Carbon Monoxide Protects Against Cardiac Ischemia—Reperfusion Injury In Vivo via MAPK and Akt—eNOS Pathways

BACKGROUND—Carbon monoxide (CO) is postulated to protect tissues against several types of injuries. We investigated the role of CO in amelioration of cardiac ischemia–reperfusion injury in vivo and the mechanisms involved in it. METHODS AND RESULTS—Rats inhaled CO (250 ppm, 500 ppm, or 1000 ppm) for...

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Veröffentlicht in:Arteriosclerosis, thrombosis, and vascular biology thrombosis, and vascular biology, 2004-10, Vol.24 (10), p.1848-1853
Hauptverfasser: Fujimoto, Hajime, Ohno, Minoru, Ayabe, Seiji, Kobayashi, Hisae, Ishizaka, Nobukazu, Kimura, Hiroko, Yoshida, Ken-ichi, Nagai, Ryozo
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container_end_page 1853
container_issue 10
container_start_page 1848
container_title Arteriosclerosis, thrombosis, and vascular biology
container_volume 24
creator Fujimoto, Hajime
Ohno, Minoru
Ayabe, Seiji
Kobayashi, Hisae
Ishizaka, Nobukazu
Kimura, Hiroko
Yoshida, Ken-ichi
Nagai, Ryozo
description BACKGROUND—Carbon monoxide (CO) is postulated to protect tissues against several types of injuries. We investigated the role of CO in amelioration of cardiac ischemia–reperfusion injury in vivo and the mechanisms involved in it. METHODS AND RESULTS—Rats inhaled CO (250 ppm, 500 ppm, or 1000 ppm) for 24 hours in a chamber after myocardial ischemia–reperfusion induced by occluding the left anterior descending coronary artery for 30 minutes. Pre-exposure to 1000 ppm of CO significantly reduced the ratio of infarct areas to risk areas and suppressed the migration of macrophages and monocytes into infarct areas, and the expression of tumor necrosis factor (TNF)-α in the heart; however, 250 ppm, 500 ppm of CO, or low barometric pressure hypoxia (0.5 atm) did not affect them. Exposure to 1000 ppm CO resulted in the activation of p38 mitogen-activated protein kinase (p38MAPK), protein kinase Bα(Akt), endothelial nitric oxide synthase (eNOS), and cyclic guanosine monophosphate (cGMP) in the myocardium. Inhibition of p38MAPK, PI3kinase, NO, and soluble guanylate cyclase with SB203580, wortmannin, N(G)-nitro-l-arginine methyl ester (l-NAME), and methylene blue, respectively, attenuated the cytoprotection by CO. CONCLUSION—CO has beneficial effects on cardiac ischemia–reperfusion injury; this effect is mediated by p38MAPK pathway and Akt–eNOS pathway, including production of cGMP.
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We investigated the role of CO in amelioration of cardiac ischemia–reperfusion injury in vivo and the mechanisms involved in it. METHODS AND RESULTS—Rats inhaled CO (250 ppm, 500 ppm, or 1000 ppm) for 24 hours in a chamber after myocardial ischemia–reperfusion induced by occluding the left anterior descending coronary artery for 30 minutes. Pre-exposure to 1000 ppm of CO significantly reduced the ratio of infarct areas to risk areas and suppressed the migration of macrophages and monocytes into infarct areas, and the expression of tumor necrosis factor (TNF)-α in the heart; however, 250 ppm, 500 ppm of CO, or low barometric pressure hypoxia (0.5 atm) did not affect them. Exposure to 1000 ppm CO resulted in the activation of p38 mitogen-activated protein kinase (p38MAPK), protein kinase Bα(Akt), endothelial nitric oxide synthase (eNOS), and cyclic guanosine monophosphate (cGMP) in the myocardium. Inhibition of p38MAPK, PI3kinase, NO, and soluble guanylate cyclase with SB203580, wortmannin, N(G)-nitro-l-arginine methyl ester (l-NAME), and methylene blue, respectively, attenuated the cytoprotection by CO. CONCLUSION—CO has beneficial effects on cardiac ischemia–reperfusion injury; this effect is mediated by p38MAPK pathway and Akt–eNOS pathway, including production of cGMP.