PMID- 19242645 OWN - NLM STAT- MEDLINE DCOM- 20090519 LR - 20211020 IS - 1435-1803 (Electronic) IS - 0300-8428 (Print) IS - 0300-8428 (Linking) VI - 104 IP - 2 DP - 2009 Mar TI - The complex II inhibitor atpenin A5 protects against cardiac ischemia-reperfusion injury via activation of mitochondrial KATP channels. PG - 121-9 LID - 10.1007/s00395-009-0001-y [doi] AB - The cardioprotective effects of ischemic preconditioning (IPC) can be mimicked or blocked by pharmacologic agents, which modulate the mitochondrial ATP-sensitive potassium (mK(ATP)) channel, thereby implicating this channel in the mechanism of IPC. Cardioprotection can also be achieved via inhibition of mitochondrial respiratory complex II, and significant pharmacologic overlap exists between complex II inhibitors and mK(ATP) channel agonists. However, the relationship between complex II and the mK(ATP) channel remains unclear. Atpenin A5 (AA5) is a potent and specific complex II inhibitor, and herein we report that AA5 (1 nM) also activates the mK(ATP) channel and protects against simulated ischemia-reperfusion (IR) injury in isolated cardiomyocytes. Similar to known mK(ATP) agonists, AA5-mediated protection was sensitive to the mK(ATP) antagonists 5-hydroxydecanoate (5HD) and glyburide. Notably, the optimal mK(ATP) opening and protective concentration of AA5 had no effect on complex II enzymatic activity, suggesting an interaction of AA5 with complex II, but not inhibition of the complex per se, is necessary for protection. A cardioprotective effect of AA5 was also observed in isolated perfused hearts, wherein AA5 increased post-IR contractile function and decreased infarct size, in a 5HD-sensitive manner. In conclusion, the specific complex II inhibitor AA5 is the most potent mK(ATP) activator discovered to date, and provides a novel method of activating mK(ATP) channels and protecting the heart from IR injury. FAU - Wojtovich, Andrew P AU - Wojtovich AP AD - Department of Pharmacology and Physiology, University of Rochester Medical Center, Rochester, NY, USA. FAU - Brookes, Paul S AU - Brookes PS LA - eng GR - R01 HL071158/HL/NHLBI NIH HHS/United States GR - R01 HL071158-06A1/HL/NHLBI NIH HHS/United States GR - R01-HL071158/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20090226 PL - Germany TA - Basic Res Cardiol JT - Basic research in cardiology JID - 0360342 RN - 0 (Anti-Arrhythmia Agents) RN - 0 (Decanoic Acids) RN - 0 (Hydroxy Acids) RN - 0 (Potassium Channels) RN - 0 (Pyridones) RN - 0 (mitochondrial K(ATP) channel) RN - 0 (respiratory complex II) RN - 119509-24-9 (atpenin A5) RN - 624-00-0 (5-hydroxydecanoic acid) RN - EC 1.3.5.1 (Electron Transport Complex II) SB - IM MH - Animals MH - Anti-Arrhythmia Agents/pharmacology MH - Cytoprotection MH - Decanoic Acids/pharmacology MH - Electron Transport Complex II/drug effects/metabolism MH - Hydroxy Acids/pharmacology MH - Male MH - Mitochondria, Heart/*drug effects/*metabolism MH - Myocardial Reperfusion Injury/*prevention & control MH - Myocytes, Cardiac/drug effects/metabolism MH - Potassium Channels/*drug effects/*metabolism MH - Pyridones/*pharmacology MH - Rats MH - Rats, Sprague-Dawley PMC - PMC2776710 MID - NIHMS156519 EDAT- 2009/02/27 09:00 MHDA- 2009/05/20 09:00 PMCR- 2010/03/01 CRDT- 2009/02/27 09:00 PHST- 2008/11/17 00:00 [received] PHST- 2009/01/18 00:00 [accepted] PHST- 2009/01/12 00:00 [revised] PHST- 2009/02/27 09:00 [entrez] PHST- 2009/02/27 09:00 [pubmed] PHST- 2009/05/20 09:00 [medline] PHST- 2010/03/01 00:00 [pmc-release] AID - 10.1007/s00395-009-0001-y [doi] PST - ppublish SO - Basic Res Cardiol. 2009 Mar;104(2):121-9. doi: 10.1007/s00395-009-0001-y. Epub 2009 Feb 26.