Activation of p38 MAPK and increased glucose transport in chronic hibernating swine myocardium

Edward O. McFalls, Ming Xiao Hou, Robert J. Bache, Aaron Best, David Marx, Joseph Sikora, Herbert B. Ward

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28 Scopus citations


In preconditioned myocardium, activation of the mitogen-activated protein kinase (MAPK) p38 leads to increased glucose uptake via enhanced GLUT-4 translocation. Glucose uptake is also increased in chronic hibernating myocardium, but the role of p38 MAPK and GLUT-4 translocation has not been studied. Nine swine underwent instrumentation of the proximal left anterior descending coronary artery (LAD) with a small, external constrictor. At 3 mo after instrumentation, myocardial glucose uptake by PET imaging was higher in the LAD than in the remote region under basal, fasted conditions (0.08 ± 0.02 vs. 0.04 ± 0.01 μmol·min-1·g -1, P < 0.05). Compared with the remote region, the LAD region demonstrated increased membrane-bound GLUT-4 relative to total content (61 ± 04 vs. 45 ± 06%, P < 0.05), higher glycogen (28.37 ± 4.41 vs. 19.26 ± 1.87 mg/g wet wt, P < 0.05), and increased inducible nitric oxide synthase (NOS) activity (1.43 ± 0.34 vs. 0.51 ± 0.21 activity/mg protein, P < 0.05). p38 MAPK was 47 ± 14% higher in the LAD than in the remote region (P < 0.05) and correlated well with the absolute degree of GLUT-4 membrane-bound translocation (r = 0.81, P < 0.01), relative increase in glycogen (r = 0.70, P < 0.05), and total NOS activity (r = 0.68, P < 0.05). In chronic hibernating myocardial tissue, p38 MAPK activation is increased under basal fasted conditions and correlates well with the increased degree of GLUT-4 translocation, glycogen accumulation, and NOS activity. As in preconditioned myocardium, activation of p38 MAPK may play an important role in the metabolic adaptations that characterize chronic hibernating myocardium.

Original languageEnglish (US)
Pages (from-to)H1328-H1334
JournalAmerican Journal of Physiology - Heart and Circulatory Physiology
Issue number3 56-3
StatePublished - Sep 1 2004


  • GLUT-4
  • Glucose uptake
  • Inducible nitric oxide synthase
  • Preconditioned myocardium

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