Myocardial A1
adenosine receptor (A1AR) overexpression protects hearts from
ischemia-reperfusion injury; however, the effects during
anoxia are unknown. We evaluated responses to
anoxia-reoxygenation in wild-type (WT) and transgenic (Trans) hearts with approximately 200-fold overexpression of A1ARs. Langendorff perfused hearts underwent 20 min
anoxia followed by 30 min reoxygenation. In WT hearts peak diastolic
contracture during
anoxia was 45+/-3 mmHg, diastolic pressure remained elevated at 18+/-3 mmHg after reoxygenation, and developed pressure recovered to 52+/-4% of pre-
anoxia. A1AR overexpression reduced hypoxic
contracture to 29+/-4 mmHg, and improved recovery of diastolic pressure to 8+/-1 mmHg and developed pressure to 76+/-3% of pre-
anoxia. Mitochondrial K(
ATP) blockade with 100 microM
5-hydroxydecanoate (5-HD) increased hypoxic
contracture to 73+/-6 mmHg in WT hearts, reduced post-hypoxic recoveries of both diastolic (40+/-5 mmHg) and developed pressures (33+/-3 %). In contrast, 5-HD had no effect on hypoxic
contracture (24+/-8 mmHg), or post-hypoxic diastolic (10+/-2 mmHg) and developed pressures (74+/-3%) in Trans hearts. In summary, (i) A1AR overexpression improves myocardial tolerance to
anoxia-reoxygenation, (ii) intrinsic
mitochondrial K(ATP) channel activation decreases hypoxic
contracture and improves functional recovery in wild-type hearts, and (iii) mitochondrial K(
ATP) channels do not appear to play a major role in the functional protection from
anoxia afforded by A1AR overexpression.