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Diazoxide triggers cardioprotection against apoptosis induced by oxidative stress

Masashi Ichinose1, Hidetoshi Yonemochi, Toshiaki Sato

  • 1Department of Laboratory Medicine, Oita Medical University, Japan.

Insights

Opening mitochondrial ATP-sensitive potassium (mitoK(ATP)) channels with diazoxide triggers cardioprotection against oxidative stress-induced apoptosis in rat heart cells. This finding clarifies the critical timing for mitoK(ATP) channel opening in myocyte protection.

Area of Science:

  • Cardiovascular Biology
  • Cellular Physiology
  • Mitochondrial Medicine

Background:

  • Mitochondrial ATP-sensitive potassium (mitoK(ATP)) channels are implicated in cardioprotection, but their precise role and optimal opening time against apoptosis remain undefined.
  • Oxidative stress is a significant contributor to myocyte apoptosis, a key factor in cardiac dysfunction.

Purpose of the Study:

  • To investigate if the opening of mitoK(ATP) channels acts as a trigger for cardioprotection against oxidative stress-induced apoptosis.
  • To determine the critical timing of mitoK(ATP) channel activation for myocyte survival.

Main Methods:

  • Neonatal rat cardiomyocytes were subjected to hydrogen peroxide (H(2)O(2)) to induce oxidative stress and apoptosis.
  • Apoptosis was quantified using flow cytometry (propidium iodide/annexin V-FITC) and Hoechst 33342 nuclear staining.
  • Mitochondrial membrane potential (DeltaPsi) was assessed via rhodamine-123 fluorescence flow cytometry.
  • Cardioprotective effects were evaluated using diazoxide (mitoK(ATP) channel opener) and 5-hydroxydecanoate (mitoK(ATP) channel blocker).

Main Results:

  • H(2)O(2) exposure induced progressive apoptosis and loss of DeltaPsi in cardiomyocytes, peaking at 2 hours.
  • Pretreatment with diazoxide transiently altered DeltaPsi and significantly suppressed H(2)O(2)-induced apoptosis and DeltaPsi loss.
  • The protective effects of diazoxide were abolished by 5-hydroxydecanoate but not by the sarcolemmal K(ATP) channel blocker HMR-1098.

Conclusions:

  • Diazoxide-induced opening of mitoK(ATP) channels initiates cardioprotection against apoptosis.
  • This study establishes a critical role for timely mitoK(ATP) channel activation in mitigating oxidative stress-related myocyte death.

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