Adenosine A1 receptor activation increases myocardial protein S-nitrosothiols and elicits protection from ischemia-reperfusion injury in male and female hearts

PLoS One. 2017 May 11;12(5):e0177315. doi: 10.1371/journal.pone.0177315. eCollection 2017.

Abstract

Nitric oxide (NO) plays an important role in cardioprotection, and recent work from our group and others has implicated protein S-nitrosylation (SNO) as a critical component of NO-mediated protection in different models, including ischemic pre- and post-conditioning and sex-dependent cardioprotection. However, studies have yet to examine whether protein SNO levels are similarly increased with pharmacologic preconditioning in male and female hearts, and whether an increase in protein SNO levels, which is protective in male hearts, is sufficient to increase baseline protection in female hearts. Therefore, we pharmacologically preconditioned male and female hearts with the adenosine A1 receptor agonist N6-cyclohexyl adenosine (CHA). CHA administration prior to ischemia significantly improved functional recovery in both male and female hearts compared to baseline in a Langendorff-perfused heart model of ischemia-reperfusion injury (% of preischemic function ± SE: male baseline: 37.5±3.4% vs. male CHA: 55.3±3.2%; female baseline: 61.4±5.7% vs. female CHA: 76.0±6.2%). In a separate set of hearts, we found that CHA increased p-Akt and p-eNOS levels. We also used SNO-resin-assisted capture with LC-MS/MS to identify SNO proteins in male and female hearts, and determined that CHA perfusion induced a modest increase in protein SNO levels in both male (11.4%) and female (12.3%) hearts compared to baseline. These findings support a potential role for protein SNO in a model of pharmacologic preconditioning, and provide evidence to suggest that a modest increase in protein SNO levels is sufficient to protect both male and female hearts from ischemic injury. In addition, a number of the SNO proteins identified with CHA treatment were also observed with other forms of cardioprotective stimuli in prior studies, further supporting a role for protein SNO in cardioprotection.

MeSH terms

  • Adenosine / analogs & derivatives
  • Adenosine / pharmacology
  • Adenosine / therapeutic use
  • Adenosine A1 Receptor Agonists / pharmacology
  • Adenosine A1 Receptor Agonists / therapeutic use
  • Aldehyde Oxidoreductases / metabolism
  • Animals
  • Cardiotonic Agents / pharmacology
  • Cardiotonic Agents / therapeutic use
  • Female
  • Male
  • Mice, Inbred C57BL
  • Myocardial Contraction / drug effects
  • Myocardium / metabolism*
  • Myocardium / pathology
  • Nitric Oxide Synthase Type III / metabolism
  • Perfusion
  • Phosphorylation / drug effects
  • Proto-Oncogene Proteins c-akt / metabolism
  • Reactive Oxygen Species / metabolism
  • Receptor, Adenosine A1 / metabolism*
  • Recovery of Function / drug effects
  • Reperfusion Injury / drug therapy
  • Reperfusion Injury / metabolism*
  • Reperfusion Injury / pathology*
  • Reperfusion Injury / physiopathology
  • S-Nitrosothiols / metabolism*

Substances

  • Adenosine A1 Receptor Agonists
  • Cardiotonic Agents
  • Reactive Oxygen Species
  • Receptor, Adenosine A1
  • S-Nitrosothiols
  • N(6)-cyclohexyladenosine
  • Nitric Oxide Synthase Type III
  • Aldehyde Oxidoreductases
  • formaldehyde dehydrogenase, glutathione-independent
  • Proto-Oncogene Proteins c-akt
  • Adenosine