PMID- 21610568 OWN - NLM STAT- MEDLINE DCOM- 20120202 LR - 20131121 IS - 1540-0514 (Electronic) IS - 1073-2322 (Linking) VI - 36 IP - 3 DP - 2011 Sep TI - Calcineurin mediates the protective effect of postconditioning on skeletal muscle. PG - 312-6 LID - 10.1097/SHK.0b013e318224132e [doi] AB - We aimed to investigate whether ischemic postconditioning (I-postC) protects skeletal muscle against ischemia-reperfusion (I/R) injury through the calcineurin (CaN) pathway. Male Wistar rats underwent 4 h of right-hind-limb ischemia induced by clamping the femoral artery, then reperfusion for 2 h (I/R-2 h), 12 h (I/R-12 h), or 24 h (I/R-24 h) with or without I-postC. Ischemic postconditioning was induced by three cycles of 1-min reperfusion and 1-min ischemia at the onset of reperfusion after prolonged ischemia. The I-postC-24 h group was treated with or without cyclosporine A (a CaN inhibitor) 10 mg/kg per day for 3 days before artery occlusion. Cultured skeletal muscle cells (SMCs) from neonatal rats were exposed to 2-h hypoxia then 24-h reoxygenation (H/R), then postconditioned with two cycles of 10-min reoxygenation and 10-min hypoxia after prolonged hypoxia (hypoxia postconditioning [H-postC]) in the presence or absence of cyclosporine A. We observed the effects of activated CaN overexpression on apoptosis and viability of SMCs under H-postC. Ischemic postconditioning attenuated the increase in the level of malondialdehyde in skeletal muscle induced by I/R-2 h and I/R-24 h (P < 0.05) and lactate dehydrogenase in plasma induced by I/R-12 h and I/R-24 h (P < 0.05). Cyclosporine A abolished the protective role of I-postC in malondialdehyde level and lactate dehydrogenase leakage (P < 0.05, vs. I-postC group). Hypoxia postconditioning suppressed SMC apoptosis induced by H/R (P < 0.05, vs. H/R), which was accompanied by increased CaN expression. Cyclosporine A abolished the antiapoptotic effect of H-postC on SMCs (P < 0.05, vs. H-postC group). Overexpression of activated CaN strengthened the cytoprotection of H-postC (P < 0.05, vs. H-postC group). Ischemic postconditioning may protect skeletal muscle against I/R injury through the CaN pathway. FAU - Guo, Xiao-Sun AU - Guo XS AD - Department of Pathophysiology, Medicine School of Shandong University, Jinan, China. FAU - Li, Yu-Zhen AU - Li YZ FAU - Liu, Xiu-Hua AU - Liu XH FAU - Zhang, Zhen-Ying AU - Zhang ZY FAU - Liu, Feng-Ying AU - Liu FY FAU - Hu, Wei-Cheng AU - Hu WC LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Shock JT - Shock (Augusta, Ga.) JID - 9421564 RN - 4Y8F71G49Q (Malondialdehyde) RN - 83HN0GTJ6D (Cyclosporine) RN - EC 3.1.3.16 (Calcineurin) SB - IM MH - Animals MH - Animals, Newborn MH - Apoptosis/drug effects/genetics MH - Blotting, Western MH - Calcineurin/*metabolism MH - Cell Survival/drug effects MH - Cells, Cultured MH - Cyclosporine/therapeutic use MH - Flow Cytometry MH - *Ischemic Preconditioning, Myocardial MH - Male MH - Malondialdehyde/metabolism MH - Muscle, Skeletal/drug effects/*metabolism MH - Rats MH - Rats, Wistar MH - Reperfusion Injury/metabolism/*prevention & control EDAT- 2011/05/26 06:00 MHDA- 2012/02/03 06:00 CRDT- 2011/05/26 06:00 PHST- 2011/05/26 06:00 [entrez] PHST- 2011/05/26 06:00 [pubmed] PHST- 2012/02/03 06:00 [medline] AID - 10.1097/SHK.0b013e318224132e [doi] PST - ppublish SO - Shock. 2011 Sep;36(3):312-6. doi: 10.1097/SHK.0b013e318224132e.