Abstract
To the Editor: AMP kinase (AMPK) activation represents a unique molecular event in cardioprotection against ischemia/reperfusion injury, potentially linking myocardial metabolism to a number of cardioprotective signaling pathways such as nitric oxide and reactive oxygen species signaling. In a recently published article in Circulation , Lamberts et al1 demonstrated that AMPK activation contributed to the signaling cascade in the powerful cardioprotection conferred by sevoflurane-induced preconditioning. This finding is intriguing because AMPK activation has the potential to overcome the loss of anesthetic-induced preconditioning during diabetes mellitus.2 The published report provides important information and useful insights, particularly regarding the triangle of AMPK signaling, reactive oxygen species generation, …
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