
Bradykinin mimics ischemic
preconditioning by generating reactive oxygen species (ROS). To identify
intermediate steps leading to ROS generation, rabbit cardiomyocytes were
incubated in reduced MitoTracker Red that becomes fluorescent after exposure to
ROS. Fluorescence intensity in treated cells was expressed as % of that in
paired untreated cells. Bradykinin (500nM) caused 51+/-16% increase in ROS
generation (p<0.001). Co-incubation with either bradykinin B2 receptor
blocker HOE140 (5 micro M) or free radical scavenger N-(2-mercaptopropionyl)
glycine (1mM) prevented this increase confirming the response was
receptor-mediated and ROS were actually being measured. Closing mitochondrial
KATP (mKATP)channels with 5-hydroxydecanoate (5HD,
1mM) prevented increased ROS generation. Bradykinin-induced ROS generation was
blocked by L-NAME (200 micro M) implicating nitric oxide as an intermediate.
Blockade of guanylyl cyclase with ODQ (10 micro M) aborted bradykinin-induced
ROS generation, but not that from diazoxide, a direct opener of mKATP channels.
The PKG blocker 8-Br-cGMPS (25 micro M) eliminated
bradykinin's effect. Conversely, direct activation of PKG with 8-pCPT-cGMP (100
micro M) increased ROS generation (39+/-15%, p<0.004) similar to bradykinin.
This increase was blocked by 5HD. Finally, the nitric oxide donor SNAP (1 micro
M)increased ROS by 34+/-6%. This increase was also
blocked by 5HD. In intact rabbit hearts bradykinin (400nM) decreased infarction
from 30.5+/-3.0% of the risk zone in control hearts to 11.9+/-1.4% (p<0.01).
This protection was aborted by either L-NAME (200 micro M) or ODQ (2 micro M)(35.4+/-5.7% and 30.4+/-3.0% infarction, resp., pNS vs
control). Hence, bradykinin preconditions through receptor-mediated production
of nitric oxide which activates guanylyl cyclase. The resulting cGMP activates
PKG that opens mKATP. Subsequent release of ROS triggers cardioprotection.