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Cardiovascular Research 2001 52(2):181-198; doi:10.1016/S0008-6363(01)00384-4
© 2001 by European Society of Cardiology
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Copyright © 2001, European Society of Cardiology

Signal transduction of ischemic preconditioning

Rainer Schulza, Michael V Cohenb,c, Matthias Behrendsa, James M Downeyb and Gerd Heuscha,b,*

aDepartment of Pathophysiology, University of Essen, Hufelandstrasse 55, 45122 Essen, Germany
bDepartment of Physiology, University of South Alabama, College of Medicine, Mobile, AL 36688, USA
cDepartment of Medicine, University of South Alabama, College of Medicine, Mobile, AL 36688, USA

* Corresponding author. Tel.: +49-201-723-4480; fax: +49-201-723-4481 gerd.heusch@uni-essen.de

Received 26 March 2001; accepted 6 June 2001

KEYWORDS Ischemia; Preconditioning; Signal transduction

The first 150 words of the full text of this article appear below.


    1. Ischemic preconditioning and its endpoints
 
Brief episodes of ischemia/reperfusion protect the myocardium from the damage induced by subsequent more prolonged ischemia. When first described by Murry et al. [1] such ischemic preconditioning was elicited by brief coronary occlusion, and the endpoint was reduced infarct size. Soon, however, a variety of preconditioning stimuli were uncovered including hypoxia [2], rapid cardiac pacing [3,4], thermal stress [5], stretch [6,7] and various pharmacological agents (for review, see Refs. [8,9]). Also, various endpoints of ischemic preconditioning have been used: ischemic preconditioning protects against infarction in all species tested so far (for review, see Ref. [8]), and there is also evidence that it might be operative in man (for review, see Ref. [10]). Ischemic preconditioning also reduces the extent of apoptosis [11–13]. Other studies have used recovery of contractile function as an end-point of ischemic preconditioning. Although it appears logical that less infarcted myocardium . . . [Full Text of this Article]


    2. Temporal limits of ischemic preconditioning
 

    3. Signal transduction in the early phase of ischemic preconditioning
 
3.1 Receptor-dependent endogenous triggers
3.1.1 Adenosine
3.1.2 Bradykinin
3.1.3 Opioids
3.1.4 Prostaglandins, norepinephrine, angiotensin and endothelin
3.2 Receptor-independent endogenous triggers
3.2.1 Free radicals
3.2.2 Nitric oxide (NO)
3.2.3 Calcium
3.3 Exogenous triggers
3.4 G proteins and phospholipases
3.5 Protein kinases
3.5.1 Protein kinase C
3.5.2 Tyrosine kinases
3.5.3 Mitogen-activated protein (MAP) kinases
3.5.3.1 ERK
3.5.3.2 JNK
3.5.3.3 p38
3.5.4 Timing of protein kinase activation

    4. Potential end-effectors of ischemic preconditioning
 
4.1 Energetic and substrate metabolism
4.2 Protein synthesis
4.3 KATP channels
4.4 Sodium–proton exchanger
4.5 Cytoskeleton
4.6 Volume regulation
4.7 Tumor necrosis factor (TNF) {alpha}

    5. Differences between the early and the late phase of ischemic preconditioning
 

    6. Potential reasons for current controversies
 
6.1 Species
6.2 Models
6.3 Protocols
6.4 Inhibitors and activators
6.5 Transgenic and transfection approaches

    7. Summary
 

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Cardiovasc ResHome page
R. M Smith, S. Lecour, and M. N Sack
Innate immunity and cardiac preconditioning: a putative intrinsic cardioprotective program
Cardiovasc Res, August 15, 2002; 55(3): 474 - 482.
[Abstract] [Full Text] [PDF]


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Cardiovasc ResHome page
R. M Smith, N. Suleman, J. McCarthy, and M. N Sack
Classic ischemic but not pharmacologic preconditioning is abrogated following genetic ablation of the TNF{alpha} gene
Cardiovasc Res, August 15, 2002; 55(3): 553 - 560.
[Abstract] [Full Text] [PDF]


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Cardiovasc ResHome page
P. Gres, R. Schulz, J. Jansen, C. Umschlag, and G. Heusch
Involvement of endogenous prostaglandins in ischemic preconditioning in pigs
Cardiovasc Res, August 15, 2002; 55(3): 626 - 632.
[Abstract] [Full Text] [PDF]


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Cardiovasc ResHome page
R. Schulz, S. Belosjorow, P. Gres, J. Jansen, M. C Michel, and G. Heusch
p38 MAP kinase is a mediator of ischemic preconditioning in pigs
Cardiovasc Res, August 15, 2002; 55(3): 690 - 700.
[Abstract] [Full Text] [PDF]


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Exp. Biol. Med.Home page
A. Babsky, S. Hekmatyar, S. Wehrli, N. Doliba, M. Osbakken, and N. Bansal
Influence of Ischemic Preconditioning on Intracellular Sodium, pH, and Cellular Energy Status in Isolated Perfused Heart
Experimental Biology and Medicine, July 1, 2002; 227(7): 520 - 528.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
E. W. Dickson, R. J. Tubbs, W. A. Porcaro, W. J. Lee, D. J. Blehar, R. E. Carraway, C. E. Darling, and K. Przyklenk
Myocardial preconditioning factors evoke mesenteric ischemic tolerance via opioid receptors and KATP channels
Am J Physiol Heart Circ Physiol, July 1, 2002; 283(1): H22 - H28.
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Am. J. Physiol. Heart Circ. Physiol.Home page
G. J. Gross and D. C. Warltier
Prologue: nonclassical modalities of myocardial preconditioning
Am J Physiol Heart Circ Physiol, June 1, 2002; 282(6): H1951 - H1952.
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Cardiovasc ResHome page
K. Mubagwa
Does adenosine protect the heart by acting on the sarcoplasmic reticulum?
Cardiovasc Res, February 1, 2002; 53(2): 286 - 289.
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