Research Article | Open Access
Gsk-3β Inhibitors Mimic the Cardioprotection Mediated by Ischemic Pre- and Postconditioning in Hypertensive Rats
The aim of this study was to examine the effects of GSK-3β inhibitors compared with PRE and POS in spontaneously hypertensive rats (SHR). Isolated hearts were submitted to the following protocols: IC: 45 min global ischemia (GI) and 1-hour reperfusion (R); PRE: a cycle of 5 min GI and 10 minutes of R prior to 45 min GI; POS: three cycles of 30 sec GI/30 sec R at the start of R. Other hearts received lithium chloride (LiCl) or indirubin-3′-monoxime,5-iodo-(IMI) as GSK-3β inhibitors. All interventions reduced the infarct size observed in IC group. The expressions of P-GSK-3β and P-Akt decreased in IC and were restored after PRE, POS, and GSK-3β inhibitors treatments. An increase of cytosolic MnSOD activity and lipid peroxidation and a decrease of GSH content observed in IC hearts were attenuated in PRE, POS, and LiCl or IMI treatments. An increase of P-GSK-3β/VDAC physical association and a partial recovery of mitochondrial permeability were also detected after interventions. These data show that, in SHR hearts, GSK-3β inhibitors mimic the cardioprotection afforded by PRE and POS and suggest that a decrease in mitochondrial permeability mediated by P-GSK-3β/VDAC interaction is a crucial event.
The left ventricular hypertrophy (LVH) consequent to chronically elevated blood pressure has been frequently associated with postischemic contractile dysfunction . It has been previously shown in stroke-prone spontaneously hypertensive rats (SHR-SPs) [2, 3] and recently demonstrated by us in spontaneously hypertensive rats (SHR)  that LVH aggravates the irreversible reperfusion injury. It was also demonstrated in our and in other laboratories that ischemic preconditioning (PRE) and postconditioning (POS) were able to decrease myocardial dysfunction [5, 6] and to limit the infarct size in hypertrophied hearts [7–9]. However, data obtained in SHR hearts by Pagliaro’s group [10, 11] show that these interventions do not improve the postischemic recovery of contractility nor reduce the infarct size.
It is now recognized that formation and opening of mitochondrial permeability transition pore (mPTP) are the major determinants of cardiomyocyte death following an episode of ischemia and reperfusion . The mPTP causes damage to the heart because it uncouples mitochondrias, causing them to hydrolyze rather than synthesize ATP. The resulting inhibition of electron flow might explain the increased reactive oxygen species (ROS) formation induced by mPTP opening. Since the latter event is favored by ROS , a vicious cycle of injury amplification is likely to be established, especially at the onset of reperfusion.
In normotensive animals, except for some studies [14, 15], most of the research supports the notion that phosphorylation at Ser9/inhibition of GSK-3β is required for the cardioprotection mediated by PRE and POS [16, 17]. Protein kinases, including PI3-kinase, Akt, protein kinase A, protein kinase C, and integrin-linked kinase are implicated in Ser9 phosphorylation and inactivation of GSK-3β . Accumulating evidence indicates that phosphoSer9-GSK-3β (P-GSK-3β)-mediated cytoprotection is achieved by an increased threshold for mPTP opening [19, 20]. The mechanism by which GSK-3β delays mPTP opening is unclear. It has been reported that the ability of this enzyme to interact with ANT at inner mitochondrial membrane  and/or to phosphorylate VDAC was demonstrated in cancer cells .
The P-GSK-3β levels have also been involved in the increased vulnerability to infarction detected in hypertrophied rabbits  and SHR-SPs . On the other hand, the oxidative stress has been involved in the genesis of hypertension  and plays an important role in ischemia and reperfusion injury . Indeed, an attenuation of oxidative stress may be considered as one of the cardioprotective mechanisms started up by PRE and POS [25, 26]. However, GSK-3β regulation, its downstream targets, and its relationship to oxidative stress in those interventions in hearts from SHR remain to be determined.
Therefore, our objective was to examine the effects of GSK-3β inhibitors on infarct size and oxidative stress compared to those obtained by PRE and POS in isolated hearts from SHR.
An expanded “Methods” section is available in Online Data Supplements.
2.1. Isolated Rat Heart
All procedures followed during this investigation conform to the Guide for the Care and Use of Laboratory Animals published by the US National Institutes of Health  and to the guidelines laid down by the Animal Welfare Committee of La Plata School of Medicine.
