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Circulation Research. 1999;84:587-604

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*(D)-PENICILLAMINE
*DIETHYLENETRIAMINE
*NITRIC OXIDE
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(Circulation Research. 1999;84:587-604.)
© 1999 American Heart Association, Inc.


Original Contribution

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

Peipei Ping, Hitoshi Takano, Jun Zhang, Xian-Liang Tang, Yumin Qiu, Richard C. X. Li, Supratim Banerjee, Buddhadeb Dawn, Zarema Balafonova, Roberto Bolli

From the Experimental Research Laboratory (P.P., H.T., J.Z., X-L.T., Y.Q., R.C.X.L., S.B., B.D., Z.B., R.B), Division of Cardiology, and the Department of Physiology and Biophysics (P.P., Z.B., R.B.), University of Louisville, and Jewish Hospital Heart and Lung Institute, Louisville, Ky.

Correspondence to Peipei Ping, PhD, 511 S Floyd St, MDR Bldg, Room 526, Departments of Physiology and Biophysics, Medicine/Division of Cardiology, University of Louisville, Louisville, KY 40202. E-mail ping{at}ntr.net

Abstract—Although isoform-selective translocation of protein kinase C (PKC) {epsilon} appears to play an important role in the late phase of ischemic preconditioning (PC), the mechanism(s) responsible for such translocation remains unclear. Furthermore, the signaling pathway that leads to the development of late PC after exogenous administration of NO in the absence of ischemia (NO donor–induced late PC) is unknown. In the present study we tested the hypothesis that NO activates PKC and that this is the mechanism for the development of both ischemia-induced and NO donor–induced late PC. A total of 95 chronically instrumented, conscious rabbits were used. In rabbits subjected to ischemic PC (six 4-minute occlusion/4-minute reperfusion cycles), administration of the NO synthase inhibitor N{omega}-nitro-L-arginine (group III), at doses previously shown to block the development of late PC, completely blocked the ischemic PC–induced translocation of PKC{epsilon} but not of PKC{eta}, indicating that increased formation of NO is an essential mechanism whereby brief ischemia activates the {epsilon} isoform of PKC. Conversely, a translocation of PKC{epsilon} and -{eta} quantitatively similar to that induced by ischemic PC could be reproduced pharmacologically with the administration of 2 structurally unrelated NO donors, diethylenetriamine/NO (DETA/NO) and S-nitroso-N-acetylpenicillamine (SNAP), at doses previously shown to elicit a late PC effect. The particulate fraction of PKC{epsilon} increased from 35±2% of total in the control group (group I) to 60±1% after ischemic PC (group II) (P<0.05), to 54±2% after SNAP (group IV) (P<0.05) and to 52±2% after DETA/NO (group V) (P<0.05). The particulate fraction of PKC{eta} rose from 66±5% in the control group to 86±3% after ischemic PC (P<0.05), to 88±2% after SNAP (P<0.05) and to 85±1% after DETA/NO (P<0.05). Neither ischemic PC nor NO donors had any appreciable effect on the subcellular distribution of PKC{alpha}, -ß1, -ß2, -{gamma}, -{delta}, -µ, or -{iota}/{lambda}; on total PKC activity; or on the subcellular distribution of total PKC activity. Thus, the effects of SNAP and DETA/NO on PKC closely resembled those of ischemic PC. The DETA/NO–induced translocation of PKC{epsilon} (but not that of PKC{eta}) was completely prevented by the administration of the PKC inhibitor chelerythrine at a dose of 5 mg/kg (group VI) (particulate fraction of PKC{epsilon}, 38±4% of total, P<0.05 versus group V; particulate fraction of PKC{eta}, 79±2% of total). The same dose of chelerythrine completely prevented the DETA/NO–induced late PC effect against both myocardial stunning (groups VII through X) and myocardial infarction (groups XI through XV), indicating that NO donors induce late PC by activating PKC and that among the 10 isozymes of PKC expressed in the rabbit heart, the {epsilon} isotype is specifically involved in the development of this form of pharmacological PC. In all groups examined (groups I through VI), the changes in the subcellular distribution of PKC{epsilon} protein were associated with parallel changes in PKC{epsilon} isoform–selective activity, whereas total PKC activity was not significantly altered. Taken together, the results provide direct evidence that isoform-selective activation of PKC{epsilon} is a critical step in the signaling pathway whereby NO initiates the development of a late PC effect both after an ischemic stimulus (endogenous NO) and after treatment with NO-releasing agents (exogenous NO). To our knowledge, this is also the first report that NO can activate PKC in the heart. The finding that NO can promote isoform-specific activation of PKC identifies a new biological function of this radical and a new mechanism in the signaling cascade of ischemic PC and may also have important implications for other pathophysiological conditions in which NO is involved and for nitrate therapy.


