Endothelin-1 and
norepinephrine are involved in
myocardial ischemia/
reperfusion injury. The aim of this study was to investigate the role of endogenously generated
endothelin-1 in
ischemia/reperfusion-induced
norepinephrine overflow and cardiac dysfunction using a nonselective prototype of
endothelin-converting enzyme (ECE) inhibitor,
phosphoramidon, and a selective ECE inhibitor,
SM-19712 (4-chloro-N-[[(4-cyano-3-methyl-1-phenyl-1H-pyrazol-5-yl)amino]carbonyl]
benzenesulfonamide, monosodium salt). According to the Langendorff technique, isolated Sprague-Dawley rat hearts were subjected to 40-min global
ischemia followed by 30-min reperfusion.
Phosphoramidon and
SM-19712 were perfused 30 min before
ischemia and during reperfusion.
Endothelin-1 level in left ventricle was increased by
ischemia/reperfusion. This increase in left ventricular
endothelin-1 level was suppressed by treatment with
SM-19712.
SM-19712 significantly improved
ischemia/reperfusion-induced cardiac dysfunction such as decreased left ventricular developed pressure and dP/dt(max) and increased left ventricular end diastolic pressure. In addition, this agent suppressed excessive
norepinephrine overflow in the coronary effluent from the post-ischemic heart. In contrast, treatment with
phosphoramidon further enhanced left ventricular
endothelin-1 level and
norepinephrine overflow, and significantly worsened cardiac dysfunction after
ischemia/reperfusion. These responses such as exaggerated
norepinephrine overflow and the cardiac dysfunction observed after
ischemia/reperfusion were markedly suppressed in the presence of a selective
endothelin ET(A) receptor antagonist,
ABT-627 [2R-(4-methoxyphenyl)-4S-(1,3-benzodioxol-5-yl)-1-(N,N-di(n-butyl)aminocarbonyl-methyl)-
pyrrolidine-3R-
carboxylic acid]. These findings indicate that cardiac
endothelin-1 production is enhanced by
ischemia/reperfusion, and this endogenously increased
endothelin-1 is involved in post-ischemic
norepinephrine overflow and cardiac dysfunction via the activation of
endothelin ET(A) receptors.