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  • 1
    ISSN: 1860-1499
    Keywords: Preconditioning ; Ultrastructure ; Ischemia and reperfusion ; Adenosine receptor ; Nicorandil
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The effect of preconditioning (PC) on acute ischemic myocardial injury was investigated in an openchest dog model. Preconditioned dogs received four 5-min occlusions of the left anterior descending coronary artery (LAD), each separated by 10 min of reperfusion. Four groups were used to assess the effect: non-PC group (G-1), PC group (G-2), 8-phenyltheophylline-(adenosine receptor blocker) infused PC group (G-3), and nicorandil- (ATP-sensitive K-channel opener) infused PC group (G-4). The LAD was occluded for 60 min, followed by 60 min of reperfusion in all dogs. The rate of ultrastructural myocardial severe injury was 26% in G-1, 0% in G-2, 5% in G-3, and 0% in G-4. Biochemical analayses also indicated higher values of myocardial contractile function in G-2 and G-4 than G-1 and G-3. These data suggest that the adenosine receptor and K channel may play a key role in PC.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1860-1499
    Keywords: Hydrogen peroxide ; Catalase ; Cerium ; Myocardial reperfusion injury
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Free radicals have been implicated in myocardial reperfusion injury. Hydrogen peroxide (H2O2) is a precursor of highly reactive oxygen intermediates. In this study, we investigated myocardial injury caused by endogenous H2O2 during the early reperfusion period following brief ischemia with electron microscopy and the cerium method. This method involves formation of an electrondense precipitate when H2O2 reacts with cerium chloride (CeCl3). We used isolated, functioning hearts prepared according to the working heart model, which were reperfused with a solution containing 0.5mM CeCl3 for 5 min after 10 min of ischemia. Some hearts were treated with 3-amino-1,2,4-triazole (ATZ) to inhibit catalase; others were treated with ATZ and superoxide dismutase (SOD), which dismutates the superoxide anion to hydrogen peroxide. In the control group (no drugs given) and the ATZ-treated group, the CeCl3−H2O2-dependent reaction products during the reperfusion period appeared in 12% and 28%, respectively, of the microvascular spaces. Treatment with SOD did not produce a decrease in electron-dense precipitates or a decrease in myocardial injury during ischemia-reperfusion. Moreover, in the ATZ group, moderately injured myocytes were seen (swelling of mitocondria, intermyofibrillar edema). Our results indicate that in myocytes, catalase plays an important role in the defense against H2O2 and that the increase in H2O2 is a cause of reperfusion injury. However, SOD does not protect against H2O2 in the absence of catalase.
    Type of Medium: Electronic Resource
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