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Comparative effects of calcium and potassium channel modulators on ischemia/reperfusion injury in the isolated rat heart

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The aim of this study was to examine and compare the effects of the acute administration of verapamil or amlodipine as representatives of the calcium channel blockers or nicorandil as a representative of the mitochondrial ATP-dependent potassium (KATP) channel opener to cardiac contractility, coronary flow, and oxidative stress markers on ischemia/reperfusion injury in the isolated rat heart. The hearts of adult male Wistar albino rats (n = 60 total, 12 per group) were divided into five groups, two controls (preconditioning with Krebs–Henseleit solution) and three experimental depending on acute administrated pharmacological agents (0,63 µmol/L of verapamil, 0,1 µmol/L of amlodipine, and 200 µmol/L of nicorandil). After stabilization and 5 min of preconditioning in experimental groups, hearts from I/R control and all experimental groups underwent global ischemia (20 min) and reperfusion (30 min). Hearts from sham group were continuously followed for 50 min, after stabilization period. Cardiodynamic parameters and coronary flow were recorded at the end of stabilization (S), at the last minute of pharmacological preconditioning (P) and at intervals of 5 min after global ischemia, during reperfusion, or in case of sham group during 20–50 min after stabilization. At the same intervals, we collected coronary venous effluent from which we spectrophotometrically measured the parameters of oxidative stress: the index of lipid peroxidation, superoxide anion radical, hydrogen peroxide, and nitrite. In summary, our findings clearly indicate that the blocking of the calcium channel or the activation of KATP may mediate the protective effect of myocardial preconditioning. The ex vivo results showed that all examined drugs after ischemia and reperfusion have beneficial cardioprotective properties associated with lower values of major pro-oxidative molecules. Obtained effects seem to be the most convincible in case of nicorandil.

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References

  1. Yang Q, He GW, Underwood MJ, Yu CM (2016) Cellular and molecular mechanisms of endothelial ischemia/reperfusion injury: perspectives and implications for postischemic myocardial protection. Am J Transl Res 8:765

    CAS  PubMed  PubMed Central  Google Scholar 

  2. Cadenas S (2018) ROS and redox signaling in myocardial ischemia-reperfusion injury and cardioprotection. Free Radic Biol Med 117:76–89

    Article  CAS  PubMed  Google Scholar 

  3. Kiselyov K, Muallem S (2016) ROS and intracellular ion channels. Cell Calcium 60:108–114

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  4. Cao CM, Xia Q, Gao Q, Chen M, Wong TM (2005) Calcium-activated potassium channel triggers cardioprotection of ischemic preconditioning. J Pharmacol Exp Ther 312:644–650

    Article  CAS  PubMed  Google Scholar 

  5. Kwong JQ, Molkentin JD (2015) Physiological and pathological roles of the mitochondrial permeability transition pore in the heart. Cell Metab 21:206–214

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  6. Morciano G, Giorgi C, Bonora M, Punzetti S, Pavasini R, Wieckowski MR, Campo G, Pinton P (2015) Molecular identity of the mitochondrial permeability transition pore and its role in ischemia-reperfusion injury. J Mol Cell Cardiol 78:142–153

    Article  CAS  PubMed  Google Scholar 

  7. Altamirano F, Wang ZV, Hill JA (2015) Cardioprotection in ischaemia-reperfusion injury: novel mechanisms and clinical translation. J Physiol 593:3773–3788

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  8. Kojima A, Fukushima Y, Ito Y, Ding WG, Kitagawa H, Matsuura H (2018) TRPC channel blockers improve ventricular contractile functions after ischemia/reperfusion in a Langendorff-perfused mouse heart model. J Cardiovasc Pharmacol. https://doi.org/10.1097/FJC.0000000000000566

    Article  PubMed  Google Scholar 

  9. Piper HM, Meuter K, Schafer C (2003) Cellular mechanisms of ischemia-reperfusion injury. Ann Thorac Surg 75:S644–S648

    Article  PubMed  Google Scholar 

  10. Hausenloy DJ, Yellon DM (2013) Myocardial ischemia-reperfusion injury: a neglected therapeutic target. J Clin Investig 123:92–100

    Article  CAS  PubMed  Google Scholar 

  11. Venkatesh N, Lamp ST, Weiss J-N (1991) Sulfonylureas, ATP-sensitive K1 channels, and cellular K1 loss during hypoxia, ischemia, and metabolic inhibition in mammalian ventricle. Circ Res 69:623–637

