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Updated: Sep 3, 2026

Acute Myocardial Infarction in Rats
Published on: February 16, 2011
Ischemic preconditioning activates MAPKAPK2 in the isolated rabbit heart: evidence for involvement of p38 MAPK
A Nakano1, C P Baines, S O Kim
1Department of Physiology, University of South Alabama, Mobile, AL 36688-0002, USA.
Abstract:
Recent studies suggest that p38 mitogen-activated protein kinase (MAPK) may be involved in ischemic preconditioning (PC). To further test this possibility, the regulation of MAPK-activated protein kinase 2 (MAPKAPK2), a kinase immediately downstream from p38 MAPK, and the activity of c-Jun NH(2)-terminal kinase (JNK), a second MAPK, were examined in preconditioned hearts. Isolated, perfused rabbit hearts were subjected to 20 to 30 minutes of global ischemia. Ventricular biopsies before treatment and after 20 minutes of ischemia were homogenized, and the activities of MAPKAPK2 and JNK were evaluated. For the MAPKAPK2 experiments, 7 groups were studied, as follows: control hearts; preconditioned hearts; hearts treated with 500 nmol/L R(-) N(6)-(2-phenylisopropyl) adenosine (PIA), an A(1)-adenosine receptor agonist; preconditioned hearts pretreated with 100 micromol/L 8-(p-sulfophenyl) theophylline (SPT), an adenosine receptor antagonist; preconditioned hearts also treated with SB 203580, a potent inhibitor of p38 MAPK activation; hearts treated with 50 ng/mL anisomycin (a p38 MAPK/JNK activator); and hearts treated with both anisomycin (50 ng/mL) and the tyrosine kinase inhibitor genistein (50 micromol/L). MAPKAPK2 activity was not altered in control hearts after 20 minutes of global ischemia. By contrast, there was a 3.8-fold increase in activity during ischemia in preconditioned hearts. Activation of MAPKAPK2 in preconditioned hearts was blocked by both SPT and SB 203580. MAPKAPK2 activity during ischemia increased 3.5-fold and 3.3-fold in hearts pretreated with PIA or anisomycin, respectively. MAPKAPK2 activation during ischemia in hearts pretreated with anisomycin was blocked by genistein. In separate hearts, anisomycin mimicked the anti-infarct effect of PC, and that protection was abolished by genistein. JNK activity was measured in control and preconditioned hearts. There was a comparable, modest decline in activity during 30 minutes of global ischemia in both groups. As a positive control, a third group of hearts was treated with anisomycin before global ischemia, and in these, JNK activity increased by 290% above baseline. These results confirm that the p38 MAPK/MAPKAPK2 pathway is activated during ischemia only if the heart is in a preconditioned state. These data further support p38 MAPK as an important signaling component in ischemic PC.
Insights
Ischemic preconditioning activates the p38 MAPK/MAPKAPK2 pathway during heart ischemia. This pathway is crucial for the protective effects of preconditioning, highlighting its role in cardiac protection.
Area of Science:
- Cardiovascular Physiology
- Molecular Cardiology
- Cell Signaling
Background:
- Ischemic preconditioning (PC) offers cardiac protection against ischemia-reperfusion injury.
- The role of p38 mitogen-activated protein kinase (MAPK) in PC is suggested but not fully elucidated.
- MAPK-activated protein kinase 2 (MAPKAPK2) and c-Jun NH(2)-terminal kinase (JNK) are key downstream effectors of MAPKs.
Purpose of the Study:
- To investigate the involvement of the p38 MAPK pathway in ischemic preconditioning.
- To examine the regulation of MAPKAPK2 and JNK activity in preconditioned hearts during ischemia.
Main Methods:
- Isolated, perfused rabbit hearts subjected to global ischemia.
- Measurement of MAPKAPK2 and JNK activities in ventricular biopsies.
- Pharmacological interventions including adenosine receptor agonists/antagonists and MAPK inhibitors (SB 203580, genistein).
Main Results:
- MAPKAPK2 activity significantly increased during ischemia in preconditioned hearts, but not in control hearts.
- This activation was dependent on p38 MAPK and adenosine receptors, as shown by blockade with SPT and SB 203580.
- Anisomycin (p38 MAPK/JNK activator) mimicked the anti-infarct effect of PC, which was abolished by genistein.
Conclusions:
- The p38 MAPK/MAPKAPK2 signaling pathway is specifically activated during ischemia in preconditioned hearts.
- This pathway plays a critical role in mediating the cardioprotective effects of ischemic preconditioning.
- Findings support p38 MAPK as a key signaling component in the mechanism of ischemic PC.

