(Circulation. 1997;96:2311-2316.)
© 1997 American Heart Association, Inc.
Articles |
Delayed Coronary Endothelial Protection 24 Hours After Preconditioning
Role of Free Radicals
From the Department of Pharmacology, Vacomed, IFRMP 23, Rouen University School of Medicine and Rouen Hospital, France.
Correspondence to V. Richard, PhD, Service de Pharmacologie, Hôpital de Bois Guillaume, CHU de Rouen, 76031 Rouen Cedex, France. E-mail vincent.richard{at}chu-rouen.fr
Background Preconditioning (PC) induces delayed protection against myocardial ischemia/reperfusion (I/R) injury. Whether a similar late protective effect exists in coronary endothelial cells is not known. Thus, we assessed whether PC also induces late protection against endothelial injury after I/R and the potential role of reactive oxygen species as triggers for late PC in this setting.
Methods and Results Rats were subjected to sham surgery or to PC with 1 cycle of 2 minutes I/5 minutes R and 2 cycles of 5 minutes I/5 minutes R in the absence or presence of the free radical scavenger N-2-mercaptopropionyl glycine (MPG). Twenty-four hours later, rats were subjected to 20 minutes I/60 minutes R in the absence or presence of MPG. At the end of R, coronary segments (diameter, 200 to 300 µm) were removed distal to the site of occlusion and mounted in wire myographs. I/R reduced the relaxations to acetylcholine (maximal relaxations: sham, 72±6%; I/R, 31±6%), and this impairment was prevented by MPG (64±7%). PC improved the response to acetylcholine (48±6%), but this beneficial effect was abolished by MPG (23±5%).
Conclusions PC induces late protection against reperfusion-induced coronary endothelial injury. Moreover, in addition to being mediators of endothelial injury during reperfusion after prolonged ischemia, reactive oxygen species produced during PC also protect the coronary endothelium from reperfusion injury 24 hours later.
Key Words: endothelium • ischemia • infarction • arteries • vasodilation
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