    Article  CAS  PubMed  Google Scholar 

  12. Nichols CG (2016) Adenosine triphosphate-sensitive potassium currents in heart disease and cardioprotection. Card Electrophysiol Clin 8:323–335

    Article  PubMed  PubMed Central  Google Scholar 

  13. Simonovic N, Jeremic J (2017) Role of calcium channel blockers in myocardial preconditioning. Ser J Exp Clin Res 18:281–287

    Article  Google Scholar 

  14. Gross GJ, Auchampach JA, Maruyama M, Warltier DC, Pieper GM (1992) Cardioprotective effects of nicorandil. J Cardiovasc Pharmacol 20:S22-8

    Article  PubMed  Google Scholar 

  15. Ahmed LA, Salem HA, Attia AS, Agha AM (2011) Pharmacological preconditioning with nicorandil and pioglitazone attenuates myocardial ischemia/reperfusion injury in rats. Eur J Pharmacol 663:51–58

    Article  CAS  PubMed  Google Scholar 

  16. Herr DJ, Aune SE, Menick DR (2015) Induction and assessment of Ischemia-reperfusion injury in Langendorff-perfused rat hearts. J Vis Exp 101:e52908

    Google Scholar 

  17. Miyawaki H, Ashraf M (1997) Ca2+ as a mediator of ischemic preconditioning. Circ Res 80:790–799

    Article  CAS  PubMed  Google Scholar 

  18. Mitani A, Kinoshita K, Fukamachi K, Sakamoto M, Kurisu K, Tsuruhara Y, Fukumura F, Nakashima A, Tokunaga K (1991) Effects of glibenclamide and nicorandil on cardiac function during ischemia and reperfusion in isolated perfused rat hearts. Am J Physiol 261:H1864-71

    PubMed  Google Scholar 

  19. Ohkawa H, Ohishi N, Yagi K (1979) Assay for lipid peroxides in animal tissues by thiobarbituric acid reaction. Anal Biochem 351:8–16

    Google Scholar 

  20. Green LC, Wagner DA, Glogowski J, Skipper PL, Wishnok JS, Tannenbaum SR (1982) Analysis of nitrate, nitrite and [15N] nitrate in biological fluids. Anal Biochem 131:8–17

    Google Scholar 

  21. Auclair C, Voisin E (1985) Nitroblue tetrazolium reduction. In: Greenvvald RA (ed) Hadnbook of methods for oxygen radical research. CRC Press Une, Boca Raton 123:32–48

    Google Scholar 

  22. Pick E, Keisari Y (1980) A simple colorimetric method for the measurement of hydrogen peroxide produced by cells in culture. J Immunol Methods 38:161–170

    Article  CAS  PubMed  Google Scholar 

  23. Lefrandt JD, Heitmann J, Sevre K, Castellano M, Hausberg M, Fallon M, Urbigkeit A, Rostrup M, Agabiti-Rosei E, Rahn KH, Murphy M, Zannad F, de Kam PJ, Smit AJ (2001) Contrasting effects of verapamil and amlodipine on cardiovascular stress responses in hypertension. Br J Clin Pharmacol 52:687–692

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  24. Sugawara H, Tobise K, Kikuchi K (1996) Antioxidant effects of calcium antagonists on rat myocardial membrane lipid peroxidation. Hypertens Res 19:223–228

    Article  CAS  PubMed  Google Scholar 

  25. Skrzypiec-Spring M, Grotthus B, Szeląg A, Schulz R (2007) Isolated heart perfusion according to Langendorff—still viable in the new millennium. J Pharmacol Toxicol Methods 55:113–126

    Article  CAS  PubMed  Google Scholar 

  26. Stojic I, Srejovic I, Zivkovic V, Jeremic N, Djuric M, Stevanovic A, Milanovic T, Djuric D, Jakovljevic V (2017) The effects of verapamil and its combinations with glutamate and glycine on cardiodynamics, coronary flow and oxidative stress in isolated rat heart. J Physiol Biochem 73:141–153

    Article  CAS  PubMed  Google Scholar 

  27. Tang L, El-Din TMG, Swanson TM, Pryde DC, Scheuer T, Zheng N, Catterall WA (2016) Structural basis for inhibition of a voltage-gated Ca2+ channel by Ca2+ antagonist drugs. Nature 537:117

