We examined the effect of
MCC-134, a novel inhibitor of mitochondrial
ATP-sensitive K(+) (
mitoK(ATP)) channels and activator of sarcolemmal
ATP-sensitive K(+) (sarcK(
ATP)) channels, on cardioprotection conferred by adaptation to chronic
hypoxia. Adult male Wistar rats were exposed to intermittent hypobaric
hypoxia (7000 m, 8 h/day, 5-6 weeks) and susceptibility of their hearts to ventricular arrhythmias and
myocardial infarction was evaluated in anesthetized open-chest animals subjected to 20-min coronary artery occlusion and 3-h reperfusion on the day after the last hypoxic exposure.
MCC-134 was administered intravenously 10 min before
ischemia and 5 min before reperfusion in a total dose of 0.3 mg/kg or 3 mg/kg divided into two equal boluses. The
infarct size (tetrazolium staining) was reduced from 59.2+/-4.4 % of the area at risk in normoxic controls to 43.2+/-3.3 % in the chronically hypoxic group. Chronic
hypoxia decreased the reperfusion
arrhythmia score from 2.4+/-0.5 in normoxic animals to 0.7+/-0.5. Both doses of
MCC-134 completely abolished the antiarrhythmic protection (score 2.4+/-0.7 and 2.5+/-0.5, respectively) but only the high dose blocked the
infarct size-limiting effect of chronic
hypoxia (54.2+/-3.7 %).
MCC-134 had no effect in the normoxic group. These results support the view that the opening of
mitoKATP channels but not sarcKATP channels plays a crucial role in the mechanism by which chronic
hypoxia improves cardiac tolerance to
ischemia/reperfusion injury.