This study examined whether
quinaprilat, an
angiotensin-converting enzyme inhibitor, reduces the
infarct size, and investigated the mechanisms for its
infarct size-reducing effect, in rabbits. Japanese white rabbits underwent 30 min of
ischemia and 48 h of reperfusion.
Quinaprilat (100 microg/kg/h or 300 microg/kg/h for 70 min, IV) was administered 20 min before
ischemia with or without pretreatment with Nomega-nitro-
l-arginine methyl ester (
l-NAME) (10 mg/kg, IV, a
nitric oxide synthase inhibitor),
5-hydroxydecanoic acid sodium salt (5-HD) or posttreatment with 5-HD (5 mg/kg, IV, a mitochondrial
KATP channel blocker). The area at risk as a percentage of the left ventricle was determined by
Evans blue dye and the
infarct size was determined as a percent of the area at risk by triphenyl tetrazolium
chloride staining. Using a microdialysis technique, myocardial interstitial levels of
2,5-dihydroxybenzoic acid (2,5-DHBA), an
indicator of
hydroxyl radicals, and NOx, an
indicator of
nitric oxide, were measured before, during, and after 30 min of
ischemia.
Quinaprilat significantly reduced the
infarct size in a dose-dependent manner (30.1 +/- 3%, n = 10, and 27.6 +/- 2%, n = 7, respectively) compared with the control (46.5 +/- 4%, n = 10). The
infarct size-reducing effect of
quinaprilat was completely blocked by pretreatment with
l-NAME (43.8 +/- 2%, n = 8) and 5-HD (50.1 +/- 3%, n = 8) and posttreatment with 5-HD (50.3 +/- 2%, n = 8), respectively.
Quinaprilat did not affect the myocardial interstitial 2,5-DHBA level but significantly increased the NOx level during
ischemia and reperfusion.
Quinaprilat reduces
myocardial infarct size involving NO production and mitochondrial
KATP channels in rabbits without collateral circulation.