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June 28, 2006Anesthesiology

Distinct Roles for Sarcolemmal and Mitochondrial Adenosine Triphosphate-sensitive Potassium Channels in Isoflurane-induced Protection against Oxidative Stress

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Key result

Isoflurane pretreatment cuts oxidative cardiomyocyte death ~45% via sarcolemmal and mitochondrial K(ATP) channels.

Why the study?

It is unclear whether sarcolemmal and mitochondrial K(ATP) channels act as triggers or effectors in isoflurane-induced cardiac preconditioning against oxidative stress.

Population

Adult rat cardiomyocytes exposed to oxidative stress with 200 microM H2O2 and 100 microM FeSO4

Comparison

Isoflurane pretreatment with or without sarcolemmal and mitochondrial K(ATP) channel inhibitors

Design

Preclinical experimental study

Authors

JMJasna MarinovićUniversity of SplitZBZeljko J. BosnjakMedical College of WisconsinASAnna StadnickaJagiellonian University

Discussion

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Implication

Role of K(ATP) channels in anesthetic preconditioning remains unclear; leaves open their precise role as triggers or effectors.

Structured PICO

P
Population
Adult rat cardiomyocytes exposed to oxidative stress to study the mechanisms of isoflurane-induced preconditioning.
I
Intervention
Pretreatment with isoflurane, with or without specific inhibitors HMR-1098 (sarcolemmal K(ATP) blocker) and 5-hydroxydecanoic acid (mitochondrial K(ATP) blocker) applied at different times
C
Comparator
Cardiomyocytes exposed to oxidative stress without isoflurane pretreatment
O
Outcome
Myocyte survival determined based on morphologic characteristics and trypan blue exclusionsurrogate

Main Result

Absolute Event Rate: 26% vs 47%

Isoflurane-induced cardioprotection against oxidative stress involves sarcolemmal K(ATP) channels acting as effectors and mitochondrial K(ATP) channels acting as both triggers and effectors.

Cite This Study

Marinović et al. (2006) studied Oxidative stress / Ischemia-reperfusion injury. Isoflurane pretreatment vs. Oxidative stress without pretreatment was evaluated on Cell death. Isoflurane pretreatment attenuated oxidative stress-induced cell death in adult rat cardiomyocytes from 47% to 26%, a protective effect dependent on sarcolemmal and mitochondrial K(ATP) channels.

synapsesocial.com/papers/6ab5cd6d2d86fd4f157c66cfhttps://doi.org/10.1097/00000542-200607000-00018
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Isoflurane-induced Facilitation of the Cardiac Sarcolemmal KATPChannel2002 · 60 citations
  2. 2Impact of In Vivo Preconditioning by Isoflurane on Adenosine Triphosphate–sensitive Potassium Channels in the Rat Heart2006 · 20 citations
  3. 3Myocardial Protection by Isoflurane Preconditioning Preserves Ca2+ Cycling Proteins Independent of Sarcolemmal and Mitochondrial KATP Channels2007 · 22 citations
  4. 4Anesthetic Effects on Mitochondrial ATP-sensitive K Channel2001 · 111 citations
  5. 5Mitochondrial ATP-Dependent Potassium Channels1998 · 816 citations