen radicals and KATP channels
Am J Physiol Heart Circ Physiol, October 1, 2000; 279(4): H1858 - H1863.
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Circ. Res.Home page
M. Kitakaze, K. Node, H. Asanuma, S. Takashima, Y. Sakata, M. Asakura, S. Sanada, Y. Shinozaki, H. Mori, T. Kuzuya, et al.
Protein Tyrosine Kinase Is Not Involved in the Infarct Size-Limiting Effect of Ischemic Preconditioning in Canine Hearts
Circ. Res., August 18, 2000; 87(4): 303 - 308.
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Circ. Res.Home page
H. Tong, W. Chen, C. Steenbergen, and E. Murphy
Ischemic Preconditioning Activates Phosphatidylinositol-3-Kinase Upstream of Protein Kinase C
Circ. Res., August 18, 2000; 87(4): 309 - 315.
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J. Physiol.Home page
M. Hoy, H. L Olsen, K. Bokvist, K. Buschard, S. Barg, P. Rorsman, and J. Gromada
Tolbutamide stimulates exocytosis of glucagon by inhibition of a mitochondrial-like ATP-sensitive K+ (KATP) conductance in rat pancreatic A-cells
J. Physiol., August 15, 2000; 527(1): 109 - 120.
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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
D. Belhomme, J. Peynet, E. Florens, O. Tibourtine, M. Kitakaze, and P. Menasche
Is adenosine preconditioning truly cardioprotective in coronary artery bypass surgery?
Ann. Thorac. Surg., August 1, 2000; 70(2): 590 - 594.
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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.
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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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CirculationHome page
T. Miki, T. Miura, A. Tsuchida, A. Nakano, T. Hasegawa, T. Fukuma, and K. Shimamoto
Cardioprotective Mechanism of Ischemic Preconditioning Is Impaired by Postinfarct Ventricular Remodeling Through Angiotensin II Type 1 Receptor Activation
Circulation, July 25, 2000; 102(4): 458 - 463.
[Abstract] [Full Text] [PDF]


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Proc. Natl. Acad. Sci. USAHome page
P. E. Light, C. Bladen, R. J. Winkfein, M. P. Walsh, and R. J. French
Molecular basis of protein kinase C-induced activation of ATP-sensitive potassium channels
PNAS, July 19, 2000; (2000) 160068997.
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J. Biol. Chem.Home page
J. Seharaseyon, N. Sasaki, A. Ohler, T. Sato, H. Fraser, D. C. Johns, B. O'Rourke, and E. Marban
Evidence against Functional Heteromultimerization of the KATP Channel Subunits Kir6.1 and Kir6.2
J. Biol. Chem., June 2, 2000; 275(23): 17561 - 17565.
[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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Cardiovasc ResHome page
E. J. Griffiths
Mitochondria -- potential role in cell life and death
Cardiovasc Res, April 1, 2000; 46(1): 24 - 27.
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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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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. Sato, N. Sasaki, B. O'Rourke, and E. Marban
Nicorandil, a potent cardioprotective agent, acts by opening mitochondrial ATP-dependent potassium channels
J. Am. Coll. Cardiol., February 1, 2000; 35(2): 514 - 518.
[Abstract] [Full Text] [PDF]


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CirculationHome page
N. Sasaki, T. Sato, A. Ohler, B. O’Rourke, and E. Marban
Activation of Mitochondrial ATP-Dependent Potassium Channels by Nitric Oxide
Circulation, February 1, 2000; 101(4): 439 - 445.
[Abstract] [Full Text] [PDF]


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J Am Coll CardiolHome page
T. Miura, Y. Liu, H. Kita, T. Ogawa, and K. Shimamoto
Roles of mitochondrial ATP-sensitive K channels and PKC in anti-infarct tolerance afforded by adenosine A1 receptor activation
J. Am. Coll. Cardiol., January 1, 2000; 35(1): 238 - 245.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
R. M. Fryer, J. T. Eells, A. K. Hsu, M. M. Henry, and G. J. Gross
Ischemic preconditioning in rats: role of mitochondrial KATP channel in preservation of mitochondrial function
Am J Physiol Heart Circ Physiol, January 1, 2000; 278(1): H305 - H312.
[Abstract] [Full Text] [PDF]


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Circ. Res.Home page
T. Sato
Signaling in Late Preconditioning : Involvement of Mitochondrial KATP Channels
Circ. Res., December 3, 1999; 85(12): 1113 - 1114.
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Am. J. Physiol. Heart Circ. Physiol.Home page
R. Ockaili, V. R. Emani, S. Okubo, M. Brown, K. Krottapalli, and R. C. Kukreja
Opening of mitochondrial KATP channel induces early and delayed cardioprotective effect: role of nitric oxide
Am J Physiol Heart Circ Physiol, December 1, 1999; 277(6): H2425 - H2434.
[Abstract] [Full Text] [PDF]


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StrokeHome page
F. Domoki, J. V. Perciaccante, R. Veltkamp, F. Bari, D. W. Busija, and R. M. Bryan Jr
Mitochondrial Potassium Channel Opener Diazoxide Preserves Neuronal-Vascular Function After Cerebral Ischemia in Newborn Pigs • Editorial Comment
Stroke, December 1, 1999; 30(12): 2713 - 2719.
[Abstract] [Full Text] [PDF]


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CirculationHome page
D. Belhomme, J. Peynet, M. Louzy, J.-M. Launay, M. Kitakaze, and P. Menasche
Evidence for Preconditioning by Isoflurane in Coronary Artery Bypass Graft Surgery
Circulation, November 9, 1999; 100 (2009): II-340 - II-344.
[Abstract] [Full Text] [PDF]