Le sulfure d’hydrogène : une thérapeutique d’avenir dans la neuroprotection post-arrêt cardiorespiratoire ?

Autor: Pierre Leroy, S. Le Tacon, Ariane Boudier, Claude Vigneron, H. Sayouri
Rok vydání: 2015
Předmět:
Zdroj: Annales Pharmaceutiques Françaises. 73:401-410
ISSN: 0003-4509
DOI: 10.1016/j.pharma.2015.04.005
Popis: Each year, in France, the number of cardiac arrests is evaluated between 30,000 to 50,000. When a patient survives, he undergoes a post-resuscitation syndrome which can aggravate the injuries and for which nowadays, no medication is available. In some kinds of cardiac arrest, a hypothermia protocol can be applied with a need for monitoring because of the appearance of side effects. In this context, hydrogen sulfide, which is a gasotransmitter with numerous physiological and pharmacological properties, may be interesting. Indeed, its use could protect against oxidative, inflammatory and apoptotic troubles induced by the post-resuscitation syndrome. The implied biochemical mechanisms are adenosine triphosphate potassium channels activation and cytochrome c oxidase inhibition. This molecule can also induce a suspended animation state characterized by a metabolism decrease, which could give a delay for physicians to start a therapeutic monitoring. Thus, in spite of a modest and sometimes contradictory literature, this compound could become the first neuroprotective molecule in cardiac arrest.
Databáze: OpenAIRE