Experiments were conducted in 5-months-old SHR, which were originally derived from Charles River Breeding Farms, Wilmington, Mass. Systolic blood pressure (SBP) was measured weekly using the methods indicated in Supplementary Material available online at http://dx.doi.org/10.1155/2013/317456. Animals were anesthetized with an intraperitoneal injection of sodium pentobarbital (60 mg/kg body wt). The heart was rapidly excised and perfused by the nonrecirculating Langendorff technique, and it was paced at beats/min.
2.2. Experimental Protocols
After 30 min of stabilization, hearts from SHR were assigned to the following experimental protocols (Figure 1): nonischemic control hearts (NIC; ): hearts were perfused for 135 min without any treatment; ischemic control hearts (IC; ): hearts were subjected to 45 min of normothermic global ischemia followed by 1 hour of reperfusion. Global ischemia was induced by stopping the perfusate inflow line and the heart was placed in a saline bath held at 37°C; ischemic preconditioning (PRE, ): One cycle of 5 min of ischemia and 10 min of reperfusion was applied previous to the 45 min ischemic period followed by 1-hour reperfusion; ischemic postconditioning (POS, ): three cycles of 30 sec of ischemia and 30 sec of reperfusion was applied early during reperfusion.
Lithium chloride (LiCl) or indirubin-3′-monoxime,5-iodo- (IMI) treatment: hearts were treated with 3 mM ClLi or 1 mM IMI (GSK-3β inhibitors), 10 min before ischemia (LiClpre or IMIpre, ) or during the three initial minutes of reperfusion (LiClpos or IMIpos, ).
To assess the participation of PI3K-Akt, other hearts received wortmannin (W), PI3K inhibitor, previously to PRE and POS protocols ( for each other).
Separated groups of hearts subjected to the same protocols ( for each one) were used for biochemical determinations. Additional hearts submitted to the different protocols ( for each one) were used for mitochondria isolation.
2.3. Infarct Size Determination
Infarct size was assessed by the widely validated triphenyltetrazolium chloride (TTC) staining technique and expressed as a percentage of area at risk.
2.4. Systolic and Diastolic Function
Myocardial contractility was assessed by the left ventricular developed pressure (LVDP), obtained by subtracting LVEDP to LVP peak and maximal velocity of contraction (). The diastolic function was evaluated through left ventricular end diastolic pressure (LVEDP).
2.5. Preparation of Tissue Homogenate
At the end of reperfusion, a portion of LV was homogenized in 5 volume of 25 mmol/L PO4KH2 −140 mmol/L ClK at with a Polytron homogenizer. Aliquots of homogenate were used to assess reduced glutathione content and the remaining homogenate was centrifuged at 12000 ×g for 5 min at 4°C and the supernatant stored at −70°C for cytosolic Mn-dependent superoxide dismutase (MnSOD) activity determination.
2.5.1. Lipid Peroxidation
The concentration of thiobarbituric acid reactive substances (TBARS), as an index of lipid peroxidation, was determined in the supernatant following the Buege and Aust method . Absorbance at 535 nm was measured and TBARS expressed in nmol/mg of protein using an extinction coefficient of M−1cm−1.
2.5.2. Reduced Glutathione (GSH)
GSH content was determined using the Ellman’s reagent .
2.5.3. MnSOD Cytosolic Activity
SOD activity was measured by means of the nitroblue tetrazolium (NBT) method . For measuring MnSOD activity, 5 mmol/L KCN was added to inhibit Cu-ZnSOD activity.
Other portion of LV was homogenized and mitochondrial and cytosolic fractions were isolated by differential centrifugation . Both fractions were resolved on SDS-PAGE, transferred to PVDF membranes, and probed with antibodies anti-PSer9 GSK-3β, anti-GSK-3β, anti-PAkt, anti-Akt, and anti-MnSOD.
Supernatants obtained from the first homogenization of the hearts were applied to A Sepharose protein. After centrifugation lysates were incubated with rabbit polyclonal anti-VDAC antibody and A Sepharose protein. Samples were electrophoresed and immunoblots were probed with anti-pSer9-GSK-3β antibody or anti-VDAC antibody.
2.6. Isolation of Mitochondria
Hearts were immediately removed from rats, and mitochondria from left ventricle (LV) were isolated by differential centrifugation.
