Both glycogen synthase kinase 3β (GSK3β) and the ATP-dependant potassium channel (K
ATP) mediate opioid-induced cardioprotection (OIC). However, whether direct K
ATP channel openers induce cardioprotection prior to reperfusion and their signaling cascade position with respect to GSK3β inhibition
is unknown. Therefore, we investigated the role of K
ATP channel opening at reperfusion in OIC, and the interaction between the GSK signaling axis and K
ATP channels in cardioprotection.Male Sprague-Dawley rats underwent 30 minutes ischemia with 2 hours of reperfusion and infarct
size was determined. Rats given the nonselective opioid agonist, morphine (0.3 mg/kg), or the selective delta opioid agonist,
BW373U86 (1.0 mg/kg), 5 minutes prior to reperfusion reduced infarct size (40.3±1.6*, 39.7±1.9* versus 60.0±1.1%, respectively,
* P<0.001%). This protection was abrogated with prior administration of the putative sarcolemmal K
ATP antagonist, HMR-1098 (6 mg/kg), or the putative mitochondrial K
ATP antagonist, 5-HD (10 mg/kg). The putative sK
ATP channel opener, P-1075 (1μg/kg) or the putative mK
ATP channel opener, BMS-191095 (1 mg/kg) given 5 minutes prior to reperfusion also reduced infarct size (41.8±2.4*, 43.4±1.4*)
and protection was abrogated by prior administration of the PI3k inhibitor wortmannin (60.0±1.7, 64.0±2.6%, respectively,
* P<0.001). Cardioprotection afforded by the GSK inhibitor SB216763 (0.6 mg/kg) given 5 minutes prior to reperfusion was also
partially blocked by either HMR or 5-HD and completely blocked when HMR and 5-HD were given in combination (40.8±1.6*, 50.4±1.6^;
49.4±1.7^, 61.6±1.6%, respectively, * or ^ P<0.001). These data indicate that both the sK
ATP and mK
ATP channel are involved in acute OIC and the GSK signaling axis regulates cardioprotection via K
ATP channel opening.