Isoproterenol mimics calcium preconditioning-induced protection against ischemia. Miyawaki, Hiroshi, Muhammad Ashraf. Department of Pathology and Laboratory Medicine, University of Cincinnati Medical Center, Cincinnati, Ohio 45267-0529
APStracts 3:0368H, 1996.
We tested the hypothesis that a transient increase in intracellular calcium ([Ca2+]i) prior to prolonged ischemia triggers the activation of protein kinase C (PKC) resulting in significant protection against ischemic injury. Ca2+ preconditioning (3 cycles of 1 min Ca2+ depletion and 5 min Ca2+ repletion) and pharmacological intervention with isoproterenol (ISO) were employed to increase the Ca2+ influx. Langendorff-perfused rat hearts were subjected to 40 min of global ischemia followed by 30 min of reperfusion (I/R). A significant functional recovery and minimal biochemical changes were observed in Ca2+ preconditioned hearts following ischemia and reperfusion. Pretreatment with 0.1 [mu]mol/L ISO caused a sudden increase in left ventricular contractility, a significant decrease in LDH release, preservation of ATP content and left ventricular function as compared to non treated-I/R hearts. Administration of verapamil during ISO -treatment blunted the salutary effects of ISO on I/R, and pretreatment with BAY K 8644, L-type Ca2+ channel opener, mimicked ISO-induced protection. Addition of propranolol or specific PKC inhibitors (chelerythrine or bisindolylmaleimide) during ISO infusion completely abolished the beneficial effects of ISO. These results demonstrate that (1) treatment with low dose of ISO provides significant protection against ischemic injury, (2) transient elevation of [Ca2+]i is a strong activator of PKC, and (3) PKC plays a crucial role in the subcellular mechanisms of protection by activating second messenger signals during ISO-induced preconditioning.

Received 23 February 1996; accepted in final form 19 August 1996.
APS Manuscript Number H180-6.
Article publication pending Am. J. Physiol. (Heart Circ. Physiology).
ISSN 1080-4757 Copyright 1996 The American Physiological Society.
Published in APStracts on 19 September 1996