Delta opioid receptor stimulation mimics ischemic preconditioning in human heart muscle

OBJECTIVES The objective of this study was to examine whether the delta (delta) opioid receptor isoform is expressed in the human heart and whether this receptor improves contractile function after hypoxic/reoxygenation injury. BACKGROUND Delta opioid receptor agonists mimic preconditioning (PC) in rat myocardium, corresponding to known cardiac delta opioid receptor expression in this species. METHODS The messenger RNA transcript encoding the delta opioid receptor was identified in human atria and ventricles. To evaluate the cardioprotective role of the opioid receptor, human atrial trabeculae from patients undergoing coronary bypass grafting were isolated and superfused with Tyrode's solution. A control group underwent 90 min of simulated ischemia and 120 min of reoxygenation. A second group was preconditioned with 3 min simulated ischemia and 7 min reoxygenation. Additional groups included: superfusion with the delta receptor agonist (DADLE) (10 nM), with the delta receptor antagonist naltrindole (10 nM) and with the mitochondrial K-ATP channel blocker 5-hydroxydecanoate (5HD) (100 muM) either with or without PC, respectively. A final group was superfused with 5HD before DADLE. The end point used was percentage of developed force after 120 min of reoxygenation. RESULTS Results, expressed as means +/- SEM, were: control = 32.6 +/- 3.8%; PC = 50.5% +/- 1.8*; DADLE = 46.0 +/- 3.9%*; PC + naltrindole = 25.5 +/- 3.9%; naltrindole alone = 25.5 + 4.3%; 5HD + PC = 28.9 +/- 7.4%; 5HD alone = 24.1 +/- 3.0%; 5HD + DADLE = 26.9 +/- 4.4% (*p < 0.001 vs. controls). CONCLUSIONS Human myocardium expresses the opioid receptor transcript. Stimulation of this receptor appears to protects human muscle from simulated ischemia, similar to PC, and via opening of the mitochondrial K-ATP channel. (C) 2000 by the American College of Cardiology.