Effect of Ischemic Preconditioning and PKC Activation on Acidification During Ischemia in Rat Heart

Ischemic preconditioning (PC) has been shown to attenuate intracellular acidification during a subsequent period of ischemia, to minimize stunning, and to decrease infarct size. PKC activation has been suggested to be involved in this phenomenon. The present study is designed to test whether PKC activation could mimic and PKC inhibition could block the PC effects on intracellular acidification during ischemia and on stunning during reflow in Langendorff perfused rat hearts. Prior to 20 min of sustained global normothermic ischemia, groups of hearts were treated with the PKC activators 4β-phorbol 12-myristate 13-acetate (PMA) or 1,2-dioctanoyl-sn-glycerol (DOG), a group of hearts was treated with the PKC inhibitor chelerythrine (CH), a group was treated with DOG plus CH, a group was preconditioned with four cycles of 5 min of ischemia and 5 min of reflow, and a group was treated with CH during PC. Recovery of left ventricular developed pressure (% of initial, pretreatment, pre-ischemic LVDP), measured after 20 min of reflow, was improved in hearts treated with DOG, but not PMA (80±3% (DOG), 55±3% (PMA)v51±3% (control),P<0.05 between DOG and control), although both caused a similar degree of PKC translocation (measured by fractionation followed by an assay of PKC activity using incorporation of32P into histone). The improved recovery of LVDP in the PC group and in the DOG group was blocked by chelerythrine. Measurement of pH (by31P NMR) showed that DOG reduced acidification at 15–20 min of ischemia, although the effect was not as great as PC, while PMA did not reduce acidification. The effect of DOG on pHiwas attenuated by CH; however, the PC-induced attenuation of the fall in pHiwas not affected by CH. High energy phosphates (measured by31P NMR) were not significantly different between any of the groups during ischemia or reflow. This study confirms that the protective effect of ischemic preconditioning on stunning in rat heart can be eliminated by inhibition of PKC, but suggests that the effect of PC on the fall in pHiduring sustained ischemia is not mediated by PKC.