Nicorandil increased the anti-platelet aggregation activity of endothelial cells when endothelial cells were exposed to
hypoxia-reoxygenation conditions. However,
nicorandil (0.1-10 muM) did not inhibit platelet aggregation directly. The mechanism by which
nicorandil increases the anti-aggregation activity of
hypoxia-reoxygenation treated endothelial cells was investigated. The effect of
nicorandil was observed even in
indomethacin-treated endothelial cells, but the effect was eliminated by treating endothelial cells with
N(G)-nitro-l-arginine methyl ester (
L-NAME). This indicates that
nicorandil enhances the anti-aggregation activity of endothelial
nitric oxide (NO).
Nicorandil did not increase the anti-aggregation activity of endothelial NO when endothelial cells were pre-treated with
superoxide dismutase or 4-(2-aminophenyl)-benzenesulfonyl
fluoride, an inhibitor of
NADPH oxidase.
Nicorandil dose-dependently inhibited the
reactive oxygen species generation induced by an oxidative stress in endothelial cells. The effect of
nicorandil on anti-aggregation activity was abrogated by
glibenclamide, an
ATP-sensitive
potassium (K(
ATP)) channel blocker.
Pinacidil, a K(
ATP) channel opener, also enhanced the anti-aggregation activity of endothelial NO. This effect was similarly abrogated by
glibenclamide. These results suggest that
nicorandil may inhibit the generation of
superoxide (O(2)(-)) from
hypoxia-reoxygenation treated endothelial cells through activation of the K(
ATP) channel, and that
nicorandil may prevent the disappearance of endothelial NO by O(2)(-).