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Updated: Aug 14, 2026

Acute Myocardial Infarction in Rats
Published on: February 16, 2011
p38 mitogen activated protein kinase mediates both death signaling and functional depression in the heart
Meijing Wang1, Ben M Tsai, Mark W Turrentine
1Department of Surgery, Indiana University School of Medicine, Indianapolis, Indiana, USA.
Background:
Understanding the myocardial inflammatory response to ischemia is an important part of achieving the elusive clinical goal of long-enduring myocardial protection. p38 mitogen-activated protein kinase (MAPK) has been implicated in oxidant stress-induced myocardial tumor necrosis factor production. However, it is unknown whether p38 MAPK mediates the following important events in both myocardial apoptosis and functional depression: mitogen-activated protein kinase-activated protein kinase 2, caspase-1, caspase-3, and caspase-11 activation, and tumor necrosis factor, interleukin-1beta and interleukin-6 production.
Methods:
Isolated rat hearts were perfused and subjected to an ischemia-reperfusion insult, with and without preischemic infusion of 20 microM SB203580 (p38 MAPK inhibitor). Myocardial functional measurements were continuously recorded throughout the experiments. Myocardial tissue was then assessed for products of p38 MAPK activation, expression of tumor necrosis factor, interleukin-1beta and interleukin-6, and activation of caspase-1, caspase-3 and caspase-11.
Results:
Postischemic recovery of left ventricular developed pressure, +dP/dt and -dP/dt was significantly increased by p38 MAPK inhibition (MKI) (left ventricular developed pressure: 48.4 +/- 3.87 MKI versus 32.7 +/- 4.32 mm Hg; +dP/dt: 1392.0 +/- 141.7 MKI versus 896.7 +/- 128.5 mm Hg/s; -dP/dt: -889.9 +/- 97.63 MKI versus -548.9 +/- 71.29 mmHg/s). p38 MAPK inhibition also significantly reduced ischemia-reperfusion-induced elevation of left ventricular end-diastolic pressure (82.76 +/- 4.59 MKI vs 69.95 +/- 3.55 mm Hg). p38 MKI decreased myocardial tumor necrosis factor, interleukin-1beta and interleukin-6 protein levels, and reduced active myocardial caspase-1, caspase-3 and caspase-11.
Conclusions:
The p38 MAPK pathway indeed mediates the following important events in myocardial apoptosis and functional depression: mitogen-activated protein kinase-activated protein kinase 2, caspase-1, caspase-3 and caspase-11 activation, and tumor necrosis factor, interleukin-1beta, interleukin-6 production after myocardial ischemia. Single site (p38 MAPK) inhibition of these events may have important therapeutic implications in myocardial protection.
Insights
Inhibiting p38 mitogen-activated protein kinase (MAPK) improves heart function after ischemia. This pathway is key in myocardial apoptosis and inflammation, suggesting p38 MAPK as a therapeutic target for heart protection.
Area of Science:
- Cardiovascular Research
- Molecular Biology
- Cellular Signaling
Background:
- Myocardial inflammation following ischemia is crucial for long-term heart protection.
- p38 mitogen-activated protein kinase (MAPK) is linked to oxidant stress-induced tumor necrosis factor production in the heart.
- The role of p38 MAPK in mediating myocardial apoptosis and functional depression, including caspase and cytokine activation, remained unclear.
Purpose of the Study:
- To investigate whether p38 MAPK mediates key events in myocardial apoptosis and functional depression.
- To determine if p38 MAPK inhibition affects caspase activation and inflammatory cytokine production post-ischemia.
Main Methods:
- Isolated rat hearts underwent ischemia-reperfusion insult.
- Hearts were treated with or without a p38 MAPK inhibitor (SB203580).
- Myocardial function, inflammatory markers (TNF, IL-1β, IL-6), and caspase activation (caspase-1, -3, -11) were assessed.
Main Results:
- p38 MAPK inhibition significantly improved post-ischemic recovery of left ventricular pressure and contractility.
- Inhibition reduced elevated left ventricular end-diastolic pressure.
- p38 MAPK inhibition decreased levels of tumor necrosis factor, interleukin-1β, interleukin-6, and active caspases-1, -3, and -11.
Conclusions:
- The p38 MAPK pathway is confirmed to mediate myocardial apoptosis and functional depression after ischemia.
- p38 MAPK activation drives the production of inflammatory cytokines and activation of caspases.
- Targeting p38 MAPK offers a potential therapeutic strategy for myocardial protection.
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