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Cardioprotective effects of cyclosporine A in an in vivo model of myocardial ischemia and reperfusion.

AbstractBACKGROUND: Recent evidence indicates that reperfusion of the heart after a period of ischemia leads to the opening of the mitochondrial permeability transition pore (MPTP). The aim of this study was to investigate cardioprotective effects of cyclosporine A (CsA), an inhibitor of the MPTP, in an in vivo model of myocardial ischemia and reperfusion. METHODS: Male Sprague-Dawley rats were subjected to occlusion of the left anterior descending coronary artery for 30 min followed by 180 min of reperfusion. CsA (10 mg/kg) or vehicle was given 10 min prior to ischemia via the femoral vein. Sham myocardial ischemia-reperfusion rats (sham-operation group) were used as controls. Infarct size was measured using the staining agent TTC (2,3,5-triphenyl tetrazolium chloride) and myocardial apoptosis by caspase-3 activity was determined by fluorescent assay. The myocardium mitochondria ultrastructure was observed through a transmission electron microscope. RESULTS: CsA significantly reduced infarct size (48.8 +/- 5.8% of left ventricle in vehicle + I/R group and 30.3 +/- 2.7% of left ventricle in CsA + I/R, respectively) and decreased caspase-3 activity in the myocardium [(0.62 +/- 0.17)/microg of protein and (0.42 +/- 0.15)/microg of protein, respectively] and relieved the injury of mitochondria. CONCLUSION: CsA reduced the cardiac damage associated with ischemia-reperfusion injury of the heart. The cardioprotective effects of CsA might be associated with the protection of mitochondria and the inhibition of caspase-3 activity. It also suggests that the MPTP might play an important role in cardiomyocytes death after ischemia-reperfusion injury.
AuthorsJ-R Xie, L-N Yu (Affiliation: Department of Anesthesiology, Sir Run Run Shaw Hospital, Hangzhou, China.)
JournalActa anaesthesiologica Scandinavica (Acta Anaesthesiol Scand) Vol. 51 Issue 7 Pg. 909-13 (Aug 2007) ISSN: 0001-5172 England
PMID17578461 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Cardiotonic Agents
  • Immunosuppressive Agents
  • Cyclosporine
  • Caspase 3
Topics
  • Animals
  • Blood Pressure (drug effects)
  • Cardiotonic Agents
  • Caspase 3 (metabolism)
  • Cyclosporine (pharmacology)
  • Heart Rate (drug effects)
  • Immunosuppressive Agents (pharmacology)
  • Male
  • Microscopy, Electron
  • Mitochondria, Heart (drug effects, ultrastructure)
  • Myocardial Ischemia (pathology, prevention & control)
  • Myocardial Reperfusion Injury (pathology, prevention & control)
  • Rats
  • Rats, Sprague-Dawley