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Am J Physiol Heart Circ Physiol 277: H2451-H2457, 1999;
0363-6135/99 $5.00
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Vol. 277, Issue 6, H2451-H2457, December 1999

SPECIAL TOPIC
Rabbit heart can be "preconditioned" via transfer of coronary effluent

Eric W. Dickson1,2, Mojca Lorbar3, William A. Porcaro1, Richard A. Fenton2, Christopher P. Reinhardt4, Anne Gysembergh5, and Karin Przyklenk5,6

Departments of 1 Emergency Medicine and 2 Physiology and 3 Division of Cardiology, University of Massachusetts Medical School, Worcester, 01655; 4 BioPAL, Inc., Wellesley Hills, Massachusetts 02481; 5 Heart Institute, Good Samaritan Hospital, and 6 Section of Cardiology, University of Southern California, Los Angeles, California 90017-2395

Brief myocardial ischemia not only evokes a local cardioprotective or "preconditioning" effect but also can render remote myocardium resistant to sustained ischemia. We propose the following hypotheses: remote protection is initiated by a humoral trigger; brief ischemia-reperfusion will result in release of the humoral trigger (possibly adenosine and/or norepinephrine) into the coronary effluent; and transfer of this effluent to a virgin acceptor heart will elicit cardioprotection. To test these concepts, effluent was collected during normal perfusion from donor-control hearts and during preconditioning ischemia-reperfusion from donor-preconditioned (PC) hearts. After reoxygenation occurred and aliquots for measurement of adenosine and norepinephrine content were harvested, effluent was transfused to acceptor-control and acceptor-PC hearts. All hearts then underwent 40 min of global ischemia and 60 min of reperfusion, and infarct size was delineated by tetrazolium staining. Mean infarct size was smaller in both donor- and acceptor-PC groups (9% of left ventricle) than in donor- and acceptor-control groups (36% and 34%; P < 0.01). Protection in acceptor-PC hearts could not, however, be attributed to adenosine or norepinephrine. Thus preconditioning-induced cardioprotection can be transferred between rabbit hearts by transfusion of coronary effluent. Although adenosine and norepinephrine are apparently not responsible, these results suggest that remote protection is initiated by a humoral mechanism.

myocardial ischemia; myocardial infarction; adenosine; norepinephrine


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