PMID- 25703422 OWN - NLM STAT- MEDLINE DCOM- 20160212 LR - 20201231 IS - 1874-1754 (Electronic) IS - 0167-5273 (Linking) VI - 184 DP - 2015 Apr 1 TI - Transient carotid ischemia as a remote conditioning stimulus for myocardial protection in anesthetized rabbits: Insights into intracellular signaling. PG - 140-151 LID - S0167-5273(15)00106-0 [pii] LID - 10.1016/j.ijcard.2015.01.079 [doi] AB - BACKGROUND: We investigated the effectiveness of perconditioning (Perc) applied at different time points along with the role of RISK, SAFE, STAT5 and eNOS pathways. METHODS AND RESULTS: Anesthetized rabbits were subjected to 30-min ischemia/3-hour reperfusion. Perc, consisted of 4 cycles of 1-min ischemia/reperfusion, was applied in the carotid artery at different time points. Perc was started and ended during ischemia, started during ischemia and ended at the beginning of reperfusion, started at the end of ischemia and ended at reperfusion and started and ended during reperfusion. The PI3K inhibitor wortmannin, or the JAK-2 inhibitor AG490, was also applied and the infarct size was assessed. In another series assigned to the previous groups, the phosphorylation of Akt, PI3K, ERKs1/2, GSK3beta, STAT3, and STAT5 was evaluated. All Perc groups had smaller infarction compared to those without Perc, independently of PI3K or JAK-2 inhibition. STAT5 was the only molecule that was phosphorylated in parallel with cardioprotection. Since Src and angiotensin II mediate the STAT5 pathway, we administered the Scr inhibitor PP1 and the angiotensin II receptor antagonist valsartan. PP1 and valsartan prevented STAT5 phosphorylation, but did not abrogate the effect of Perc. Furthermore, the NOS inhibitor L-NAME was administered and abrogated the infarct size limiting effect of Perc. In parallel, the expression of cleaved caspase-3 was elevated only in the control and Perc-A-L-NAME groups. CONCLUSION: Perc reduces infarction independently of RISK, SAFE and STAT5 pathways. Src kinase and angiotensin II play a predominant role in STAT5 activation. eNOS may protect the myocardium through inhibition of apoptosis. CI - Copyright (c) 2015 Elsevier Ireland Ltd. All rights reserved. FAU - Andreadou, Ioanna AU - Andreadou I AD - Department of Pharmaceutical Chemistry, University of Athens School of Pharmacy, Athens, Greece. Electronic address: jandread@pharm.uoa.gr. FAU - Bibli, Sofia-Iris AU - Bibli SI AD - Department of Pharmaceutical Chemistry, University of Athens School of Pharmacy, Athens, Greece. FAU - Mastromanolis, Emmanuel AU - Mastromanolis E AD - Second Department of Cardiology, University of Athens Medical School, Attikon University Hospital, Athens, Greece. FAU - Zoga, Anastasia AU - Zoga A AD - Second Department of Cardiology, University of Athens Medical School, Attikon University Hospital, Athens, Greece. FAU - Efentakis, Panagiotis AU - Efentakis P AD - Department of Pharmaceutical Chemistry, University of Athens School of Pharmacy, Athens, Greece. FAU - Papaioannou, Nikolaos AU - Papaioannou N AD - Department of Pathology, School of Health Sciences, Faculty of Veterinary Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece. FAU - Farmakis, Dimitrios AU - Farmakis D AD - Second Department of Cardiology, University of Athens Medical School, Attikon University Hospital, Athens, Greece. FAU - Kremastinos, Dimitrios Th AU - Kremastinos DT AD - Second Department of Cardiology, University of Athens Medical School, Attikon University Hospital, Athens, Greece. FAU - Iliodromitis, Efstathios K AU - Iliodromitis EK AD - Second Department of Cardiology, University of Athens Medical School, Attikon University Hospital, Athens, Greece. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20150207 PL - Netherlands TA - Int J Cardiol JT - International journal of cardiology JID - 8200291 SB - IM CIN - Int J Cardiol. 2015 May 6;187:443-4. PMID: 25841145 MH - Animals MH - Carotid Arteries/*metabolism/pathology MH - Intracellular Fluid/*metabolism MH - Ischemic Preconditioning, Myocardial/*methods MH - Male MH - Myocardial Infarction/*metabolism/pathology/prevention & control MH - Myocardial Ischemia/metabolism/pathology/prevention & control MH - Rabbits MH - Signal Transduction/*physiology OTO - NOTNLM OT - Cardioprotection OT - Perconditioning OT - RISK OT - SAFE OT - STAT5 OT - eNOS EDAT- 2015/02/24 06:00 MHDA- 2016/02/13 06:00 CRDT- 2015/02/24 06:00 PHST- 2014/09/30 00:00 [received] PHST- 2014/12/09 00:00 [revised] PHST- 2015/01/25 00:00 [accepted] PHST- 2015/02/24 06:00 [entrez] PHST- 2015/02/24 06:00 [pubmed] PHST- 2016/02/13 06:00 [medline] AID - S0167-5273(15)00106-0 [pii] AID - 10.1016/j.ijcard.2015.01.079 [doi] PST - ppublish SO - Int J Cardiol. 2015 Apr 1;184:140-151. doi: 10.1016/j.ijcard.2015.01.079. Epub 2015 Feb 7.