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2015 ; 10
(6
): 2197-2205
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Pharmacological preconditioning and postconditioning with nicorandil attenuates
ischemia/reperfusion-induced myocardial necrosis and apoptosis in
hypercholesterolemic rats
#MMPMID26668616
Li W
; Wu N
; Shu W
; Jia D
; Jia P
Exp Ther Med
2015[Dec]; 10
(6
): 2197-2205
PMID26668616
show ga
Pharmacological preconditioning and postconditioning may reduce myocardial
necrosis and apoptosis during ischemia/reperfusion (I/R), however,
hypercholesterolemia interferes with the associated cardioprotective mechanisms.
The present study investigated whether pharmacological preconditioning and
postconditioning with nicorandil could attenuate myocardial necrosis and
apoptosis induced by I/R in hypercholesterolemic rats, and explored the possible
mechanisms involved. Male Wistar rats (n=160) were fed normal
(normocholesterolemic group, n=10) or high-cholesterol (hypercholesterolemic
group, n=150) diets for 8 weeks. Hearts harvested from the normal and
hypercholesterolemic rats were subsequently placed on modified Langendorff
perfusion apparatus and 30-min global ischemia was performed, followed by 120-min
reperfusion. Nicorandil (1, 3, 10, 30, 100 µmol/l), and mitochondrial adenosine
triphosphate-sensitive potassium (mitoKATP) channel blocker 5-hydroxydecanoic
acid sodium salt (5-HD) (100 µmol/l) or soluble guanylyl cyclase (sGC) blocker
1H-[1,2,4]oxadiazolo[4,3-a]quinoxalin-1-one (ODQ) (10 µmol/l) were perfused for
10 min, prior to ischemia or at the onset of reperfusion. The myocardial infarct
size was determined by triphenyltetrazolium chloride staining, and cardiomyocyte
apoptosis was detected by terminal deoxynucleotidyl transferase dUTP nick-end
labeling staining. In order to investigate the potential mechanisms, the
expression levels of caspase-3, B-cell lymphoma-2 (Bcl-2) proteins and
Bcl-2-associated X protein (Bax) were measured using western blot analysis. The
present study demonstrated that, in hypercholesterolemic rats, pharmacological
preconditioning and postconditioning with nicorandil decreased I/R-induced
myocardial necrosis and apoptosis in a concentration-dependent manner. The
optimal preconditioning and postconditioning concentration of nicorandil
determined to have anti-infarct and anti-apoptosis effects was 30 µmol/l, which
significantly (P<0.05) reduced the infarct size to 14.88±3.25% and 15.96±3.29%,
and attenuated the percentage of cardiomyocyte apoptosis to 25.20±3.93% and
26.18±4.82%, respectively, compared with the I/R group. However, the
cardioprotective effects of nicorandil were partially suppressed by cotreatment
with 5-HD or ODQ. Western blot analysis demonstrated that pharmacological
preconditioning and postconditioning with nicorandil significantly downregulated
caspase-3 and Bax expression, and upregulated Bcl-2 expression compared with the
I/R group (P<0.05). The results of the present study suggest that pharmacological
preconditioning and postconditioning with nicorandil may protect
hypercholesterolemic hearts against I/R-induced necrosis and apoptosis; and the
cardioprotective effects of nicorandil may be due to the dual pharmacological
mechanisms of opening the mitoKATP channels and a nitric oxide/sGC-dependent
mechanism, and regulation of the expression of caspase-3, Bax and Bcl-2.