Document Detail


Lack of acute cardioprotective effect from preischaemic erythropoietin administration in a porcine coronary occlusion model.
MedLine Citation:
PMID:  16117735     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Recombinant human erythropoietin (rhEPO) has been proposed to possess important tissue protective, apart from haematopoietic, effects. Cardioprotective effects have thus been reported in rodents exposed to myocardial ischaemia. Pathways common to the mediation of ischaemic preconditioning may be involved. Before clinical testing such possible cardioprotective effects needs assessment in an experimental large animal model with closer similarity to human ischaemic pathophysiology. METHODS: A control group and two rhEPO groups were studied. EPO1 pigs were given EPO corresponding to the early window and EPO2 pigs to the early and late window of ischaemic preconditioning in a closed chest, catheter-based, porcine coronary occlusion model (45 min of occlusion of the left anterior descending artery). Infarct size as a proportion of the ischaemic area (IS/AAR) was measured in vivo by myocardial perfusion imaging (MPI) and postmortem by a histochemical procedure (at 150 min of reperfusion). RESULTS: IS/AAR did not differ significantly between control (C), EPO1 and EPO2 groups, neither measured by MPI (mean+/-SD for C: 0.87+/-0.13; EPO1: 0.92+/-0.08; EPO2: 0.87+/-0.11), nor histochemically (mean+/-SD for C: 0.64+/-0.20; EPO1: 0.75+/-0.17; EPO2: 0.80+/-0.07). In the EPO2 group mean arterial pulmonary pressure and dP/dtmax were increased compared with control group. CONCLUSION: Despite promising results from studies in rodents, rhEPO did not reduce infarct size measured after 2.5 h of reperfusion in our porcine model.
Authors:
Jens Kristensen; Michael Maeng; Michael Rehling; Jette S Berg; Ulrik M Mortensen; Søren S Nielsen; Torsten T Nielsen
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Clinical physiology and functional imaging     Volume:  25     ISSN:  1475-0961     ISO Abbreviation:  Clin Physiol Funct Imaging     Publication Date:  2005 Sep 
Date Detail:
Created Date:  2005-08-24     Completed Date:  2006-01-24     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101137604     Medline TA:  Clin Physiol Funct Imaging     Country:  England    
Other Details:
Languages:  eng     Pagination:  305-10     Citation Subset:  IM    
Affiliation:
Department of Clinical Physiology and Nuclear Medicine, Aarhus University Hospital, Skejby Hospital, Aarhus, Denmark. jenskristensen@dadlnet.dk
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MeSH Terms
Descriptor/Qualifier:
Animals
Blood Pressure / drug effects
Cardiac Output / drug effects
Cardiotonic Agents / pharmacology*
Coronary Stenosis / physiopathology*,  radionuclide imaging
Disease Models, Animal
Erythropoietin, Recombinant / pharmacology*
Myocardial Infarction / physiopathology,  radionuclide imaging
Myocardial Ischemia / physiopathology
Swine
Tomography, Emission-Computed, Single-Photon
Chemical
Reg. No./Substance:
0/Cardiotonic Agents; 0/Erythropoietin, Recombinant

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