PMID- 26997724 OWN - NLM STAT- MEDLINE DCOM- 20170109 LR - 20181202 IS - 1998-3751 (Electronic) IS - 0253-7613 (Print) IS - 0253-7613 (Linking) VI - 48 IP - 1 DP - 2016 Jan-Feb TI - Effect of pioglitazone on the abrogated cardioprotective effect of ischemic preconditioning in hyperlipidemic rat heart. PG - 59-63 LID - 10.4103/0253-7613.174545 [doi] AB - OBJECTIVES: The signaling pathways upstream of glycogen synthase kinase-3beta (GSK-3beta) get reduced during ischemic preconditioning (IPC) in hyperlipidemic rat heart. Pioglitazone, an insulin sensitizer, exerts cardioprotection through GSK-3beta. The objective of the study is to investigate the role of pioglitazone on the attenuated cardioprotective effect of IPC in hyperlipidemic rat heart. MATERIALS AND METHODS: The rats were administered high-fat diet for 8 weeks to induce experimental hyperlipidemia (HL). After mounting on a Langendorff apparatus, isolated perfused hearts were given four cycles of IPC; each consists of 5 min of both ischemia and reperfusion followed by 30 min of ischemia and 120 min of reperfusion. Insulin (50 mU/ml) was perfused alone and in combination with pioglitazone (2 muM), while in other groups, this combination was repeated with wortmannin (100 nM), a selective PI3K inhibitor and rapamycin (1 nM), a selective mammalian target of rapamycin (mTOR) inhibitor, separately, and in combination. Myocardial injury was assessed by measuring infarct size and the levels of creatinine kinase-myocardial band (CK-MB) and lactate dehydrogenase (LDH) in the coronary effluent. RESULTS: IPC significantly decreased the infarct size and levels of LDH and CK-MB in normal but not in HL rat heart. Perfusion of insulin along with pioglitazone significantly reduced the infarct size and release of CK-MB and LDH in IPC-treated HL rat hearts. Perfusion of wortmannin or rapamycin alone significantly and in combination almost completely abolished the pioglitazone-induced restored cardioprotection (P < 0.05). CONCLUSION: Cardioprotective effect of IPC gets lost in hyperlipidemic rat heart. The results suggest that perfusion of pioglitazone restored the cardioprotective effect of IPC in hyperlipidemic rat heart, an effect that may be via PI3K and mTOR. FAU - Mittal, Dhiraj AU - Mittal D AD - Department of Pharmacology, I.S.F. College of Pharmacy, Moga, Punjab, India. FAU - Taliyan, Rajeev AU - Taliyan R AD - Department of Pharmacy, BITS, Pilani, Rajasthan, India. FAU - Sharma, P L AU - Sharma PL AD - Department of Pharmacology, I.S.F. College of Pharmacy, Moga, Punjab, India. FAU - Yadav, Harlokesh Narayan AU - Yadav HN AD - Department of Pharmacology AIIMS, New Delhi, India. LA - eng PT - Journal Article PL - India TA - Indian J Pharmacol JT - Indian journal of pharmacology JID - 7902477 RN - 0 (Cardiotonic Agents) RN - 0 (Hypoglycemic Agents) RN - 0 (Thiazolidinediones) RN - 0 (Triglycerides) RN - 97C5T2UQ7J (Cholesterol) RN - X4OV71U42S (Pioglitazone) SB - IM MH - Animals MH - Cardiotonic Agents/*pharmacology MH - Cholesterol/blood MH - Diet, High-Fat MH - Female MH - Heart/*drug effects MH - Hyperlipidemias/*blood MH - Hypoglycemic Agents/*pharmacology MH - *Ischemic Preconditioning MH - Male MH - Pioglitazone MH - Rats MH - Rats, Wistar MH - Thiazolidinediones/*pharmacology MH - Triglycerides/blood PMC - PMC4778209 OTO - NOTNLM OT - Creatinine kinase OT - glycogen synthase kinase-3beta OT - ischemia-reperfusion OT - lactate dehydrogenase OT - myocardial injury OT - pioglitazone OT - rapamycin OT - wortmannin EDAT- 2016/03/22 06:00 MHDA- 2017/01/10 06:00 PMCR- 2016/01/01 CRDT- 2016/03/22 06:00 PHST- 2016/03/22 06:00 [entrez] PHST- 2016/03/22 06:00 [pubmed] PHST- 2017/01/10 06:00 [medline] PHST- 2016/01/01 00:00 [pmc-release] AID - IJPharm-48-59 [pii] AID - 10.4103/0253-7613.174545 [doi] PST - ppublish SO - Indian J Pharmacol. 2016 Jan-Feb;48(1):59-63. doi: 10.4103/0253-7613.174545.