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Pre-ischemic administration of landiolol prevents ischemia-reperfusion injury in the rat heart.

AbstractBACKGROUND:
This study was designed to investigate whether administration of landiolol before or during ischemia protects the myocardium against ischemia-reperfusion (I/R) injury.
METHODS:
Isolated rat hearts were perfused with Krebs-Henseleit buffer using Langendorff apparatus. Cardiac arrest was achieved using St. Thomas' Hospital cardioplegic solution for 3 min. Each heart was subjected to global ischemia at 37 degrees C for 45 min followed by reperfusion for 60 min. In protocol A, landiolol (5-200 microM) was administered before ischemia and in protocol B, landiolol (10-1000 microM) was administered during ischemia. Post-ischemic recovery of cardiac function after 60 min of reperfusion was expressed as a percentage of the pre-ischemic value. Creatinine kinase (CK) leakage during reperfusion for 20 min was also measured.
RESULTS:
Post-ischemic recovery of cardiac function and CK leakage were significantly improved by administration of 100 microM landiolol in protocol A (left ventricular developed pressure, 54.5 +/- 10.5% vs 76.1 +/- 6.6%; dP/dtmax, 47.5 +/- 14.9% vs 71.4 +/- 6.9%; coronary flow, 68.5 +/- 7.1% vs 83.9 +/- 12.9%, and CK, 25.3 +/- 4.2 IU vs 20.3 +/- 7.4 IU). In protocol B, landiolol exerted no cardioprotective effect on cardiac function and CK leakage at each concentration.
CONCLUSIONS:
Landiolol has a cardioprotective effect on I/R injury in the rat heart when administered before ischemia.
AuthorsYosuke Takahashi, Toshihiko Shibata, Yasuyuki Sasaki, Hidekazu Hirai, Shigekazu Takemura, Yukiko Minamiyama, Masanori Sakaguchi, Shigefumi Suehiro
JournalOsaka city medical journal (Osaka City Med J) Vol. 53 Issue 1 Pg. 9-16 (Jun 2007) ISSN: 0030-6096 [Print] Japan
PMID17867629 (Publication Type: Journal Article)
Chemical References
  • Adrenergic beta-Antagonists
  • Morpholines
  • landiolol
  • Urea
Topics
  • Adrenergic beta-Antagonists (pharmacology)
  • Animals
  • Dose-Response Relationship, Drug
  • Heart (drug effects, physiopathology)
  • Ischemic Preconditioning, Myocardial (methods)
  • Male
  • Morpholines (pharmacology)
  • Myocardial Reperfusion Injury (pathology, physiopathology, prevention & control)
  • Myocardium (enzymology, pathology)
  • Rats
  • Rats, Wistar
  • Reperfusion Injury (pathology, physiopathology, prevention & control)
  • Urea (analogs & derivatives, pharmacology)
  • Ventricular Dysfunction, Left (physiopathology)

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