Experimental protocol. A, isolated mouse cardiomyocytes
incubated for 1 h with or without sildenafil (SIL) (1
μm) in the presence or absence of protein kinase G
(PKG) inhibitor, KT2358 (2 μm),
Rp-8-pCPT-cGMPs (100 μm), or DT-2 (125
nm) and subjected to 40 min of SI and 1 or 18 h of RO. Cell
necrosis and apoptosis were assessed after 1 or 18 h of reoxygenation,
respectively. B, representative image of isolated mouse
cardiomyocytes. C, quantitative data showing the effect of sildenafil
(1 μm) with or without KT5823 (KT),
Rp-8-pCPT-cGMPs (Rp), or DT-2 on cardiomyocyte
necrosis following SI-RO as determined by trypan blue staining (*
indicates p < 0.001 versus SI-RO; n = 4).
D, quantitative data showing the effect of sildenafil (1
μm) with/without KT5823 (KT),
Rp-8-pCPT-cGMPs (Rp), or DT-2 on cardiomyocyte
apoptosis following SI-RO determined by TUNEL assay (* indicates
p < 0.001 versus SI-RO; n = 4). E,
isolated perfused hearts subjected to 10 min of intracoronary infusion of
sildenafil (1 μm, at 0.25 ml/min pump speed) or Krebs-Henseleit
(K-H) buffer followed by 20 min of no-flow global ischemia and 30 min
of reperfusion. Myocardial infarct size was determined after the
ischemia-reperfusion protocol. KT5823 (1 mg/kg) or volume-matched DMSO
(solvent of KT5823) were administered (intraperitoneal) 1 h prior to the heart
isolation. F, infarct size (% of risk area); G, double
product of heart rate and ventricular developed force (% of pre-ischemic
baseline); and H, coronary flow (% of pre-ischemic value).
* indicates p < 0.05 versus all other
groups.