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Circulation. 2002;106:1556-1562
Published online before print August 26, 2002, doi: 10.1161/01.CIR.0000028424.02525.AE
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(Circulation. 2002;106:1556.)
© 2002 American Heart Association, Inc.


Basic Science Reports

KATP Channel Gene Expression Is Induced by Urocortin and Mediates Its Cardioprotective Effect

K.M. Lawrence, PhD; A. Chanalaris, MSc; T. Scarabelli, MD; M. Hubank, PhD; E. Pasini, MD; P.A. Townsend, PhD; L. Comini, MSc; R. Ferrari, MD; A. Tinker, PhD; A. Stephanou, PhD; R.A. Knight, MD, PhD; D.S. Latchman, PhD, DSc

From the Medical Molecular Biology Unit (K.M.L., A.C., T.S., M.H., A.S., D.S.L.), Institute of Child Health, University College London, London, England; Cardiovascular Pathophysiology Research Centre (E.P., L.C., R.F.), S. Maugeri Foundation IRCCS, University of Ferrara, Italy; Centre for Clinical Pharmacology (A.T.), Department of Medicine, University College London, England; and National Heart and Lung Institute (R.A.K.), Royal Brompton Hospital, London, England.

Correspondence to D.S. Latchman, PhD, DSc, Medical Molecular Biology Unit, Institute of Child Health, University College London, 30 Guilford Street, London WC1N 1EH, UK. E-mail d.latchman@ ich.ucl.ac.uk

Background— Urocortin is a novel cardioprotective agent that can protect cardiac myocytes from the damaging effects of ischemia/reperfusion both in culture and in the intact heart and is effective when given at reperfusion.

Methods and Results— We have analyzed global changes in gene expression in cardiac myocytes after urocortin treatment using gene chip technology. We report that urocortin specifically induces enhanced expression of the Kir 6.1 cardiac potassium channel subunit. On the basis of this finding, we showed that the cardioprotective effect of urocortin both in isolated cardiac cells and in the intact heart is specifically blocked by both generalized and mitochondrial-specific KATP channel blockers, whereas the cardioprotective effect of cardiotrophin-1 is unaffected. Conversely, inhibiting the Kir 6.1 channel subunit greatly enhances cardiac cell death after ischemia.

Conclusions— This is, to our knowledge, the first report of the altered expression of a KATP channel subunit induced by a cardioprotective agent and demonstrates that KATP channel opening is essential for the effect of this novel cardioprotective agent.


Key Words: potassium channel • urocortin • ischemia • reperfusion




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