2.6.1. Ca2+-Induced Mitochondrial Swelling
After 5 min preincubation, 0.3 mg/mL of mitochondrial suspension energized with 6 mmol/L succinate were induced to swell by the addition of CaCl2 200 μmol/L. These changes are observed as decreases of light scattering at excitation and emission wavelengths of 520 nm and calculated taking the difference of scattered light between before and after the addition of CaCl2.
2.7. Mitochondria Ultrastructure
A sample of mitochondrial suspension of the different experimental groups was used for ultrastructural examination using an H-600 transmission electron microscope.
2.8. Statistical Analysis
Data are presented as mean ± SE and repeated measures of two-way analysis of variance (ANOVA) with Newman-Keuls test were used for multiple comparisons among groups. A value < was considered significant.
Table 1 shows values of body weight, heart weight, heart weight/body weight ratio, and hemodynamic data of all experimental groups.
3.1. Infarct Size
SHR showed a SBP of mmHg. As shown in Figure 2, infarct size expressed as percentage of area at risk (AR) of ischemic control (IC) hearts was significantly reduced by PRE and POS (% and to % versus 54 ± 4%). The treatment with LiCl or IMI before ischemia or at the beginning of reperfusion limited the infarct size at similar values to that obtained by PRE and POS. The cardioprotection exerted by PRE and POS was abolished by W treatment. W did not modify the infarct size obtained in IC group (49 ± 2%).
There was no difference in preischemic values for end-diastolic pressure and developed pressure among the nonischemic control and treated or untreated ischemic groups. Nonischemic control hearts exhibited at the end of reperfusion values of contractility similar to those observed in the stabilization period. After 45 min ischemia and 1-hour reperfusion, the recovery of contractility was scarce and reached approximately 1% of the preischemic values. This recovery was not significantly improved after all the interventions. The LVEDP (an index of diastolic stiffness) was approximately 10 mmHg at the end of the stabilization period in the different experimental groups. This parameter significantly increased reaching a value of mmHg after 1 h of reperfusion which was not modified by any intervention.
3.2. Phospho-GSK-3β (P-GSK-3β) and Phospho-Akt (P-Akt) Expression
At the end of reperfusion period ischemic control hearts showed a significant decrease in P-GSK-3β expression in cytosolic fraction compared to nonischemic hearts (Figure 3(a)). A similar change was found in P-Akt level (Figure 3(b)). PRE and POS and LiCl, or IMI treatments increased the expression of phosphorylated forms of GSK-3β and Akt, showing that the GSK-3β inhibitors treatments have the highest values. The status of Ser9 phosphorylation in GSK-3β coincided with that of Akt phosphorylation, suggesting that Akt may control the activity of GSK-3β during ischemia and reperfusion. In W group the phosphorylation of both kinases were blunted showing P-Akt as the lowest values. When the mitochondrial fraction was analyzed the expressions of P-GSK-3β and P-Akt were mirror images of that found in the cytosol. Thus, an increase in ischemic hearts and levels no different or even lower than nonischemic hearts after PRE, POS, and Li, IMI or W groups were obtained (Figures 4(a) and 4(b)). W did not modify the level of phosphorylated forms of GSK-3β and Akt detected in IC hearts but attenuated the effects produced by PRE and POS.
3.3. P-GSK-3β and VDAC Physical Association
We assessed the physical interactions of P-GSK-3β/VDAC and GSK-3β/VDAC in the SHR heart, by coimmunoprecipitation. Cytosolic homogenates from hearts submitted to the different experimental protocols were immunoprecipitated with anti-VDAC antibody, resolved by SDS/PAGE and revealed with an anti-P-GSK-3β or anti-GSK-3β antibody. Both antibodies were able to precipitate VDAC. The cytosolic P-GSK-3β/VDAC association decreased in ischemic control hearts and increased in PRE, POS, and Li or IMI groups. This increase was annulled by W treatment indicating that Akt is necessary to promote that association. The total GSK-3β/VDAC complex was not modified by ischemia reperfusion or by interventions applied (data not shown). The anti-VDAC application demonstrated the presence of VDAC in the medium (Figure 5).
3.4. TBARS Concentration
Lipid peroxidation-assessed by TBARS-increased in IC hearts and was attenuated by PRE, POS, LiCl, and IMI groups. W did not modify the TBARS content of IC hearts (0.64 ± 0.03 nmol/mg protein) but when it was added in PRE and POS protocols the increase of TBARS reached values significantly higher to that obtained in IC group (Figure 6(a)).
