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(Stroke. 2003;34:1796.)
© 2003 American Heart Association, Inc.
Original Contributions |
From the Institute of Molecular Cardiobiology (Y.T., M.A., R.A.L., E.M.), Kennedy Krieger Institute (T.H.C., M.V.J.), and Department of Surgery (W.A.B.), The Johns Hopkins University, Baltimore, Md.
Correspondence to Eduardo Marbán, MD, PhD, Institute of Molecular Cardiobiology, The Johns Hopkins University, 720 Rutland Ave, 844 Ross Bldg, Baltimore, MD 21205. E-mail marban{at}jhmi.edu
Background and Purpose Mitochondrial ATP-sensitive potassium (mitoKATP) channels are present in the brain, and several reports have shown that mitoKATP channel openers protect the brain against ischemic injury. However, the precise mechanisms of this protection are not well established. We hypothesized that mitoKATP channel openers prevent apoptosis by preserving mitochondrial membrane potential.
Methods We investigated the effect of mitoKATP channel openers on apoptosis induced by oxidative stress using cultured cerebellar granule neurons.
Results The mitoKATP channel opener diazoxide (100 µmol/L) significantly suppressed the number of cells with terminal deoxynucleotidyl transferasemediated dUTP nick end-labeling (TUNEL)positive nuclei and the increase in caspase-3 activity induced by 20 µmol/L H2O2. Diazoxide and another opener, pinacidil, prevented the loss of mitochondrial inner membrane potential (
m) induced by H2O2. These effects were abolished by 5-hydroxydecanoate (500 µmol/L), a mitoKATP channel blocker. Cyclosporin A and bongkrekic acid, inhibitors of the mitochondrial permeability transition pore, also prevented 
m loss, confirming the involvement of the mitochondrial permeability transition in the apoptotic cascade in neurons. Furthermore, diazoxide prevented the increase in extracellular glutamate concentration induced by H2O2, but this effect was not attributable to activation of surface KATP channels.
Conclusions MitoKATP channel openers inhibited apoptosis by preserving mitochondrial inner membrane potential. These beneficial effects may suggest a possible new target for neuroprotection.
Key Words: apoptosis mitochondria neurons oxidative stress potassium channels
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