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  28. Tang HM, Ju H, Zhao S, LaDuke C, Hahn S, Glick J, Carey C, Friedrichs GS (2016) Translational assessment of cardiac contractility by echocardiography in the telemetered rat. J Pharmacol Toxicol Methods 77:24–32

    Article  CAS  PubMed  Google Scholar 

  29. Fares H, DiNicolantonio JJ, O’Keefe JH, Lavie CJ (2016) Amlodipine in hypertension: a first-line agent with efficacy for improving blood pressure and patient outcomes. Open Heart 3:e000473

    Article  PubMed  PubMed Central  Google Scholar 

  30. Kitakaze M, Asakura M, Kim J, Shintani Y, Asanuma H, Hamasaki T, Seguchi O, Myoishi M, Minamino T, Ohara T, Nagai Y, Nanto S, Watanabe K, Fukuzawa S, Hirayama A, Nakamura N, Kimura K, Fujii K, Ishihara M, Saito Y, Tomoike H, Kitamura S, investigators JW (2007) Human atrial natriuretic peptide and nicorandil as adjuncts to reperfusion treatment for acute myocardial infarction (j-wind): two randomised trials. Lancet 370:1483–1493

    Article  CAS  PubMed  Google Scholar 

  31. Ishii H, Ichimiya S, Kanashiro M, Amano T, Imai K, Murohara T, Matsubara T (2005) Impact of a single intravenous administration of nicorandil before reperfusion in patients with st-segment-elevation myocardial infarction. Circulation 112:1284–1288

    Article  CAS  PubMed  Google Scholar 

  32. Wang S, Fan Y, Feng X, Sun C, Shi Z, Li T, Lv J, Yang Z, Sun D (2018) Nicorandil alleviates myocardial injury and post-infarction cardiac remodeling by inhibiting Mst1. Biochem Biophys Res Commun 495:292–299

    Article  CAS  PubMed  Google Scholar 

  33. Cleophas TJ, van Marun R (2001) Meta-analysis of efficacy and safety of second-generation dihydropyridine calcium channel blockers in heart failure. Am J Cardiol 87:487–490

    Article  CAS  PubMed  Google Scholar 

  34. Davitt K, Hensley L, Clements-Jewery H (2016) Verapamil but not lidocaine suppresses ischemia-induced ventricular fibrillation in the isolated female rat heart. FASEB J 30:1274–1278

    Google Scholar 

  35. Okamura A, Rakugi H, Ohishi M, Yanagitani Y, Shimizu M, Nishii T, Taniyam Y, Asai T, Takiuchi S, Moriguchi K, Ohkuro M, Komai N, Yamada K, Inamoto N, Otsuka A, Higaki J, Ogihara (2001) Additive effects of nicorandil on coronary blood flow during continuous administration of nitroglycerin. J Am Coll Cardiol 37:719–725

    Article  CAS  PubMed  Google Scholar 

  36. Curt FD, Psaty MB, Meyer VJ (1995) Nifedipine dose-related increase in mortality in patients with coronary heart disease. Circulation 92:1326–1331

    Article  Google Scholar 

  37. Hirose M, Tsujino N, Nakada T, Yano S, Imamura H, Yamada M (2008) Mechanisms of preventive effect of nicorandil on ischaemia-induced ventricular tachyarrhythmia in isolated arterially perfused canine left ventricular wedges. Basic Clin Pharmacol Toxicol 102:504–514

    Article  CAS  PubMed  Google Scholar 

  38. Ueda H, Hayashi T, Tsumura K, Yoshimaru K, Nakayama Y, Yoshikawa J (2004) Intravenous nicorandil can reduce QT dispersion and prevent bradyarrhythmia during percutaneous transluminal coronary angioplasty of the right coronary artery. J Cardiovasc Pharmacol Ther 9:179–184

    Article  CAS  PubMed  Google Scholar 

  39. Ueda H, Nakayama Y, Tsumura K, Yoshimaru K, Hayashi T, Yoshikawa J (2004) Intravenous nicorandil can reduce the occurrence of ventricular fibrillation and QT dispersion in patients with successful coronary angioplasty in acute myocardial infarction. Can J Cardiol 20:625–629