3.5. GSH Levels and Total SOD (TSOD)
GSH levels decreased in ischemic compared to nonischemic hearts and they were significantly but partially preserved by all the treatments (Figure 6(b)). TSOD cytosolic activity increased in ischemic control hearts and diminished by the different treatments and/or interventions (Figure 6(c)). W did not modify the level of GSH and TSOD cytosolic activity of IC hearts ( μmol/mg protein and % inhibition/mg protein, resp.) but reversed the changes produced by PRE and POS.
3.6. MnSOD Cytosolic Activity
MnSOD cytosolic activity significantly increased in IC hearts and the treatments attenuated this increase (Figure 7). The addition of W to IC hearts did not change MnSOD cytosolic activity (% inhibition/mg protein) but abolished the changes produced by PRE and POS.
3.7. Ca2+-Induced Mitochondrial Swelling
Figure 8 shows typical traces of swelling experiments (Figure 8(a)) and the mean values of light scattering decrease (LSD) produced by the addition of 200 μmol/L Ca2+ to a mitochondrial suspension from all experimental groups (Figure 8(b)). It is important to take into account that when the intermembrane connections into a mitochondrial suspension are broken, as is occurring during ischemia and reperfusion, there is a transition from an efficiently packaged particle to a state in which the inner membrane is randomly packed and the particle presents an increased cross-section to the incident light . Therefore, the addition of Ca2+ produced lesser changes of LSD in mitochondria isolated from ischemic control hearts in comparison to those obtained from nonischemic hearts ( versus a.u.). W did not change the LSD obtained in IC hearts ( a.u.). All interventions, except and , partially improved the LSD values.
The results of 3.6 and 3.7 items suggest that the interventions are able to diminish the proportion of permeabilized and/or damaged mitochondria produced by ischemia and reperfusion.
3.8. Morphology of Mitochondria
After the hearts were subjected to 45 min global ischemia and 60 min reperfusion the number of mitochondria was reduced and they appeared swollen. The cristae disappeared and vacuolar degeneration was evident. This phenomenon was lesser in the PRE, POS, LiCl, and IMI groups detecting in these hearts some mitochondria with structures relatively intact (Figure 9).
The present study demonstrates that the physical interaction of cytosolic P-GSK-3β with VDAC is involved in the cardioprotective effects of PRE and POS in isolated hearts from SHR. These beneficial actions were mimicked by the treatment with an inhibitor of GSK-3β LiCl, evidencing the participation of this enzyme in the pathways leading to the protection.
It has been demonstrated in normotensive animals that phosphorylation of specific serine residue (Ser9)/inhibition of GSK-3β plays an important role in different cardioprotective interventions [14, 31]. This importance could be attributed to the fact that GSK-3β is a substrate of multiple prosurvival protein kinases and that GSK-3β phosphorylation is therefore a step to which multiple protective signalling pathways converge. Direct inhibition of GSK-3β by the use of structurally different pharmacological inhibitors (SB-216763, LiCl) administered either before ischemia or reperfusion limits infarct size [32, 33]. Lithium has been shown to compete with magnesium for binding to GSK-3β and thereby blocks enzyme activity; then inorganic phosphate attaches to the enzyme, further inactivating it [34, 35]. In our experimental model, the treatment with both GSK-3β inhibitors before and after ischemia exhibited exactly the same cardioprotective profile as PRE and POS, suggesting that the infarct-limiting effect of both interventions is linked in a cause-effect relationship to GSK-3β-dependent mechanism. A recent study  shows that during prolonged ischemia activation of GSK-3β occurs and during the reperfusion phase an inactivation of GSK-3β occurs. Although “a priori” our results may seem opposite, some considerations might lead us to establish similarities. For example, the lesser P-GSK-3β expression detected after 45 min ischemia and 1 h of reperfusion could be indicating the effect of a prolonged ischemia which is not modified by 1 h of reperfusion. On the other hand, the period of ischemia (10 min) used for the protocol of ischemia reperfusion by these authors would be comparable to our PRE protocol, in which inactivation of GSK-3β was obtained.
