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Updated: Jun 12, 2026

Improved Rodent Model of Myocardial Ischemia and Reperfusion Injury
Published on: March 7, 2022
Mitochondrial kinase signalling pathways in myocardial protection from ischaemia/reperfusion-induced necrosis
Tetsuji Miura1, Masaya Tanno, Tatsuya Sato
1Second Department of Internal Medicine, Sapporo Medical University, School of Medicine, Sapporo, Japan. miura@sapmed.ac.jp
Abstract:
Multiple cardioprotective signal pathways that are activated by ischaemic preconditioning (IPC) and those by IPC mimetics converge on mitochondria. Recent studies have shown that pools of Akt, protein kinase C-ε, extracellular-regulated kinases, glycogen synthase kinase-3beta (GSK-3beta), and hexokinases (HK) I and II, are localized in mitochondria in addition to their pools in the cytosol. Accumulating evidence indicates that such 'mitochondrial protein kinases' receive signals from cytosolic molecules and enhance tolerance of myocytes to injury. Proteomic analyses suggest that these kinases form complexes with each other and with subunit proteins of the mitochondrial permeability transition pore (mPTP). Functional relationships between the protein kinases in mitochondria have not been fully clarified, but GSK-3beta and HKs appear to be at the end of the signal pathways and directly responsible for inhibition of opening of the mPTP and, thus, for myocyte protection from necrosis. In this review, recent findings supporting roles of mitochondrial protein kinases in protection from myocardial necrosis after ischaemia/reperfusion are summarized and discussed.
Insights
Ischaemic preconditioning activates cardioprotective pathways converging on mitochondria. Mitochondrial protein kinases, like GSK-3beta and HKs, protect myocytes from necrosis by inhibiting the mitochondrial permeability transition pore.
Area of Science:
- Biochemistry
- Cardiology
- Cell Biology
Background:
- Cardioprotective signal pathways activated by ischaemic preconditioning (IPC) and IPC mimetics converge on mitochondria.
- Key signaling molecules, including Akt, protein kinase C-ε, extracellular-regulated kinases, glycogen synthase kinase-3beta (GSK-3beta), and hexokinases (HK) I and II, are found in both cytosolic and mitochondrial compartments.
- Mitochondrial protein kinases receive signals from the cytosol, enhancing myocyte tolerance to injury.
Purpose of the Study:
- To review recent findings on the role of mitochondrial protein kinases in protecting myocytes from necrosis following ischaemia/reperfusion.
- To discuss the functional relationships between these kinases and their convergence on the mitochondrial permeability transition pore (mPTP).
Main Methods:
- Literature review of recent studies on mitochondrial protein kinases and cardioprotection.
- Analysis of proteomic data suggesting kinase complex formation with mPTP subunits.
- Functional studies investigating the role of GSK-3beta and HKs in mPTP inhibition.
Main Results:
- Mitochondrial protein kinases form complexes with each other and with mPTP subunit proteins.
- GSK-3beta and HKs are identified as terminal signaling molecules in these pathways.
- These kinases directly inhibit mPTP opening, providing protection against myocyte necrosis.
Conclusions:
- Mitochondrial protein kinases play a crucial role in cardioprotection against ischaemia/reperfusion injury.
- The convergence of signaling pathways on mitochondrial kinases and the mPTP is central to myocyte survival.
- Targeting these mitochondrial pathways may offer novel therapeutic strategies for myocardial protection.
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