Ischemic preconditionining has been shown to trigger a signaling pathway by
potentiating tyrosine kinase phosphorylation leading to the activation of
p38 MAP kinase and MAPKAP kinase 2. Recently, the nuclear transcription fac
tor, NF kappa B, was found to play a role in the signaling process. Since N
F kappa B is a target of oxygen free radicals, we hypothesized that reactiv
e oxygen species might play a role in the signaling process. To test this h
ypothesis, isolated rat hearts were perfused in the absence or presence of
either dimethyl thiourea (DMTU), a OH . radical scavenger, or SN 50 peptide
, a NF kappa B blocker. Hearts were then subjected to ischemic precondition
ing by four repeated episodes of 5 min ischemia each followed by 10 min rep
erfusion. All hearts were then made globally ischemic for 30 min followed b
y 2 h of reperfusion. The results of our study demonstrated enhanced tyrosi
ne kinase phosphorylation during ischemic preconditioning which was blocked
by DMTU. DMTU also inhibited preconditioning mediated increased phosphoryl
ation of p38 MAP kinase and MAPKAP kinase 2 activity. However, DMTU had no
effect on the translocation and activation of protein kinase C (PKC) result
ing from preconditioning. Preconditioning reduced myocardial infarct size a
s expected. This cardioprotective effect of preconditioning was abolished b
y both DMTU and SN 50. Preconditioning resulted in the nuclear translocatio
n and activation of NF kappa B. Increased NF kappa B binding was blocked by
both DMTU and SN 50. The results of this study demonstrate that reactive o
xygen species play a crucial role in signal transduction mediated by precon
ditioning. This signaling process appears to be potentiated by tyrosine kin
ase phosphorylation resulting in the activation of p38 MAP kinase and MAPKA
P kinase 2 leading to the activation of NF kappa B suggesting a role of oxy
gen free radicals as second messenger. Free radical signaling seems to be i
ndependent of PKC although PKC is activated during preconditioning process
suggesting the role of two separate signaling pathways in ischemic precondi
tioning.