Among the kinases able to activate GSK-3β is the PI3K/Akt  which is involved in the cardioprotection against reperfusion injury . The coupling of Akt and GSK-3β leads to inverse changes in their activities. Thus, increased Akt activity maintains the phosphorylation of GSK-3β, whereas decreased Akt activity leads to dephosphorylation and activation of GSK-3β. Our data show that a decrease of P-Akt associated to a lesser expression of P-GSK-3β was observed in ischemic control hearts, whereas opposite changes took place in intervened hearts. These results highlight the significant role of GSK-3β in ischemia and reperfusion in SHR which agree with previous papers performed in hypertensive rabbits  and SHR-SPs .
The cardioprotective interventions PRE and POS invoke the activation of signal transduction cascades by triggers which accumulate extracellularly in response to the stimulus and act on cell surface receptors or other molecular targets. These signalling pathways appear to modulate the open probability of mPTP . However, a relevant piece of information is how processes occurring in the cytosol modulate mPTP opening in the inner mitochondrial membrane. It has been described that P-GSK-3β elevates the mPTP opening threshold . Although it has been shown that critical timing of mPTP opening is within several minutes after reperfusion, we found low levels of cytosolic P-GSK-3β at the end of reperfusion period. However, in mitochondrial fractions of the same hearts P-GSK-3β expression increased. Opposite changes were detected in intervened hearts in which P-GSK-3β cytosolic expression increased and P-GSK-3β mitochondrial expression decreased. Our data in isolated mitochondria show a significant diminution of the resistance to swell by Ca2+ in ischemic control compared to nonischemic control hearts and a partial recovery in preconditioned, postconditioned, and LiCl or IMI treated hearts.
The loss of internal mitochondrial membrane impermeability leads to the release of mitochondrial matrix components, as MnSOD, to cytosol. Thus, following the suggestion of a previous paper , the increase of cytosolic MnSOD activity detected in ischemic control hearts and a decrease observed in intervened hearts could be related to the modulation of mPTP opening as a mechanism involved in cell death. These data are supported by electron microscopy. As shown in Figure 8, mitochondria from nonischemic hearts appear dense and intact while those of ischemic-reperfused hearts are swollen and structurally more rounded. The interventions improved mitochondria structure being evident the presence of some of them intact. Thus, the changes in the structure and response to Ca2+ of mitochondria were accompanied by similar changes in P-GSK-3β cytosolic expression indicating an association between them.
Although the mechanisms by which GSK-3β delays mPTP opening remains unclear some studies showed that P-GSK-3β interacts with ANT [20, 41] and is able to phosphorylate VDAC leading to disruption of the binding of hexokinase II and VDAC . In addition Akt can directly phosphorylate hexokinase II and induce the binding of VDAC and hexokinase II  and thus maintain the mitochondrial integrity and promote cell survival. A VDAC phosphorylation GSK-3β-mediated has also been described [21, 43]. In this study, the higher levels of cytosolic P-GSK-3β and P-GSK-3β/VDAC physical association would explain the attenuation of mPTP opening as cardioprotective mechanism in intervened hearts from hypertensive animals. Previous data obtained by Costa and Garlid  in Sprague-Dawley rats could support our conclusion.
According to a previous paper , the abrupt ROS production occurring early during reperfusion is directly correlated with depletion of the intracellular GSH pool . Glutathione represents the major low-molecular weight antioxidant redox recycling thiol in mammalian cells and plays a central role in the cellular defence against oxidative damage. Other antioxidant systems such SOD are contributing to achieve the decrease in the level of ROS. In ischemic control hearts an increase of lipid peroxidation was accompanied by a depletion of GSH content and a diminution of SOD cytosolic activity. In intervened hearts lipoperoxidation decreased and GSH content and SOD activity were partially restored. These data indicate the presence of a high oxidative stress in SHR during reperfusion which was attenuated by the interventions or treatments applied and suggest that a lesser ROS production could be taking place after PRE, POS, and ClLi or IMI treatments. Considering that ROS can cause mPTP opening  our data in isolated mitochondria showing a partial recovery of integrity and response to Ca2+ in intervened hearts supports the idea that a lesser ROS production and/or release could be occurring in those conditions. A decrease of mitochondrial Ca2+ can also attenuate mPTP opening and thus contribute to the lesser cell death detected in intervened hearts . Our data do not permit to discard this possibility.
The present study shows that in hearts from SHR GSK-3β inhibitors mimic the cardioprotective effects of PRE and POS. Therefore, our data highlight the important role of cytosolic P-GSK-3β and its physical association to VDAC to preserve the mitochondrial integrity via an attenuation of mPTP opening, thus, leading to a decrease in infarct size.