Key Words: diethylenetriamine • nitric oxide • S-nitroso-N-acetylpenicillamine • N{omega}-nitro-L-arginine • protein kinase C {epsilon} isoform • translocation




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E. Kodani, K. Shinmura, Y.-T. Xuan, H. Takano, J. A. Auchampach, X.-L. Tang, and R. Bolli
Cyclooxygenase-2 does not mediate late preconditioning induced by activation of adenosine A1 or A3 receptors
Am J Physiol Heart Circ Physiol, August 1, 2001; 281(2): H959 - H968.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
H. Liu, B. C. McPherson, X. Zhu, M. L. A. Da Costa, V. Jeevanandam, and Z. Yao
Role of nitric oxide and protein kinase C in ACh-induced cardioprotection
Am J Physiol Heart Circ Physiol, July 1, 2001; 281(1): H191 - H197.
[Abstract] [Full Text] [PDF]


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J CARDIOVASC PHARMACOL THERHome page
R. Moudgil, Y. Xu, V. Menon, and B. I. Jugdutt
Effect of Chronic AT1 Receptor Antagonism on Postischemic Functional Recovery and AT1/AT2 Receptor Proteins in Isolated Working Rat Hearts
Journal of Cardiovascular Pharmacology and Therapeutics, June 1, 2001; 6(2): 183 - 188.
[Abstract] [PDF]


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Journal of Renin-Angiotensin-Aldosterone SystemHome page
B. I Jugdutt and M. Balghith
Enhanced regional AT2-receptor and PKC{varepsilon} expression during cardioprotection induced by AT1-receptor blockade after reperfused myocardial infarction
Journal of Renin-Angiotensin-Aldosterone System, June 1, 2001; 2(2): 134 - 140.
[Abstract] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
S. A. Gabel, R. E. London, C. D. Funk, C. Steenbergen, and E. Murphy
Leukocyte-type 12-lipoxygenase-deficient mice show impaired ischemic preconditioning-induced cardioprotection
Am J Physiol Heart Circ Physiol, May 1, 2001; 280(5): H1963 - H1969.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
T. M. Vondriska, J. B. Klein, and P. Ping
Use of functional proteomics to investigate PKC{epsilon}-mediated cardioprotection: the signaling module hypothesis
Am J Physiol Heart Circ Physiol, April 1, 2001; 280(4): H1434 - H1441.
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Am. J. Physiol. Heart Circ. Physiol.Home page
J. M. Pass, Y. Zheng, W. B. Wead, J. Zhang, R. C. X. Li, R. Bolli, and P. Ping
PKC{epsilon} activation induces dichotomous cardiac phenotypes and modulates PKC{epsilon}-RACK interactions and RACK expression
Am J Physiol Heart Circ Physiol, March 1, 2001; 280(3): H946 - H955.
[Abstract] [Full Text] [PDF]


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Circ. Res.Home page
P. Andreka, J. Zang, C. Dougherty, T. I. Slepak, K. A. Webster, and N. H. Bishopric
Cytoprotection by Jun Kinase During Nitric Oxide-Induced Cardiac Myocyte Apoptosis
Circ. Res., February 16, 2001; 88(3): 305 - 312.
[Abstract] [Full Text] [PDF]


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J Am Coll CardiolHome page
M. Krenz, C. P. Baines, X.-M. Yang, G. Heusch, M. V. Cohen, and J. M. Downey
Acute ethanol exposure fails to elicit preconditioning-like protection in in situ rabbit hearts because of its continued presence during ischemia
J. Am. Coll. Cardiol., February 1, 2001; 37(2): 601 - 607.
[Abstract] [Full Text] [PDF]


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Ann. Thorac. Surg.Home page
J. Feng, H. Li, and E. R. Rosenkranz
Bradykinin protects the rabbit heart after cardioplegic ischemia via NO-dependent pathways
Ann. Thorac. Surg., December 1, 2000; 70(6): 2119 - 2124.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
A. Lochner, E. Marais, S. Genade, and J. A. Moolman
Nitric oxide: a trigger for classic preconditioning?
Am J Physiol Heart Circ Physiol, December 1, 2000; 279(6): H2752 - H2765.
[Abstract] [Full Text] [PDF]


