Document Detail


Role for the Na+/H+ exchanger in reperfusion stunning in isolated perfused rat heart.
MedLine Citation:
PMID:  7509908     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We tested the hypothesis that Na+/H+ exchange contributes to reperfusion stunning and arrhythmias. The effects of amiloride, an established inhibitor of Na+/H+ exchange, were compared with those of a new inhibitor (HOE 694). Working hearts, subjected to 20-min global ischemia and reperfused for 30 min, were pretreated (for 5 min before ischemia) or reperfused (initial 2 min) with HOE 694 or amiloride. Pretreatment with 10(-7) M HOE increased recovery of aortic output (AO) after 30-min reperfusion: As a percentage of the preischemic controls, values were 38.5 +/- 3.6% (n = 7) for controls versus 50.6 +/- 3.9% (n = 5) for the treated group (p < 0.05). Pretreatment with HOE (10(-6) M) increased AO recoveries from 38.2 +/- 2.0% (n = 5) to 52.9 +/- 2.7% (n = 5) (p < 0.05). Amiloride (10(-5) M) pretreatment improved AO recoveries from 41.6 +/- 2.7% (n = 6) to 55.8 +/- 4.0% (n = 6) (p < 0.05). Thus, pretreatment by both HOE 694 and amiloride decreased reperfusion stunning. Adding HOE (10(-7) M) only in the reperfusion period increased AO recoveries from 36.4 +/- 1.2% (n = 6) to 62.4 +/- 3.2% (n = 11) (p < 0.002). Amiloride (10(-5) or 10(-3) M) added only during reperfusion did not improve recovery of AO. HOE 694, active in much lower concentrations than amiloride, was the only compound active against stunning when added only during reperfusion. In addition, both compounds inhibited reperfusion arrhythmias when added at reperfusion.(ABSTRACT TRUNCATED AT 250 WORDS)
Authors:
E F du Toit; L H Opie
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Publication Detail:
Type:  In Vitro; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of cardiovascular pharmacology     Volume:  22     ISSN:  0160-2446     ISO Abbreviation:  J. Cardiovasc. Pharmacol.     Publication Date:  1993 Dec 
Date Detail:
Created Date:  1994-04-05     Completed Date:  1994-04-05     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  7902492     Medline TA:  J Cardiovasc Pharmacol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  877-83     Citation Subset:  IM    
Affiliation:
Ischemic Heart Disease Research Unit, University of Cape Town, South Africa.
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MeSH Terms
Descriptor/Qualifier:
Amiloride / pharmacology*
Animals
Arrhythmias, Cardiac / physiopathology,  prevention & control
Blood Pressure / drug effects
Cardiac Output / drug effects
Coronary Circulation / drug effects
Electrolytes / metabolism
Guanidines / pharmacology*
Myocardial Stunning / physiopathology*,  prevention & control
Rats
Reperfusion Injury / physiopathology*,  prevention & control
Sodium-Hydrogen Antiporter / antagonists & inhibitors,  physiology*
Sulfones / pharmacology*
Chemical
Reg. No./Substance:
0/Electrolytes; 0/Guanidines; 0/Sodium-Hydrogen Antiporter; 0/Sulfones; 141923-47-9/3-methylsulfonyl-4-piperidinobenzoyl guanidine; 2609-46-3/Amiloride

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


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