This work was supported by the Grant PICT 1046 from Agencia Nacional de Promoción Científica y Técnica of Argentina to Dr. Susana M. Mosca.
In Supplementary Material we provide a detailed description of the technique of isolation of rat heart, the determination of infarct size and the biochemical reactions used to assess the antioxidant defenses and oxidative damage. Details about immunoblotting, coimmunoprecipitation, isolation of mitochondria and mitochondrial swelling Ca2+-induced were also added to this section.
- I. Friehs and P. J. Del Nido, “Increased susceptibility of hypertrophied hearts to ischemic injury,” Annals of Thoracic Surgery, vol. 75, no. 2, pp. S678–S684, 2003.
- H. Chen, M. Azuma, K. Maeda, N. Kajimoto, and H. Higashino, “Impaired heart function and noradrenaline release after ischaemia in stroke-prone spontaneously hypertensive rats,” Clinical and Experimental Pharmacology and Physiology, vol. 27, no. 9, pp. 664–670, 2000.
- T. Yano, T. Miki, M. Tanno et al., “Hypertensive hypertrophied myocardium is vulnerable to infarction and refractory to erythropoietin-induced protection,” Hypertension, vol. 57, no. 1, pp. 110–115, 2011.
- J. C. Fantinelli, I. A. Pérez Núñez, L. F. González Arbeláez, G. R. Schinella, and S. M. Mosca, “Participation of mitochondrial permeability transition pore in the effects of ischemic preconditioning in hypertrophied hearts: role of NO and mitoK(ATP),” International Journal of Cardiology, vol. 166, no. 1, pp. 173–180, 2013.
- J. C. Fantinelli and S. M. Mosca, “Comparative effects of ischemic pre and postconditioning on ischemia-reperfusion injury in spontaneously hypertensive rats (SHR),” Molecular and Cellular Biochemistry, vol. 296, no. 1-2, pp. 45–51, 2007.
- P. Ferdinandy, R. Schulz, and G. F. Baxter, “Interaction of cardiovascular risk factors with myocardial ischemia/reperfusion injury, preconditioning, and postconditioning,” Pharmacological Reviews, vol. 59, no. 4, pp. 418–458, 2007.
- M. E. Speechly-Dick, G. F. Baxter, and D. M. Yellon, “Ischemic preconditioning protects hypertrophied myocardium,” Cardiovascular Research, vol. 28, no. 7, pp. 1025–1029, 1994.
- Z. Ebrahim, D. M. Yellon, and G. F. Baxter, “Ischemic preconditioning is lost in aging hypertensive rat heart: independent effects of aging and longstanding hypertension,” Experimental Gerontology, vol. 42, no. 8, pp. 807–814, 2007.
- W. Dai, B. Z. Simkhovich, and R. A. Kloner, “Ischemic preconditioning maintains cardioprotection in aging normotensive and spontaneously hypertensive rats,” Experimental Gerontology, vol. 44, no. 5, pp. 344–349, 2009.
- C. Penna, F. Tullio, F. Moro, A. Folino, A. Merlino, and P. Pagliaro, “Effects of a protocol of ischemic postconditioning and/or Captopril in hearts of normotensive and hypertensive rats,” Basic Research in Cardiology, vol. 105, no. 2, pp. 181–192, 2010.
- C. Penna, F. Tullio, M.-G. Perrelli et al., “Ischemia/reperfusion injury is increased and cardioprotection by a postconditioning protocol is lost as cardiac hypertrophy develops in nandrolone treated rats,” Basic Research in Cardiology, vol. 106, no. 3, pp. 409–420, 2011.
- Y. Tsujimoto and S. Shimizu, “Role of the mitochondrial membrane permeability transition in cell death,” Apoptosis, vol. 12, no. 5, pp. 835–840, 2007.
- F. Di Lisa, M. Canton, A. Carpi et al., “Mitochondrial injury and protection in ischemic pre-and postconditioning,” Antioxidants and Redox Signaling, vol. 14, no. 5, pp. 881–891, 2011.
- Y. Nishino, I. G. Webb, S. M. Davidson et al., “Glycogen synthase kinase-3 inactivation is not required for ischemic preconditioning or postconditioning in the mouse,” Circulation Research, vol. 103, no. 3, pp. 307–314, 2008.