    CAS  PubMed  Google Scholar 

  40. Ok SH, Kwon SC, Kang S, Choi MJ, Sohn JT (2014) Mepivacaine-induced intracellular calcium increase appears to be mediated primarily by calcium influx in rat aorta without endothelium. Korean J Anesthesiol 67:404–411

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  41. Sahara M, Sata M, Morita T, Hirata Y, Nagai R (2012) Nicorandil attenuates monocrotaline-induced vascular endothelial damage and pulmonary arterial hypertension. PLoS ONE 7:e33367

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  42. Serizawa K, Yogo K, Aizawa K, Tashiro Y, Ishizuka N (2011) Nicorandil prevents endothelial dysfunction due to antioxidative effects via normalisation of NADPH oxidase and nitric oxide synthase in streptozotocin diabetic rats. Cardiovasc Diabetol 10:105

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  43. Chen Z, Chen X, Li S, Huo X, Fu X, Dong X (2015) Nicorandil improves myocardial function by regulating plasma nitric oxide and endothelin-1 in coronary slow flow. Coron Artery Dis 26:114

    Article  PubMed  PubMed Central  Google Scholar 

  44. Abd Allah ES, Ahmed MA, Abdel Mola AF (2014) Comparative study of the effect of verapamil and vitamin D on iron overload-induced oxidative stress and cardiac structural changes in adult male rats. Pathophysiology 21:293–300

    Article  CAS  PubMed  Google Scholar 

  45. Alam M, Singh BK, Kumar V (2015) Amlodipine potentiates the protective effect of zonisamide on pentylenetetrazol-induced kindling in mice. Drug Dev Ther 6:88

    Article  CAS  Google Scholar 

  46. Abdel-Raheem IT, Taye A, Abouzied MM (2013) Cardioprotective effects of nicorandil, a mitochondrial potassium channel opener against doxorubicin-induced cardiotoxicity in rats. Basic Clin Pharmacol Toxicol 113:158–166

    Article  CAS  PubMed  Google Scholar 

  47. Wang Z, Wang D, Li Y, Zhang X (2014) Protective effects of verapamil against H2O2-induced apoptosis in human lens epithelial cells. Biomol Ther 22:553–557

    Article  CAS  Google Scholar 

  48. Da Hyun Lee JSP, Lee YS, Sung SH, Lee YH, Bae SH (2017) The hypertension drug, verapamil, activates Nrf2 by promoting p62-dependent autophagic Keap1 degradation and prevents acetaminophen-induced cytotoxicity. BMB Rep 50:91

    Article  Google Scholar 

  49. Tanaka M, Nishimura R, Nishimura T, Kawai T, Meguro S, Irie J, Saisho Y, Itoh H (2014) Effect of single tablet of fixed-dose amlodipine and atorvastatin on blood pressure/lipid control, oxidative stress, and medication adherence in type 2 diabetic patients. Diabetol Metab Syndr 6:56

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  50. Nagata K, Obata K, Odashima M, Yamada A, Somura F, Nishizawa T, Ichihara S, Izawa H, Iwase M, Hayakawa A, Murohara T, Yokota M (2003) Nicorandil inhibits oxidative stress-induced apoptosis in cardiac myocytes through activation of mitochondrial ATP-sensitive potassium channels and a nitrate-like effect. J Mol Cell Cardiol 35:1505–1512

    Article  CAS  PubMed  Google Scholar 

  51. Yui H, Imaizumi U, Beppu H, Ito M, Furuya M, Arisaka H, Yoshida KI (2011) Comparative effects of verapamil, nicardipine, and nitroglycerin on myocardial ischemia/reperfusion injury. Anesthesiol Res Pract. https://doi.org/10.1155/2011/521084

    Article  PubMed  PubMed Central  Google Scholar 

  52. Yu W, Wang JJ, Gan WY, Lin GS, Huang CX (2010) Effects of verapamil preconditioning on cardiac function in vitro and intracellular free Ca2+ and L-type calcium current in rat cardiomyocytes post ischemia-reperfusion injury. Zhonghua Xin Xue Guan Bing Za Zhi 38:225–229

    CAS  PubMed  Google Scholar 

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Correspondence to Vladimir Jakovljevic.

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Simonovic, N., Jakovljevic, V., Jeremic, J. et al. Comparative effects of calcium and potassium channel modulators on ischemia/reperfusion injury in the isolated rat heart. Mol Cell Biochem 450, 175–185 (2019). https://doi.org/10.1007/s11010-018-3384-y

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