Are macrophages involved in early myocardial reperfusion injury?

Autor: Geri Fratini, Lidia Ibba Manneschi, Elena Marcelli, Avio Maria Perna, Sandra Zecchi Orlandini, Chiara Nediani, Lucia Formigli
Rok vydání: 2001
Předmět:
Zdroj: The Annals of Thoracic Surgery. 71:1596-1602
ISSN: 0003-4975
DOI: 10.1016/s0003-4975(01)02400-6
Popis: Background . Neutrophils are the predominant phagocytes in the early stages of myocardial ischemia-reperfusion response and are also implicated in the development of tissue damage. This study examined the role of recruited macrophages in the evolution of this tissue injury. Methods . Farm pigs were subjected to 30 minutes of myocardial ischemia followed by 30 minutes of reperfusion. Biopsy samples were taken from the control, ischemic, and ischemic-reperfused left ventricle wall and processed for both morphologic and biochemical analyses. In situ production of tumor necrosis factor-α was evaluated by Western blot and immunofluorescence. A full hemodynamic evaluation was also performed. Results . Myocardial ischemia and early reperfusion caused marked neutrophil and macrophage tissue accumulation and tumor necrosis factor-α production by the injured tissue. Immunofluorescence studies allowed us to localize tumor necrosis factor-α predominantly in tissue-infiltrating macrophages. No depression in the global myocardial contractile function was observed, either during ischemia or after reperfusion. Conclusions . These data suggest that the newly recruited macrophages within the ischemic and early postischemic myocardium may play a role in promoting neutrophil tissue infiltration and subsequent neutrophil-induced tissue dysfunction by producing tumor necrosis factor-α.
Databáze: OpenAIRE