Wojtovich AP, Urciuoli WR, Chatterjee S, Fisher AB, Nehrke K, Brookes PS. Kir6.2 is not the mitochondrial K ATP channel but is required for cardioprotection by ischemic preconditioning. Am J Physiol Heart Circ Physiol 304: H1439 -H1445, 2013. First published April 12, 2013 doi:10.1152/ajpheart.00972.2012.-ATP-sensitive K ϩ (KATP) channels that contain K ϩ inward rectifier subunits of the 6.2 isotype (Kir6.2) are important regulators of the cardiac response to ischemia-reperfusion (I/R) injury. Opening of these channels is implicated in the cardioprotective mechanism of ischemic preconditioning (IPC), but debate surrounds the contribution of surface KATP (sKATP) versus mitochondrial KATP (mKATP) channels. While responses to I/R injury and IPC have been examined in Kir6.2 Ϫ/Ϫ mice before, breeding methods and other technical obstacles may have confounded interpretations. The aim of this study was to elucidate the role of Kir6.2 in cardioprotection and mKATP activity, using conventionally bred Kir6.2 Ϫ/Ϫ mice with wild-type littermates as controls. We found that perfused hearts from Kir6.2 Ϫ/Ϫ mice exhibited a normal baseline response to I/R injury, were not protected by IPC, and showed a blunted response to the IPC mimetic drug diazoxide. These data suggest that the loss of IPC in Kir6.2 Ϫ/Ϫ hearts is not due to an underlying difference in I/R sensitivity. Furthermore, mKATP channel activity was identical in cardiac mitochondria isolated from wild-type versus Kir6.2 Ϫ/Ϫ mice, suggesting no role for Kir6.2 in the mKATP. Collectively, these data indicate that Kir6.2 is required for the full response to IPC or diazoxide but is not involved in mKATP formation. mitochondria; ischemic preconditioning; K ATP channel; diazoxide THE HEART AND OTHER ORGANS can be protected against ischemiareperfusion (I/R) injury via ischemic preconditioning (IPC), wherein short periods of I/R can engage protective signaling pathways to reduce the impact of a prolonged ischemic event (23). The protective effects of IPC can be mimicked by openers of ATP-sensitive potassium (K ATP ) channels. Since changes in cardiomyocyte bioenergetics are known to occur during IPC (11), the metabolic-sensing role of these channels has driven interest in their potential role in cardioprotective signaling (13,24).K ATP channels comprise octamers of four inward-rectifying potassium channel subunits (Kir6.1 or -6.2) and four sulfonylurea receptors 1, 2A, or 2B (SUR1, -2A, or -2B), with different Kir/SUR combinations giving rise to unique cellular roles, locations, and pharmacological profiles (13). For example, the cardiac surface K ATP (sK ATP ) is Kir6.2/SUR2A. It plays a role in cardiomyocyte volume regulation and stress responses (28) and is activated by cromakalim but not diazoxide (DZX) (11,33,42). In contrast, the pancreatic sK ATP is Kir6.2/SUR1, which plays a role in insulin secretion and is activated by DZX but not cromakalim (13).Despite there being no effect of DZX on cardiac sK ATP channels (4, 9), DZX is known to mimic IPC and protect the heart a...