Anti-oxidative or anti-inflammatory additives reduce ischemia/reperfusions injury in an animal model of cardiopulmonary bypass

Autor: Johannes Seeger, Marie Mewes, Sophie Sigusch, Aida Salameh, Ingo Dähnert, Marcel Vollroth, Stefan Dhein, Philipp Kiefer
Rok vydání: 2020
Předmět:
0106 biological sciences
0301 basic medicine
Cardiac output
Hemodynamics
Minocycline
EGCG
ischemia/reperfusion injury

01 natural sciences
law.invention
DNA
deoxyribonucleic acid

law
ACT
activated clotting time

cC3
cleaved caspase-3

lcsh:QH301-705.5
NT
nitrotyrosine

Ejection fraction
Heart
TNFα
tumor necrosis factor α

PAR
poly-ADP-ribose

Cardiology
EGCG
epigallo-3-catechin-gallate

medicine.symptom
General Agricultural and Biological Sciences
PARP
poly-ADP-ribose polymerase

medicine.drug
HIF1α
hypoxia-inducible factor α

medicine.medical_specialty
CO
cardiac output

Ischemia
Cardio-pulmonary bypass
Article
HPLC
high pressure liquid chromatography

MPTP
mitochondrial permeability transition pore

03 medical and health sciences
ROS
reactive oxygen species

Internal medicine
Cardiopulmonary bypass
medicine
EF
ejection fraction

business.industry
Hypoxia (medical)
medicine.disease
AEC
3-amino-9-ethylcarbazole

AIF
apoptosis-inducing factor

030104 developmental biology
lcsh:Biology (General)
CPB
cardio-pulmonary bypass

business
Reperfusion injury
010606 plant biology & botany
Zdroj: Saudi Journal of Biological Sciences, Vol 27, Iss 1, Pp 18-29 (2020)
Saudi Journal of Biological Sciences
ISSN: 1319-562X
Popis: Severe inborn cardiac malformations are typically corrected in cardioplegia, with a cardio-pulmonary bypass (CPB) taking over body circulation. During the operation the arrested hearts are subjected to a global ischemia/reperfusion injury. Although the applied cardioplegic solutions have a certain protective effect, application of additional substances to reduce cardiac damage are of interest.18 domestic piglets (10–15 kg) were subjected to a 90 min CPB and a 120 min reperfusion phase without or with the application of epigallocatechin-3-gallate (10 mg/kg body weight) or minocycline (4 mg/kg body weight), with both drugs given before and after CPB. 18 additional sham-operated piglets without or with epigallocatechin-3-gallate or minocycline served as controls. In total 36 piglets were analyzed (3 CPB-groups and 3 control groups without or with epigallocatechin-3-gallate or minocycline respectively; 6 piglets per group). Hemodynamic and blood parameters and ATP-measurements were assessed. Moreover, a histological evaluation of the heart muscle was performed. Results: Piglets of the CPB-group needed more catecholamine support to achieve sufficient blood pressure. Ejection fraction and cardiac output were not different between the 6 groups. However, cardiac ATP-levels and blood lactate were significantly lower and creatine kinase was significantly higher in the three CPB-groups. Markers of apoptosis, hypoxia, nitrosative and oxidative stress were significantly elevated in hearts of the CPB-group. Nevertheless, addition of epigallocatechin-3-gallate or minocycline significantly reduced markers of myocardial damage. Noteworthy, EGCG was more effective in reducing markers of hypoxia, whereas minocycline more efficiently decreased inflammation. Conclusions: While epigallocatechin-3-gallate or minocycline did not improve cardiac hemodynamics, markers of myocardial damage were significantly lower in the CPB-groups with epigallocatechin-3-gallate or minocycline supplementation. Keywords: Cardio-pulmonary bypass, Heart, Minocycline, EGCG, ischemia/reperfusion injury
Databáze: OpenAIRE