Toma Octavian, Weber Nina C, Wolter Jessica I, Obal Detlef, Preckel Benedikt, Schlack Wolfgang
Department of Anesthesiology, University Hospital Duesseldorf, Germany.
Anesthesiology. 2004 Dec;101(6):1372-80. doi: 10.1097/00000542-200412000-00018.
Activation of protein kinase C epsilon (PKC-epsilon) and extracellular signal-regulated kinase 1 and 2 (ERK1/2) are important for cardioprotection by preconditioning. The present study investigated the time dependency of PKC-epsilon and ERK1/2 activation during desflurane-induced preconditioning in the rat heart.
Anesthetized rats were subjected to regional myocardial ischemia and reperfusion, and infarct size was measured by triphenyltetrazoliumchloride staining (percentage of area at risk). In three groups, desflurane-induced preconditioning was induced by two 5-min periods of desflurane inhalation (1 minimal alveolar concentration), interspersed with two 10-min periods of washout. Three groups did not undergo desflurane-induced preconditioning. The rats received 0.9% saline, the PKC blocker calphostin C, or the ERK1/2 inhibitor PD98059 with or without desflurane preconditioning (each group, n = 7). Additional hearts were excised at four different time points with or without PKC or ERK1/2 blockade: without further treatment, after the first or the second period of desflurane-induced preconditioning, or at the end of the last washout phase (each time point, n = 4). Phosphorylated cytosolic PKC-epsilon and ERK1/2, and membrane translocation of PKC-epsilon were determined by Western blot analysis (average light intensity).
Desflurane significantly reduced infarct size from 57.2 +/- 4.7% in controls to 35.2 +/- 16.7% (desflurane-induced preconditioning, mean +/- SD, P < 0.05). Both calphostin C and PD98059 abolished this effect (58.8 +/- 13.2% and 64.2 +/- 15.4% respectively, both P < 0.05 versus desflurane-induced preconditioning). Cytosolic phosphorylated PKC-epsilon reached its maximum after the second desflurane-induced preconditioning and returned to baseline after the last washout period. Both calphostin C and PD98059 inhibited PKC-epsilon activation. ERK1/2 phosphorylation reached its maximum after the first desflurane-induced preconditioning and returned to baseline after the last washout period. Calphostin C had no effect on ERK1/2 phosphorylation.
Both, PKC and ERK1/2 mediate desflurane-induced preconditioning. PKC-epsilon and ERK1/2 are both activated in a time dependent manner during desflurane-induced preconditioning, but ERK1/2 activation during desflurane-induced preconditioning is not PKC dependent. Moreover, ERK1/2 blockade abolished PKC-epsilon activation, suggesting ERK-dependent activation of PKC-epsilon during desflurane-induced preconditioning.
蛋白激酶Cε(PKC-ε)及细胞外信号调节激酶1和2(ERK1/2)的激活对预处理诱导的心脏保护作用至关重要。本研究探讨了大鼠心脏中地氟醚诱导预处理过程中PKC-ε和ERK1/2激活的时间依赖性。
将麻醉大鼠进行局部心肌缺血及再灌注处理,通过三苯基四氮唑氯化物染色测量梗死面积(危险区域面积的百分比)。在三组中,通过两次吸入地氟醚5分钟(1个最低肺泡浓度)诱导地氟醚预处理,期间穿插两次10分钟的冲洗期。另外三组未进行地氟醚诱导预处理。大鼠接受0.9%生理盐水、PKC阻断剂钙泊三醇C或ERK1/2抑制剂PD98059,有无地氟醚预处理(每组,n = 7)。在有或无PKC或ERK1/2阻断的四个不同时间点切除额外的心脏:未进一步处理、第一次或第二次地氟醚诱导预处理后,或最后冲洗期结束时(每个时间点,n = 4)。通过蛋白质印迹分析(平均光强度)测定磷酸化的胞质PKC-ε和ERK1/2以及PKC-ε的膜转位。
地氟醚显著将梗死面积从对照组的57.2±4.7%降至35.2±16.7%(地氟醚诱导预处理,均值±标准差,P < 0.05)。钙泊三醇C和PD98059均消除了这种作用(分别为58.8±13.2%和64.2±15.4%,与地氟醚诱导预处理相比,两者P < 0.05)。胞质磷酸化PKC-ε在第二次地氟醚诱导预处理后达到最大值,并在最后冲洗期后恢复至基线。钙泊三醇C和PD98059均抑制PKC-ε激活。ERK1/2磷酸化在第一次地氟醚诱导预处理后达到最大值,并在最后冲洗期后恢复至基线。钙泊三醇C对ERK1/2磷酸化无影响。
PKC和ERK1/2均介导地氟醚诱导的预处理。在大鼠心脏地氟醚诱导预处理过程中,PKC-ε和ERK1/2均以时间依赖性方式被激活,但地氟醚诱导预处理过程中ERK1/2的激活不依赖PKC。此外,ERK1/2阻断消除了PKC-ε激活,提示在地氟醚诱导预处理过程中PKC-ε的激活依赖ERK。