- A. Skyschally, P. van Caster, K. Boengler et al., “Ischemic postconditioning in pigs: no causal role for risk activation,” Circulation Research, vol. 104, no. 1, pp. 15–18, 2009.
- L. Gomez, M. Paillard, H. Thibault, G. Derumeaux, and M. Ovize, “Inhibition of GSK3β by postconditioning is required to prevent opening of the mitochondrial permeability transition pore during reperfusion,” Circulation, vol. 117, no. 21, pp. 2761–2768, 2008.
- E. R. Gross, A. K. Hsu, and G. J. Gross, “Delayed cardioprotection afforded by the glycogen synthase kinase 3 inhibitor SB-216763 occurs via a KATP- and MPTP-dependent mechanism at reperfusion,” The American Journal of Physiology, vol. 294, no. 3, pp. H1497–H1500, 2008.
- R. S. Jope and G. V. W. Johnson, “The glamour and gloom of glycogen synthase kinase-3,” Trends in Biochemical Sciences, vol. 29, no. 2, pp. 95–102, 2004.
- M. Juhaszova, D. B. Zorov, Y. Yaniv, H. B. Nuss, S. Wang, and S. J. Sollott, “Role of glycogen synthase kinase-3β in cardioprotection,” Circulation Research, vol. 104, no. 11, pp. 1240–1252, 2009.
- M. Nishihara, T. Miura, T. Miki et al., “Modulation of the mitochondrial permeability transition pore complex in GSK-3β-mediated myocardial protection,” Journal of Molecular and Cellular Cardiology, vol. 43, no. 5, pp. 564–570, 2007.
- J. G. Pastorino, J. B. Hoek, and N. Shulga, “Activation of glycogen synthase kinase 3β disrupts the binding of hexokinase II to mitochondria by phosphorylating voltage-dependent anion channel and potentiates chemotherapy-induced cytotoxicity,” Cancer Research, vol. 65, no. 22, pp. 10545–10554, 2005.
- R. Barillas, I. Friehs, H. Cao-Danh, J. F. Martinez, and P. J. del Nido, “Inhibition of glycogen synthase kinase-3β improves tolerance to ischemia in hypertrophied hearts,” Annals of Thoracic Surgery, vol. 84, no. 1, pp. 126–133, 2007.
- B. Lassègue and K. K. Griendling, “Reactive oxygen species in hypertension,” The American Journal of Hypertension, vol. 17, pp. 852–860, 2004.
- J. M. Downey, “Free radicals and their involvement during long-term myocardial ischemia and reperfusion,” Annual Review of Physiology, vol. 52, pp. 487–504, 1990.
- R. Quarrie, D. S. Lee, G. Steinbaugh et al., “Ischemic preconditioning preserves mitochondrial membrane potential and limits reactive oxygen species production,” Journal of Surgical Research, vol. 178, pp. 8–17, 2012.
- H. Kin, N.-P. Wang, J. Mykytenko et al., “Inhibition of myocardial apoptosis by postconditioning is associated with attenuation of oxidative stress-mediated nuclear factor-κB translocation and TNFα release,” Shock, vol. 29, no. 6, pp. 761–768, 2008.
- “Guide for the Care and Use of Laboratory Animals,” NIH Publication no. 85-23, 1985.
- J. A. Buege and S. D. Aust, “Microsomal lipid peroxidation,” Methods in Enzymology, vol. 52, pp. 302–310, 1978.
- C. P. Baines, J. Zhang, G.-W. Wang et al., “Mitochondrial PKCε and MAPK form signaling modules in the murine heart: enhanced mitochondrial PKCε-MAPK interactions and differential MAPK activation in PKCε-induced cardioprotection,” Circulation Research, vol. 90, no. 4, pp. 390–397, 2002.
- A. D. Beavis, R. D. Brannan, and K. D. Garlid, “Swelling and contraction of the mitochondrial matrix. I: a structural interpretation of the relationship between light scattering and matrix volume,” Journal of Biological Chemistry, vol. 260, no. 25, pp. 13424–13433, 1985.
- T. Miura and T. Miki, “GSK-3β, a therapeutic target for cardiomyocyte protection,” Circulation Journal, vol. 73, no. 7, pp. 1184–1192, 2009.
- E. R. Gross, A. K. Hsu, and G. J. Gross, “Opioid-induced cardioprotection occurs via glycogen synthase kinase β inhibition during reperfusion in intact rat hearts,” Circulation Research, vol. 94, no. 7, pp. 960–966, 2004.
