The role of bradykinin in cardiac functional protection after global ischemia-reperfusion in the rat heart. Brew, Elizabeth C., Max B. Mitchell, Thomas F. Rehring, Fabia Gamboni -Robertson, Robert C. McIntyre, Jr, Alden H. Harken, and Anirban Banerjee. Department of Surgery, University of Colorado Health Sciences Center, Denver, Colorado 80262
APStracts 2:0128H, 1995.
Cardiac preconditioning against ischemia-reperfusion (IR) can be induced by transient ischemia (TI) and [alpha]1-adrenoreceptor stimulation. Our study objective was to explore the mechanism of endogenous preconditioning and address the role of protein kinase C (PKC) activation in bradykinin-mediated cardiac functional protection. Isolated rat heart was used to assess the effects of exogenous bradykinin, TI, selective B2 receptor blocker and PKC antagonism on cardiac functional recovery after a global IR injury. Final recovery of developed pressure was improved in hearts treated with bradykinin and TI compared to controls. Bradykinin- and TI -mediated preconditioning was eliminated with coinfusion of the B2 receptor antagonist. Further evaluation of bradykinin-mediated preconditioning revealed that PKC blockade also eliminated functional protection. Immunofluorescent stains of bradykinin-treated hearts demonstrated translocation and activation of specific PKC isoforms in preconditioned heart. We conclude that TI-mediated preconditioning involves intrinsic cardiac bradykinin and [alpha]1-adrenergic receptor stimulation. Bradykinin, through the B2 receptor, initiates a series of intracellular events culminating in the activation of PKC.

Received 6 July 1994; accepted in final form 23 March 1995.
APS Manuscript Number H586-4.
Article publication pending Am. J. Physiol. (Heart Circ. Physiology).
ISSN 1080-4757 Copyright 1995 The American Physiological Society.
Published in APStracts on 10 April 1995.