Mechanisms of myocardial ischemic preconditioning are age related: PKC-ε does not play a requisite role in old rabbits

Karin Przyklenk, Guohu Li, Boris Z. Simkhovich, Robert A. Kloner

Research output: Contribution to journalArticlepeer-review

37 Scopus citations


Data obtained from adult cohorts have implicated activation/translocation of protein kinase C (PKC)-ε as an important cellular mediator of myocardial infarct size reduction with ischemic preconditioning (PC). Age-related alterations in cellular signaling may, however, confound the extrapolation of mechanistic insight derived from adults to the aging population, the specific subset in which cardioprotection is undoubtedly most relevant. Accordingly, our aim was to investigate the role of PKC-ε as a mediator of infarct size reduction with PC in old vs. adult rabbits. In protocol 1, we assessed the effect of PKC-ε translocation inhibitor peptide (PKC-ε-TIP) and the pan-PKC inhibitor chelerythrine on infarct size reduction with PC in adult and ∼4-yr-old rabbits, a population previously shown to exhibit definitive hallmarks of cardiovascular aging. Rabbits received 5 min of PC ischemia or a matched control period followed by 30 min of coronary artery occlusion and 3 h of reperfusion, with infarct size (delineated by tetrazolium staining) serving as the primary endpoint. In protocol 2, we obtained insight (by Western immunoblotting) into the subcellular redistribution of PKC-ε in response to the 5-min PC stimulus in adult and old rabbits. In adults, infarct size reduction with PC was abrogated by both PKC-ε-TIP and chelerythrine. However, in old rabbits, 1) PC-induced cardioprotection was maintained despite inhibitor treatment and 2) brief PC ischemia was not associated with activation/translocation of PKC-ε. Thus the mechanisms responsible for PC are age related in the rabbit heart, with no apparent, requisite role of PKC-ε in aging animals.

Original languageEnglish
Pages (from-to)2563-2569
Number of pages7
JournalJournal of Applied Physiology
Issue number6
StatePublished - Dec 2003


  • Myocardial infarction
  • Myocardial ischemia
  • Protein kinase C
  • Signal transduction


Dive into the research topics of 'Mechanisms of myocardial ischemic preconditioning are age related: PKC-ε does not play a requisite role in old rabbits'. Together they form a unique fingerprint.

Cite this