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Circ. Res.Home page
R. Bolli
The Late Phase of Preconditioning
Circ. Res., November 24, 2000; 87(11): 972 - 983.
[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
Y.-T. Xuan, X.-L. Tang, Y. Qiu, S. Banerjee, H. Takano, H. Han, and R. Bolli
Biphasic response of cardiac NO synthase isoforms to ischemic preconditioning in conscious rabbits
Am J Physiol Heart Circ Physiol, November 1, 2000; 279(5): H2360 - H2371.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
H. Takano, X.-L. Tang, E. Kodani, and R. Bolli
Late preconditioning enhances recovery of myocardial function after infarction in conscious rabbits
Am J Physiol Heart Circ Physiol, November 1, 2000; 279(5): H2372 - H2381.
[Abstract] [Full Text] [PDF]


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CirculationHome page
M. S. Finkel
Nitric Oxide and Viral Cardiomyopathy
Circulation, October 31, 2000; 102(18): 2162 - 2164.
[Full Text] [PDF]


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HypertensionHome page
Y. Xu, A. S. Clanachan, and B. I. Jugdutt
Enhanced Expression of Angiotensin II Type 2 Receptor, Inositol 1,4,5-Trisphosphate Receptor, and Protein Kinase C{epsilon} During Cardioprotection Induced by Angiotensin II Type 2 Receptor Blockade
Hypertension, October 1, 2000; 36(4): 506 - 510.
[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.
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Proc. Natl. Acad. Sci. USAHome page
K. Shinmura, X.-L. Tang, Y. Wang, Y.-T. Xuan, S.-Q. Liu, H. Takano, A. Bhatnagar, and R. Bolli
Cyclooxygenase-2 mediates the cardioprotective effects of the late phase of ischemic preconditioning in conscious rabbits
PNAS, August 29, 2000; 97(18): 10197 - 10202.
[Abstract] [Full Text] [PDF]


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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.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
J. W. Mockridge, A. Punn, D. S. Latchman, M. S. Marber, and R. J. Heads
PKC-dependent delayed metabolic preconditioning is independent of transient MAPK activation
Am J Physiol Heart Circ Physiol, August 1, 2000; 279(2): H492 - H501.
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Am. J. Physiol. Heart Circ. Physiol.Home page
T. G. Hampton, I. Amende, J. Fong, V. E. Laubach, J. Li, C. Metais, and M. Simons
Basic FGF reduces stunning via a NOS2-dependent pathway in coronary-perfused mouse hearts
Am J Physiol Heart Circ Physiol, July 1, 2000; 279(1): H260 - H268.
[Abstract] [Full Text] [PDF]


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Journal of Renin-Angiotensin-Aldosterone SystemHome page
Yi Xu, V. Menon, and B. I Jugdutt
Cardioprotection after angiotensin II type 1 blockade involves angiotensin II type 2 receptor expression and activation of protein kinase C-{varepsilon} in acutely reperfused myocardial infarction in the dog: Effect of UP269-6 and losartan on AT1- and AT2-receptor expression and IP3 receptor and PKC{varepsilon} proteins
Journal of Renin-Angiotensin-Aldosterone System, June 1, 2000; 1(2): 184 - 195.
[Abstract] [PDF]


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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.
[Abstract] [Full Text] [PDF]


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Circ. Res.Home page
T. Munzel, H. Li, H. Mollnau, U. Hink, E. Matheis, M. Hartmann, M. Oelze, M. Skatchkov, A. Warnholtz, L. Duncker, et al.
Effects of Long-Term Nitroglycerin Treatment on Endothelial Nitric Oxide Synthase (NOS III) Gene Expression, NOS III-Mediated Superoxide Production, and Vascular NO Bioavailability
Circ. Res., January 7, 2000; 86 (1): e7 - e12.
[Abstract] [Full Text] [PDF]


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Proc. Natl. Acad. Sci. USAHome page
M. Gonzalez-Zulueta, A. B. Feldman, L. J. Klesse, R. G. Kalb, J. F. Dillman, L. F. Parada, T. M. Dawson, and V. L. Dawson
Requirement for nitric oxide activation of p21ras/extracellular regulated kinase in neuronal ischemic preconditioning
PNAS, January 4, 2000; 97(1): 436 - 441.
[Abstract] [Full Text] [PDF]


