N-n-butyl haloperidol iodide (F2) has been shown to antagonize
myocardial ischemia/
reperfusion injury by blocking
calcium channels. This study explores the
biological functions of ERK pathway in cardiomyocytes
hypoxia/reoxygenation injury and clarifies the mechanisms by which F2 ameliorates cardiomyocytes
hypoxia/reoxygenation injury through the extracellular-
calcium-dependent and -independent ERK1/2-related pathways. In extracellularcalcium-containing
hypoxia/reoxygenation cardiomyocytes, PKCα and ERK1/2 were activated, Egr-1
protein level and cTnI leakage increased, and cell viability decreased. The ERK1/2 inhibitors suppressed extracellular-
calcium-containing-
hypoxia/reoxygenation-induced Egr-1 overexpression and cardiomyocytes injury. PKCα inhibitor downregulated extracellularcalcium-containing-
hypoxia/reoxygenation-induced increase in p-ERK1/2 and Egr-1 expression. F2 downregulated
hypoxia/reoxygenation-induced elevation of p-PKCα, p-ERK1/2, and Egr-1 expression and inhibited cardiomyocytes damage. The ERK1/2 and PKCα activators antagonized F2's effects. In extracellular-
calcium-free-
hypoxia/reoxygenation cardiomyocytes, ERK1/2 was activated, LDH and cTnI leakage increased, and cell viability decreased. F2 and ERK1/2 inhibitors antagonized extracellular-
calcium-free-
hypoxia/reoxygenation-induced ERK1/2 activation and suppressed cardiomyocytes damage. The ERK1/2 activator antagonized F2's above effects. F2 had no effect on cardiomyocyte cAMP content or PKA and Egr-1 expression. Altogether, ERK activation in extracellular-
calcium-containing and extracellular-
calcium-free
hypoxia/reoxygenation leads to cardiomyocytes damage. F2 may ameliorate cardiomyocytes
hypoxia/reoxygenation injury by regulating the extracellular-
calcium-dependent PKCα/ERK1/2/Egr-1 pathway and through the extracellular-
calcium-independent ERK1/2 activation independently of the cAMP/PKA pathway or Egr-1 overexpression.