- F. N. Obame, C. Plin-Mercier, R. Assaly et al., “Cardioprotective effect of morphine and a blocker of glycogen synthase kinase 3β, SB216763 [3-(2,4-dichlorophenyl)-4(1-methyl-1H-indol-3-yl)-1H- pyrrole-2,5-dione], via inhibition of the mitochondrial permeability transition pore,” Journal of Pharmacology and Experimental Therapeutics, vol. 326, no. 1, pp. 252–258, 2008.
- F. Zhan, C. J. Phiel, L. Spece, N. Gurvich, and P. S. Klein, “Inhibitory phosphorylation of glycogen synthase kinase-3 (GSK-3) in response to lithium: evidence for autoregulation of GSK-3,” Journal of Biological Chemistry, vol. 278, no. 35, pp. 33067–33077, 2003.
- W. J. Ryves and A. J. Harwood, “Lithium inhibits glycogen synthase kinase-3 by competition for magnesium,” Biochemical and Biophysical Research Communications, vol. 280, no. 3, pp. 720–725, 2001.
- P. Zhai, S. Sciarretta, J. Galeotti, M. Volpe, and J. Sadoshima, “Differential roles of gsk-3β during myocardial ischemia and ischemia/reperfusion,” Circulation Research, vol. 109, no. 5, pp. 502–511, 2011.
- M. Pap and G. M. Cooper, “Role of glycogen synthase kinase-3 in the phosphatidylinositol 3- kinase/Akt cell survival pathway,” Journal of Biological Chemistry, vol. 273, no. 32, pp. 19929–19932, 1998.
- M. Zhu, J. Feng, E. Lucchinetti et al., “Ischemic postconditioning protects remodeled myocardium via the PI3K-PKB/Akt reperfusion injury salvage kinase pathway,” Cardiovascular Research, vol. 72, no. 1, pp. 152–162, 2006.
- D. J. Hausenloy, S.-B. Ong, and D. M. Yellon, “The mitochondrial permeability transition pore as a target for preconditioning and postconditioning,” Basic Research in Cardiology, vol. 104, no. 2, pp. 189–202, 2009.
- Z.-Q. Jin, H.-Z. Zhou, G. Cecchini, M. O. Gray, and J. S. Karliner, “MnSOD in mouse heart: acute responses to ischemic preconditioning and ischemia-reperfusion injury,” The American Journal of Physiology, vol. 288, no. 6, pp. H2986–H2994, 2005.
- Y. Terashima, T. Sato, T. Yano et al., “Roles of phospho-GSK-3β in myocardial protection afforded by activation of the mitochondrial KATP channel,” Journal of Molecular and Cellular Cardiology, vol. 49, no. 5, pp. 762–770, 2010.
- S. Miyamoto, A. N. Murphy, and J. H. Brown, “Akt mediates mitochondrial protection in cardiomyocytes through phosphorylation of mitochondrial hexokinase-II,” Cell Death and Differentiation, vol. 15, no. 3, pp. 521–529, 2008.
- S. Das, R. Wong, N. Rajapakse, E. Murphy, and C. Steenbergen, “Glycogen synthase kinase 3 inhibition slows mitochondrial adenine nucleotide transport and regulates voltage-dependent anion channel phosphorylation,” Circulation Research, vol. 103, no. 9, pp. 983–991, 2008.
- A. D. T. Costa and K. D. Garlid, “Intramitochondrial signaling: interactions among mitoKATP, PKCε, ROS, and MPT,” The American Journal of Physiology, vol. 295, no. 2, pp. H874–H882, 2008.
- S. Leichtweis and L. L. Ji, “Glutathione deficiency intensifies ischaemia-reperfusion induced cardiac dysfunction and oxidative stress,” Acta Physiologica Scandinavica, vol. 172, no. 1, pp. 1–10, 2001.
- M. K. Slodzinski, M. A. Aon, and B. O'Rourke, “Glutathione oxidation as a trigger of mitochondrial depolarization and oscillation in intact hearts,” Journal of Molecular and Cellular Cardiology, vol. 45, no. 5, pp. 650–660, 2008.
- A. P. Halestrap, “Mitochondria and reperfusion injury of the heart-A holey death but not beyond salvation,” Journal of Bioenergetics and Biomembranes, vol. 41, no. 2, pp. 113–121, 2009.
Copyright © 2013 Luisa F. González Arbeláez et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.