Ischemia reperfusion injury, KATP channels, and exercise-induced cardioprotection against apoptosis

J Appl Physiol (1985). 2012 Aug;113(3):498-506. doi: 10.1152/japplphysiol.00957.2011. Epub 2012 May 31.

Abstract

Exercise is a potent stimulus against cardiac ischemia reperfusion (IR) injury, although the protective mechanisms are not completely understood. The study purpose was to examine whether the mitochondrial or sarcolemmal ATP-sensitive potassium channel (mito K(ATP) or sarc K(ATP), respectively) mediates exercise-induced cardioprotection against post-IR cell death and apoptosis. Eighty-six, 4-mo-old male Sprague Dawley rats were randomly assigned to treadmill exercise (Ex; 30 m/min, 3 days, 60 min, ∼70 maximal oxygen uptake) and sedentary (Sed) treatments. Rats were exposed to regional cardiac ischemia (50 min) and reperfusion (120 min) or Sham (170 min; no ligation) surgeries. Exercise subgroups received placebo (saline), 5-hydroxydecanoate (5HD; 10 mg/kg ip), or HMR1098 (10 mg/kg ip) to inhibit mito K(ATP) or sarc K(ATP) channel. Comprehensive outcome assessments included post-IR ECG arrhythmias, cardiac tissue necrosis, redox perturbations, and autophagy biomarkers. No arrhythmia differences existed between exercised and sedentary hearts following extended-duration IR (P < 0.05). The sarc K(ATP) channel was confirmed essential (P = 0.002) for prevention of antinecrotic tissue death with exercise (percent infarct, Sed = 42%; Ex = 20%; Ex5HD = 16%; ExHMR = 42%), although neither the mito K(ATP) (P = 0.177) nor sarc K(ATP) (P = 0.274) channel provided post-IR protection against apoptosis (terminal deoxynucleotidyl transferase deoxy UTP-mediated nick-end labeling-positive nuclei/mm(2), Sham = 1.8 ± 0.5; Sed = 19.4 ± 6.7; Ex = 7.5 ± 4.6; Ex5HD = 14.0 ± 3.9; ExHMR = 11.1 ± 1.8). Exercise preconditioning also appears to preserve basal autophagy levels, as assessed by Beclin 1 (P ≤ 0.001), microtubule-associated protein-1 light-chain 3B ratios (P = 0.020), and P62 (P ≤ 0.001), in the hours immediately following IR. Further research is needed to better understand these findings and corresponding redox changes in exercised hearts.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Anti-Arrhythmia Agents / pharmacology
  • Apoptosis / drug effects
  • Apoptosis / physiology*
  • Apoptosis Regulatory Proteins / analysis
  • Autophagy / physiology
  • Beclin-1
  • Decanoic Acids / pharmacology
  • Electrocardiography
  • Glucuronides / pharmacology
  • Hydroxy Acids / pharmacology
  • KATP Channels / antagonists & inhibitors
  • KATP Channels / physiology*
  • Male
  • Microtubule-Associated Proteins / analysis
  • Mitochondria, Heart / drug effects
  • Mitochondria, Heart / physiology
  • Myocardial Reperfusion Injury / drug therapy
  • Myocardial Reperfusion Injury / physiopathology
  • Myocardial Reperfusion Injury / prevention & control*
  • Oxygen Consumption / drug effects
  • Oxygen Consumption / physiology
  • Physical Conditioning, Animal / physiology*
  • Rats
  • Rats, Sprague-Dawley
  • Sarcolemma / drug effects
  • Sarcolemma / physiology
  • Sulfonamides / pharmacology
  • Transcription Factor TFIIH
  • Transcription Factors / analysis

Substances

  • Anti-Arrhythmia Agents
  • Apoptosis Regulatory Proteins
  • Beclin-1
  • Becn1 protein, rat
  • Decanoic Acids
  • Glucuronides
  • Gtf2h1 protein, mouse
  • HMR 1098 glucuronide
  • Hydroxy Acids
  • KATP Channels
  • Map1lc3b protein, mouse
  • Microtubule-Associated Proteins
  • Sulfonamides
  • Transcription Factors
  • Transcription Factor TFIIH
  • 5-hydroxydecanoic acid