Myocardial antioxidant defenses during cardiopulmonary bypass

Autor: Carmine Di Ilio, Andrea Mezzetti, Paolo Santarelli, G Bosco, Domenico Lapenna, Gabriele Di Giammarco, Antonio M. Calafiore, Sante D. Pierdomenico, Franco Cuccurullo
Rok vydání: 1993
Předmět:
Zdroj: Journal of cardiac surgery. 8(2)
ISSN: 0886-0440
Popis: In 31 male patients undergoing coronary bypass surgery who underwent different periods of cardioplegic hypothermic arrest, the activities of glutathione peroxidase, glutathione reductase, glutathione transferase, copper/zinc-containing and manganese-containing superoxide dismutases, and catalase were studied in the right atrial myocardium, before and 5 minutes after aortic cross-clamping. The levels of thiobarbituric acid reactive substances (TBARS) and nonproteic thiol compounds (NP-SH) were also assessed. Prolonged ischemia followed by reperfusion induced activation of the major myocardial antioxidant enzymes with marked NP-SH depression and TBARS increase, despite cold crystalloid cardioplegic protection. These changes were significantly related to the duration of the ischemic arrest, suggesting: (1) that reperfusion free radical generation is dependent on the severity of the previous ischemic period; and (2) the occurrence of myocardial oxidative stress during cardiopulmonary bypass.
Databáze: OpenAIRE