Milrinone Attenuates Heart and Lung Remote Injury after Abdominal Aortic Cross-Clamping.


Journal

Annals of vascular surgery
ISSN: 1615-5947
Titre abrégé: Ann Vasc Surg
Pays: Netherlands
ID NLM: 8703941

Informations de publication

Date de publication:
Nov 2020
Historique:
received: 17 05 2020
revised: 19 06 2020
accepted: 21 06 2020
pubmed: 1 7 2020
medline: 1 12 2020
entrez: 30 6 2020
Statut: ppublish

Résumé

Phosphodiesterase enzymes play a pivotal role in the pathogenesis of ischemia/reperfusion (IR). We examined the role of milrinone (MIL), a phosphodiesterase 3 inhibitor, on remote injury of the heart and lung after abdominal aortic cross-clamping. Experimental study. Twenty-one Wistar rats were divided into 3 groups: (1) control (C, n = 7), underwent laparotomy and exploration of abdominal aorta only; (2) IR (n = 7), normal saline was applied intraperitoneally (i.p) before IR induced by clamping of the abdominal aorta for 1 hr and then allowing reperfusion for 1 hr; and (3) MIL + IR (n = 7), MIL was given (0.5 mg/kg, i.p) before IR. After sacrification, the lungs and hearts were taken out for analyses and the tissue malondialdehyde (MDA) and glutathione (GSH) were studied. All tissues were examined under light microscopy and transmission electron microscopy (TEM). Expressions of caveolin (Cav)-1 in the lung and Cav-1 and Cav-3 in the heart were examined immunohistochemically. The MIL + IR group had significantly a lower magnitude of oxidative stress than the IR group both in the lung and heart (lung: P = 0.03 for MDA and 0.001 for GSH and heart: P = 0.002 for MDA and 0.000 for GSH). In light microscopy, the MIL + IR group had statistically a lower total injury score than the IR group for both the lung and heart tissue (P = 0.03 and P = 0.04, respectively). In TEM, regression of mitochondrial degeneration and lamellar bodies in type II pneumocytes in the lungs and obvious improvements in disruption at the intercalated discs and mitochondrial degeneration in the hearts in the MIL + IR group were detected compared with the IR group. The expression of both Cav-1 and Cav-3 in the MIL + IR group was improved compared with the IR group (P = 0.03 for both). MIL attenuates remote injury of heart and lung in lower body IR by inhibiting oxidative stress. Moreover, Cav-1 and Cav-3 might have a potential role in MIL-induced cardioprotection.

Sections du résumé

BACKGROUND BACKGROUND
Phosphodiesterase enzymes play a pivotal role in the pathogenesis of ischemia/reperfusion (IR). We examined the role of milrinone (MIL), a phosphodiesterase 3 inhibitor, on remote injury of the heart and lung after abdominal aortic cross-clamping.
DESIGN METHODS
Experimental study.
METHODS METHODS
Twenty-one Wistar rats were divided into 3 groups: (1) control (C, n = 7), underwent laparotomy and exploration of abdominal aorta only; (2) IR (n = 7), normal saline was applied intraperitoneally (i.p) before IR induced by clamping of the abdominal aorta for 1 hr and then allowing reperfusion for 1 hr; and (3) MIL + IR (n = 7), MIL was given (0.5 mg/kg, i.p) before IR. After sacrification, the lungs and hearts were taken out for analyses and the tissue malondialdehyde (MDA) and glutathione (GSH) were studied. All tissues were examined under light microscopy and transmission electron microscopy (TEM). Expressions of caveolin (Cav)-1 in the lung and Cav-1 and Cav-3 in the heart were examined immunohistochemically.
RESULTS RESULTS
The MIL + IR group had significantly a lower magnitude of oxidative stress than the IR group both in the lung and heart (lung: P = 0.03 for MDA and 0.001 for GSH and heart: P = 0.002 for MDA and 0.000 for GSH). In light microscopy, the MIL + IR group had statistically a lower total injury score than the IR group for both the lung and heart tissue (P = 0.03 and P = 0.04, respectively). In TEM, regression of mitochondrial degeneration and lamellar bodies in type II pneumocytes in the lungs and obvious improvements in disruption at the intercalated discs and mitochondrial degeneration in the hearts in the MIL + IR group were detected compared with the IR group. The expression of both Cav-1 and Cav-3 in the MIL + IR group was improved compared with the IR group (P = 0.03 for both).
CONCLUSIONS CONCLUSIONS
MIL attenuates remote injury of heart and lung in lower body IR by inhibiting oxidative stress. Moreover, Cav-1 and Cav-3 might have a potential role in MIL-induced cardioprotection.

Identifiants

pubmed: 32599107
pii: S0890-5096(20)30551-3
doi: 10.1016/j.avsg.2020.06.050
pii:
doi:

Substances chimiques

Antioxidants 0
Cav1 protein, rat 0
Cav3 protein, rat 0
Caveolin 1 0
Caveolin 3 0
Phosphodiesterase 3 Inhibitors 0
Milrinone JU9YAX04C7

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

391-399

Informations de copyright

Copyright © 2020 Elsevier Inc. All rights reserved.

Auteurs

Esin Ak (E)

Department of Basic Medical Sciences, Department of Histology and Embryology, Marmara University, Faculty of Dentistry, Istanbul, Turkey. Electronic address: esinbir@yahoo.com.

Koray Ak (K)

Department of Cardiovascular Surgery, Marmara University, Faculty of Medicine, Istanbul, Turkey.

Unsal Veli Ustandag (UV)

Department of Basic Medical Sciences, Department of Biochemistry, Marmara University, Faculty of Dentistry, Istanbul, Turkey.

Elif Kervancioglu-Demirci (E)

Department of Histology and Embryology, Istanbul University, Faculty of Medicine, Istanbul, Turkey.

Ebru Emekli-Alturfan (E)

Department of Basic Medical Sciences, Department of Biochemistry, Marmara University, Faculty of Dentistry, Istanbul, Turkey.

Sule Çetinel (S)

Department of Histology and Embryology, Istanbul University, Faculty of Medicine, Istanbul, Turkey.

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Classifications MeSH