“…More than 20 years of intense study have revealed numerous mechanisms by which PC protects the myocardium, including modest elevation of reactive oxygen species (ROS) (23,39,49,58), nitric oxide (23,58), mitochondrial ATP-sensitive potassium (mKATP) channels (18,31,32,39,60), heat shock proteins (18,34), and activation of protein kinase cascades (17). Protein kinase C (PKC) isozyme-induced alterations in mitochondrial functions also have been proposed to play important roles in cardiac PC (45). For example, the PKC-ε isozyme has been reported to form signaling clusters inside cardiac mitochondria with MAP kinase (4) and tyrosine kinases (56), inhibit the opening of the mitochondrial permeability transition pore (3), preserve cytochrome oxidase (CO) activity (16,47,48), and act in a cascade involving PKG-mediated opening of the mKATP channel (13).…”