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J CARDIOVASC PHARMACOL THERHome page
B. I. Jugdutt, Yi Xu, M. Balghith, R. Moudgil, and V. Menon
Cardioprotection Induced by AT1R Blockade After Reperfused Myocardial Infarction: Association With Regional Increase in AT2R, IP3R and PKC{varepsilon} Proteins and cGMP
Journal of Cardiovascular Pharmacology and Therapeutics, January 1, 2000; 5(4): 301 - 311.
[Abstract] [PDF]


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Circ. Res.Home page
B. Dawn, Y.-T. Xuan, Y. Qiu, H. Takano, X.-L. Tang, P. Ping, S. Banerjee, M. Hill, and R. Bolli
Bifunctional Role of Protein Tyrosine Kinases in Late Preconditioning Against Myocardial Stunning in Conscious Rabbits
Circ. Res., December 3, 1999; 85(12): 1154 - 1163.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Renal Physiol.Home page
M. Liang and F. G. Knox
Nitric oxide activates PKCalpha and inhibits Na+-K+-ATPase in opossum kidney cells
Am J Physiol Renal Physiol, December 1, 1999; 277(6): F859 - F865.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
T. Jalili, Y. Takeishi, G. Song, N. A. Ball, G. Howles, and R. A. Walsh
PKC translocation without changes in Galpha q and PLC-beta protein abundance in cardiac hypertrophy and failure
Am J Physiol Heart Circ Physiol, December 1, 1999; 277(6): H2298 - H2304.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
S. Banerjee, X.-L. Tang, Y. Qiu, H. Takano, S. Manchikalapudi, B. Dawn, G. Shirk, and R. Bolli
Nitroglycerin induces late preconditioning against myocardial stunning via a PKC-dependent pathway
Am J Physiol Heart Circ Physiol, December 1, 1999; 277(6): H2488 - H2494.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
K. Shinmura, X.-L. Tang, H. Takano, M. Hill, and R. Bolli
Nitric oxide donors attenuate myocardial stunning in conscious rabbits
Am J Physiol Heart Circ Physiol, December 1, 1999; 277(6): H2495 - H2503.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
P. Ping, J. Zhang, S. Huang, X. Cao, X.-L. Tang, R. C. X. Li, Y.-T. Zheng, Y. Qiu, A. Clerk, P. Sugden, et al.
PKC-dependent activation of p46/p54 JNKs during ischemic preconditioning in conscious rabbits
Am J Physiol Heart Circ Physiol, November 1, 1999; 277(5): H1771 - H1785.
[Abstract] [Full Text] [PDF]


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Circ. Res.Home page
P. Ping, J. Zhang, Y.-T. Zheng, R. C. X. Li, B. Dawn, X.-L. Tang, H. Takano, Z. Balafanova, and R. Bolli
Demonstration of Selective Protein Kinase C–Dependent Activation of Src and Lck Tyrosine Kinases During Ischemic Preconditioning in Conscious Rabbits
Circ. Res., September 17, 1999; 85(6): 542 - 550.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
A. Rizvi, X.-L. Tang, Y. Qiu, Y.-T. Xuan, H. Takano, A. K. Jadoon, and R. Bolli
Increased protein synthesis is necessary for the development of late preconditioning against myocardial stunning
Am J Physiol Heart Circ Physiol, September 1, 1999; 277(3): H874 - H884.
[Abstract] [Full Text] [PDF]


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Circ. Res.Home page
Y.-T. Xuan, X.-L. Tang, S. Banerjee, H. Takano, R. C. X. Li, H. Han, Y. Qiu, J.-J. Li, and R. Bolli
Nuclear Factor-{kappa}B Plays an Essential Role in the Late Phase of Ischemic Preconditioning in Conscious Rabbits
Circ. Res., May 14, 1999; 84(9): 1095 - 1109.
[Abstract] [Full Text] [PDF]


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Circ. Res.Home page
T. M. Vondriska, J. Zhang, C. Song, X.-L. Tang, X. Cao, C. P. Baines, J. M. Pass, S. Wang, R. Bolli, and P. Ping
Protein Kinase C {epsilon}-Src Modules Direct Signal Transduction in Nitric Oxide-Induced Cardioprotection : Complex Formation as a Means for Cardioprotective Signaling
Circ. Res., June 22, 2001; 88(12): 1306 - 1313.
[Abstract] [Full Text] [PDF]