We investigated the effect of a novel
cardioprotective agent,
JTV-519, with or without a
nitric oxide synthase inhibitor,
L-NAME, on the myocardial metabolism and contraction during
ischemia and reperfusion by means of
phosphorus 31-nuclear magnetic resonance (31P-NMR) in Langendorff rabbit hearts. After 20 min normothermic global
ischemia, postischemic reperfusion was carried out for 30 min.
JTV-519 was administered from 40 min prior to the global
ischemia. Twenty-one hearts were divided into three experimental groups consisting of 7 hearts each: a control group, a
JTV-519 group perfused with
JTV-519, and a JTV-519+L-NAME group perfused with a combination of
JTV-519 and
L-NAME. During
ischemia, the
JTV-519 group showed a significant inhibition of the decrease in
adenosine triphosphate (
ATP) compared with both the control and JTV-519+L-NAME groups (p<0.01); the levels of
ATP were 20+/-6, 56+/-9, and 40+/-4% in the control group,
JTV-519 group, and JTV-519+L-NAME group, respectively. Both the
JTV-519 group and JTV-519+L-NAME group showed a significant inhibition of the increase in left ventricular end-diastolic pressure (LVEDP) compared with the control group (p<0.01). After postischemic reperfusion, the
JTV-519 group again showed a significant improvement of
ATP as compared with both the control and JTV-519+L-NAME groups (p<0.01); the
ATP levels were 52+/-4, 82+/-3, and 64+/-3% in the control group,
JTV-519 group, and JTV-519+L-NAME group. In conclusion,
JTV-519 has a significant beneficial effect on myocardial energy metabolism during both
ischemia and reperfusion. This beneficial effect was dependent on
NO synthase. Furthermore,
JTV-519 showed significant potential for improving myocardial relaxation during
ischemia. This effect was not dependent on
NO synthase.