Document Detail


Fentanyl reduces infarction but not stunning via delta-opioid receptors and protein kinase C in rats.
MedLine Citation:
PMID:  10844838     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Langendorff rat hearts were used (i) to examine whether fentanyl reduces stunning, infarction or both, and (ii) to investigate if this protection is mediated by delta-opioid receptors and/or protein kinase C (PKC). In the stunning study, hearts were subjected to global ischaemia (20 min) and reperfusion. This did not produce infarction. Postischaemic mechanical function was measured in hearts treated with or without fentanyl (740 nM). Fentanyl did not affect postischaemic mechanical function. In the infarction study, the left anterior descending coronary artery was occluded for 35 min and infarct size was assessed by triphenyltetrazolium chloride staining. Hearts in the control group exhibited an infarct zone/area at risk (I/R) of 39 (SEM 5)%, whereas the I/R for the fentanyl group was 13 (2)%. When the hearts were treated with a delta-opioid receptor antagonist (naltrindole 1 nM) or a PKC inhibitor (chelerythrine 2 microM), the effect of fentanyl was abolished, with I/R of 37 (1) and 36 (2)% respectively. In our model, we conclude that fentanyl protects against infarction but not against stunning, and that the limitation of ischaemic injury is mediated by both delta-opioid receptors and PKC.
Authors:
R Kato; P Foëx
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  British journal of anaesthesia     Volume:  84     ISSN:  0007-0912     ISO Abbreviation:  Br J Anaesth     Publication Date:  2000 May 
Date Detail:
Created Date:  2000-06-14     Completed Date:  2000-06-14     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0372541     Medline TA:  Br J Anaesth     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  608-14     Citation Subset:  IM    
Affiliation:
Nuffield Department of Anaesthetics, Radcliffe Infirmary, Oxford, UK.
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MeSH Terms
Descriptor/Qualifier:
Analgesics, Opioid / therapeutic use*
Animals
Coloring Agents / diagnostic use
Fentanyl / therapeutic use*
Male
Myocardial Infarction / drug therapy*,  prevention & control
Myocardial Stunning / drug therapy,  prevention & control
Protein Kinase C / antagonists & inhibitors,  drug effects*
Rats
Rats, Wistar
Receptors, Opioid, delta / antagonists & inhibitors,  drug effects*
Chemical
Reg. No./Substance:
0/Analgesics, Opioid; 0/Coloring Agents; 0/Receptors, Opioid, delta; 437-38-7/Fentanyl; EC 2.7.11.13/Protein Kinase C

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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