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Am J Physiol Cell Physiol (August 4, 2004). doi:10.1152/ajpcell.00144.2004
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Submitted on March 16, 2004
Accepted on July 8, 2004

PKC {epsilon} is Upstream and PKC {alpha} is Downstream of MitoKATP Channels in the Signal Transduction Pathway of Ischemic Preconditioning of Human Myocardium

Ashraf Hassouna1*, Bashir M Matata1, and Manuel Galinanes1

1 Department of Cardiovascular Sciences, Cardiac Surgery Group, University of Leicester, Leicester, United Kingdom

* To whom correspondence should be addressed. E-mail: hassouna_ashraf{at}hotmail.com.

Background: Protein kinase C (PKC) is involved in the process of ischemic preconditioning (IPC) although the precise mechanism is unknown. Using specific PKC isoforms inhibitors we aim to investigate which PKC isoforms are involved in ischemic preconditioning of the human myocardium and to determine their temporal relationship to mitoKATP channels. Methods: Right atrial muscles sections obtained from patients undergoing cardiac surgery were randomized to receive one of the following protocols: aerobic control, simulated ischemia / reoxygenation, IPC using 5 min simulated ischemia/ 5 min reoxygenation, and finally PKC inhibitors were added 10 min before and 10 min during ischemic preconditioning and then followed by simulated ischemia / reoxygenation. The PKC isoforms inhibitors investigated were V1-2 peptide, GO6976, Rottlerin and LY333531 for PKC {epsilon}, PKC {alpha}, PKC {delta} and PKC {beta} respectively. To investigate the relation of PKC isoforms to mitoKATP channels, PKC {alpha} and {epsilon} isoforms inhibitors, found to be involved in ischemic preconditioning, were added 10 min before and 10 min during preconditioning by diazoxide. CK leakage and MTT cell viability were measured at the end of each protocol. In a third study, phosphorylation of PKC isoforms following activation of the sample by either diazoxide or IPC was detected using western blotting. Results: PKC {alpha} and {epsilon} inhibitors blocked cardioprotection whereas PKC {delta} and {beta} inhibitor did not. The protection elicited by mitoKATP channels opening with diazoxide was blocked by the inhibition by PKC {alpha} but not by inhibition of PKC {epsilon} isoforms. In addition, diazoxide caused increased phosphorylation of PKC {alpha} to a degree similar to ischemic preconditioning but failed to increase PKC {epsilon} phosphorylation. Conclusion: The results demonstrate that PKC {alpha} and {epsilon} are involved in ischemic preconditioning of the human myocardium with PKC {epsilon} being upstream and PKC {alpha} being downstream of mitoKATP channels.




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