</description><identifier>ISSN: 1079-5642</identifier><identifier>EISSN: 1524-4636</identifier><identifier>DOI: 10.1161/01.ATV.0000142364.85911.0e</identifier><identifier>PMID: 15308554</identifier><identifier>CODEN: ATVBFA</identifier><language>eng</language><publisher>Philadelphia, PA: American Heart Association, Inc</publisher><subject>Animals ; Atherosclerosis (general aspects, experimental research) ; Biological and medical sciences ; Blood and lymphatic vessels ; Carbon Monoxide - metabolism ; Carbon Monoxide - pharmacology ; Cardiology. Vascular system ; Cardiovascular system ; Cyclic GMP - physiology ; Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous ; Hemoglobins - metabolism ; Inhalation - physiology ; Medical sciences ; Mitogen-Activated Protein Kinases - metabolism ; Myocardial Ischemia - prevention &amp; control ; Myocardium - enzymology ; Myocardium - metabolism ; Nitric Oxide Synthase - metabolism ; Nitric Oxide Synthase Type III ; Pharmacology. Drug treatments ; Protein-Serine-Threonine Kinases - metabolism ; Proto-Oncogene Proteins - metabolism ; Proto-Oncogene Proteins c-akt ; Rats ; Reperfusion Injury - prevention &amp; control ; Tumor Necrosis Factor-alpha - biosynthesis ; Vasodilator agents. 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We investigated the role of CO in amelioration of cardiac ischemia–reperfusion injury in vivo and the mechanisms involved in it. METHODS AND RESULTS—Rats inhaled CO (250 ppm, 500 ppm, or 1000 ppm) for 24 hours in a chamber after myocardial ischemia–reperfusion induced by occluding the left anterior descending coronary artery for 30 minutes. Pre-exposure to 1000 ppm of CO significantly reduced the ratio of infarct areas to risk areas and suppressed the migration of macrophages and monocytes into infarct areas, and the expression of tumor necrosis factor (TNF)-α in the heart; however, 250 ppm, 500 ppm of CO, or low barometric pressure hypoxia (0.5 atm) did not affect them. Exposure to 1000 ppm CO resulted in the activation of p38 mitogen-activated protein kinase (p38MAPK), protein kinase Bα(Akt), endothelial nitric oxide synthase (eNOS), and cyclic guanosine monophosphate (cGMP) in the myocardium. Inhibition of p38MAPK, PI3kinase, NO, and soluble guanylate cyclase with SB203580, wortmannin, N(G)-nitro-l-arginine methyl ester (l-NAME), and methylene blue, respectively, attenuated the cytoprotection by CO. CONCLUSION—CO has beneficial effects on cardiac ischemia–reperfusion injury; this effect is mediated by p38MAPK pathway and Akt–eNOS pathway, including production of cGMP.</description><subject>Animals</subject><subject>Atherosclerosis (general aspects, experimental research)</subject><subject>Biological and medical sciences</subject><subject>Blood and lymphatic vessels</subject><subject>Carbon Monoxide - metabolism</subject><subject>Carbon Monoxide - pharmacology</subject><subject>Cardiology. Vascular system</subject><subject>Cardiovascular system</subject><subject>Cyclic GMP - physiology</subject><subject>Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous</subject><subject>Hemoglobins - metabolism</subject><subject>Inhalation - physiology</subject><subject>Medical sciences</subject><subject>Mitogen-Activated Protein Kinases - metabolism</subject><subject>Myocardial Ischemia - prevention &amp; control</subject><subject>Myocardium - enzymology</subject><subject>Myocardium - metabolism</subject><subject>Nitric Oxide Synthase - metabolism</subject><subject>Nitric Oxide Synthase Type III</subject><subject>Pharmacology. Drug treatments</subject><subject>Protein-Serine-Threonine Kinases - metabolism</subject><subject>Proto-Oncogene Proteins - metabolism</subject><subject>Proto-Oncogene Proteins c-akt</subject><subject>Rats</subject><subject>Reperfusion Injury - prevention &amp; control</subject><subject>Tumor Necrosis Factor-alpha - biosynthesis</subject><subject>Vasodilator agents. 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Vascular system</topic><topic>Cardiovascular system</topic><topic>Cyclic GMP - physiology</topic><topic>Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous</topic><topic>Hemoglobins - metabolism</topic><topic>Inhalation - physiology</topic><topic>Medical sciences</topic><topic>Mitogen-Activated Protein Kinases - metabolism</topic><topic>Myocardial Ischemia - prevention &amp; control</topic><topic>Myocardium - enzymology</topic><topic>Myocardium - metabolism</topic><topic>Nitric Oxide Synthase - metabolism</topic><topic>Nitric Oxide Synthase Type III</topic><topic>Pharmacology. Drug treatments</topic><topic>Protein-Serine-Threonine Kinases - metabolism</topic><topic>Proto-Oncogene Proteins - metabolism</topic><topic>Proto-Oncogene Proteins c-akt</topic><topic>Rats</topic><topic>Reperfusion Injury - prevention &amp; control</topic><topic>Tumor Necrosis Factor-alpha - biosynthesis</topic><topic>Vasodilator agents. Cerebral vasodilators</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fujimoto, Hajime</creatorcontrib><creatorcontrib>Ohno, Minoru</creatorcontrib><creatorcontrib>Ayabe, Seiji</creatorcontrib><creatorcontrib>Kobayashi, Hisae</creatorcontrib><creatorcontrib>Ishizaka, Nobukazu</creatorcontrib><creatorcontrib>Kimura, Hiroko</creatorcontrib><creatorcontrib>Yoshida, Ken-ichi</creatorcontrib><creatorcontrib>Nagai, Ryozo</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Arteriosclerosis, thrombosis, and vascular biology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fujimoto, Hajime</au><au>Ohno, Minoru</au><au>Ayabe, Seiji</au><au>Kobayashi, Hisae</au><au>Ishizaka, Nobukazu</au><au>Kimura, Hiroko</au><au>Yoshida, Ken-ichi</au><au>Nagai, Ryozo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Carbon Monoxide Protects Against Cardiac Ischemia—Reperfusion Injury In Vivo via MAPK and Akt—eNOS Pathways</atitle><jtitle>Arteriosclerosis, thrombosis, and vascular biology</jtitle><addtitle>Arterioscler Thromb Vasc Biol</addtitle><date>2004-10</date><risdate>2004</risdate><volume>24</volume><issue>10</issue><spage>1848</spage><epage>1853</epage><pages>1848-1853</pages><issn>1079-5642</issn><eissn>1524-4636</eissn><coden>ATVBFA</coden><abstract>BACKGROUND—Carbon monoxide (CO) is postulated to protect tissues against several types of injuries. We investigated the role of CO in amelioration of cardiac ischemia–reperfusion injury in vivo and the mechanisms involved in it. METHODS AND RESULTS—Rats inhaled CO (250 ppm, 500 ppm, or 1000 ppm) for 24 hours in a chamber after myocardial ischemia–reperfusion induced by occluding the left anterior descending coronary artery for 30 minutes. Pre-exposure to 1000 ppm of CO significantly reduced the ratio of infarct areas to risk areas and suppressed the migration of macrophages and monocytes into infarct areas, and the expression of tumor necrosis factor (TNF)-α in the heart; however, 250 ppm, 500 ppm of CO, or low barometric pressure hypoxia (0.5 atm) did not affect them. Exposure to 1000 ppm CO resulted in the activation of p38 mitogen-activated protein kinase (p38MAPK), protein kinase Bα(Akt), endothelial nitric oxide synthase (eNOS), and cyclic guanosine monophosphate (cGMP) in the myocardium. Inhibition of p38MAPK, PI3kinase, NO, and soluble guanylate cyclase with SB203580, wortmannin, N(G)-nitro-l-arginine methyl ester (l-NAME), and methylene blue, respectively, attenuated the cytoprotection by CO. CONCLUSION—CO has beneficial effects on cardiac ischemia–reperfusion injury; this effect is mediated by p38MAPK pathway and Akt–eNOS pathway, including production of cGMP.</abstract><cop>Philadelphia, PA</cop><cop>Hagerstown, MD</cop><pub>American Heart Association, Inc</pub><pmid>15308554</pmid><doi>10.1161/01.ATV.0000142364.85911.0e</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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subjects Animals
Atherosclerosis (general aspects, experimental research)
Biological and medical sciences
Blood and lymphatic vessels
Carbon Monoxide - metabolism
Carbon Monoxide - pharmacology
Cardiology. Vascular system
Cardiovascular system
Cyclic GMP - physiology
Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous
Hemoglobins - metabolism
Inhalation - physiology
Medical sciences
Mitogen-Activated Protein Kinases - metabolism
Myocardial Ischemia - prevention & control
Myocardium - enzymology
Myocardium - metabolism
Nitric Oxide Synthase - metabolism
Nitric Oxide Synthase Type III
Pharmacology. Drug treatments
Protein-Serine-Threonine Kinases - metabolism
Proto-Oncogene Proteins - metabolism
Proto-Oncogene Proteins c-akt
Rats
Reperfusion Injury - prevention & control
Tumor Necrosis Factor-alpha - biosynthesis
Vasodilator agents. Cerebral vasodilators
title Carbon Monoxide Protects Against Cardiac Ischemia—Reperfusion Injury In Vivo via MAPK and Akt—eNOS Pathways
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