Role of activation of ectosolic 5'-nucleotidase in the infarct size-limiting effect mediated by the opening of k+ channels in canine hearts: implication for the mechanisms of ischemic preconditioning. Kitakaze, Masafumi, Tetsuo Minamino, Koichi Node, Kazuo Komamura, Yoshiro Shinozaki, Mitsuaki Chujo, Hidezo Mori, Michitoshi Inoue, Masatsugu Hori, Takenobu Kamada. The First Department of Medicine, Osaka University School of Medicine, Osaka, Tokai University School of Medicine, Department of Physiology II, Isehara, Department of Information Science, Osaka University Hospital, Osaka, Japan
APStracts 2:0473A, 1995.
We tested the hypothesis that the opening of ATP-sensitive K+ channels contributes to activation of ectosolic 5'-nucleotidase and the infarct size-limiting effect of ischemic preconditioning. In the open-chest dogs, the left anterior descending coronary artery was occluded 4 times for 5 minutes each, separated by a 5-minute period of reperfusion (ischemic preconditioning, n=8). After this procedure, the coronary artery was occluded for 90 minutes, followed by 6 hours of reperfusion. Infarct size was smaller in this group than in the group (the control group, n=8) with a 45 minute-interval instead of the ischemic preconditioning procedure (40.1+3.9 vs. 6.4+1.9%). Glibenclamide blunted the infarct size-limiting effect of ischemic preconditioning (infarct size: 37.3+5.8%, n=7), and transient exposures to cromakalim and nicorandil mimicked it (infarct size:10.1+3.1 (n=7) and 11.1+2.7% (n=8), respectively). Ectosolic and cytosolic 5'-nucleotidase activity increased in the ischemic preconditioning group compared with that in the control group; this preconditioning-induced increase in 5'-nucleotidase activity was blunted by glibenclamide (n=5) and mimicked by cromakalim (n=5) and nicorandil (n=5). The infarct size-limiting effect due to cromakalim and nicorandil was blunted by a,b,-methyleneadenosine 5'-diphosphate, an inhibitor of ectosolic 5'-nucleotidase (infarct size:37.7+5.6 (n=9) and 36.8+4.8% (n=7), respectively), and 8 -sulfophenyltheophylline (infarct size with cromakalim: 44.7+4.6% (n=7)). We conclude that activation of ectosolic 5'-nucleotidase due to the openers of ATP-sensitive K+ channels contribute to the infarct size-limiting effect of ischemic preconditioning.

Received 22 May 1995; accepted in final form 5 October 1995.
APS Manuscript Number A436-5.
Article publication pending Journal of Applied Physiology.
ISSN 1080-4757 Copyright 1995 The American Physiological Society.
Published in APStracts on 6 November 95