ATP-sensitive potassium channel activation mimics the protective effect of ischaemic preconditioning in the rat isolated working heart after prolonged hypothermic storage

Clin Exp Pharmacol Physiol. 1999 Jan;26(1):20-5. doi: 10.1046/j.1440-1681.1999.02985.x.

Abstract

1. Ischaemic preconditioning (IP) can significantly reduce the extent of infarct size, contractile dysfunction and necrosis in hearts from a number of animal species. Activation of ATP-sensitive potassium channels has been implicated in this process. The aims of the present study were to determine the extent to which IP preserves haemodynamic function in the rat isolated working heart model after prolonged hypothermic storage and to examine the involvement of activation of potassium channels in this process. 2. Hearts from Wistar rats were perfused on a Langendorff apparatus. After stabilization in working mode, baseline measurements of heart rate, aortic flow, coronary flow and cardiac output were performed. Hearts were randomized to one of six treatment groups: (i) untreated control; (ii) IP; (iii) 3 min perfusion with 200 mumol/L pinacidil; (iv) pinacidil vehicle; (v) 3 min perfusion with 10 mumol/L glibenclamide before IP; and (vi) 3 min perfusion with glibenclamide then pinacidil. Hearts were stored in an extracellular-based preservation solution for 6 or 12 h at 2-3 degrees C, remounted on the perfusion apparatus, stabilized as before and then haemodynamic measurements were repeated, after which time heart water contents were determined. 3. Recovery of haemodynamic function was markedly enhanced in the IP and pinacidil-treated groups compared with untreated and vehicle controls. These beneficial effects were completely blocked by glibenclamide. These results suggest that strategies for activating potassium channels in donor hearts may protect organs during hypothermic storage prior to transplantation.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adenosine Triphosphate / physiology*
  • Animals
  • Cardioplegic Solutions
  • Glyburide / pharmacology
  • Heart Rate / drug effects
  • Heart Rate / physiology
  • Hemodynamics / drug effects
  • Hypoglycemic Agents / pharmacology
  • Ischemic Preconditioning, Myocardial / methods*
  • Male
  • Organ Preservation Solutions
  • Organ Preservation*
  • Pinacidil / pharmacology
  • Potassium Channel Blockers
  • Potassium Channels / physiology*
  • Rats
  • Rats, Wistar
  • Vasodilator Agents / pharmacology
  • Water / metabolism

Substances

  • Cardioplegic Solutions
  • Hypoglycemic Agents
  • Organ Preservation Solutions
  • Potassium Channel Blockers
  • Potassium Channels
  • Vasodilator Agents
  • Water
  • Pinacidil
  • Adenosine Triphosphate
  • Glyburide