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Circulation Research. 2000;86:921-922

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(Circulation Research. 2000;86:921.)
© 2000 American Heart Association, Inc.


Editorials

Role of p38 Mitogen-Activated Protein Kinases in Preconditioning

A Detrimental Factor or a Protective Kinase?

Peipei Ping, Elizabeth Murphy

From the Departments of Medicine/Division of Cardiology and Physiology and Biophysics (P.P.), University of Louisville, and Jewish Hospital Heart and Lung Institute (P.P.), Louisville, Ky; and Laboratory of Molecular Carcinogenesis, National Institute of Environmental Health Sciences (E.M.), Research Triangle Park, NC.

Correspondence to Peipei Ping, PhD, 570 South Preston St, 1st Floor North, Room 122, Cardiology Research, University of Louisville, Louisville, KY 40202-1783. E-mail ping@ntr.net


Key Words: cardioprotection • kinases • signal transduction


*    Introduction
 
Preconditioning, the phenomenon whereby brief episodes of ischemia or pharmacological agents protect the myocardium against subsequent ischemic injury, consists of an early and a late phase.1 The early phase develops immediately and disappears within 1 to 2 hours of ischemic preconditioning stimulus, whereas the late phase, also known as the "second window" of protection, becomes manifest after 12 to 24 hours and lasts for 3 to 4 days. An understanding of the signaling mechanisms that trigger and mediate this cardioprotective phenomenon would have vast physiological and pathological implications. Accordingly, many recent studies have focused on the characterization and delineation of the signal transduction pathways (molecules) underlying the development and manifestation of both the early and late phases of preconditioning. The general hypothesis is that the preconditioning stimulus will induce the activation of a cascade of stress-responsive kinases, which in turn transduce the stress signal into the generation of a protective protein or activation of a protective kinase. In this context, the p38 mitogen-activated protein kinases (MAPKs), a family of stress-activated MAPKs,2 3 have been examined as the candidate kinases during preconditioning.

In this issue of Circulation Research, Dana et al4 report that the adenosine A1 agonist 2-chloro-N6-cyclopentyladenosine (CCPA) induces a late phase of preconditioning in rabbit hearts. Twenty-four hours after the transient activation of the adenosine A1 receptor, the myocardium exhibited a significant rise in the activity of p38 MAPK. The increased p38 MAPK activity was completely abolished when the infarct-sparing effect of CCPA was abrogated by either . . . [Full Text of this Article]




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