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Am J Physiol Heart Circ Physiol 278: H435-H443, 2000;
0363-6135/00 $5.00
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Vol. 278, Issue 2, H435-H443, February 2000

Role of leukocytes and tissue-derived oxidants in short-term skeletal muscle ischemia-reperfusion injury

Ananth Kadambi and Thomas C. Skalak

Department of Biomedical Engineering, University of Virginia, Charlottesville, Virginia 22908

The relative contribution of xanthine oxidase (XO) and leukocytes to tissue injury after short-term ischemia is unknown. In this study, we subjected three groups of rat spinotrapezius muscles to 30-min ischemia and 1-h reperfusion: 1) ischemia-reperfusion (I/R) + 0.9% saline, 2) I/R + superoxide dismutase, and 3) I/R + oxypurinol. A fourth group served as nonischemic control. We quantified the increase in resistance (%Delta R) caused by leukocyte-capillary plugging concurrently with myocyte uptake of propidium iodide (PI) [expressed as no. of PI spots per total volume of perfused tissue (NPI/V)] and performed assays to quantify XO activity, thiobarbituric acid-reactive substances (TBARS), and myeloperoxidase (MPO). Groups 2 and 3 exhibited significant decreases in NPI/V relative to group 1. MPO levels and TBARS were similar among all groups, and mean %Delta R was significantly reduced in groups 2 and 3 relative to group 1. However, elevated XO was observed in groups 1 and 2 relative to group 3 and nonischemic controls. These data are consistent with the hypothesis that XO, rather than toxic species produced by plugging or venule-adherent leukocytes, is responsible for postischemic damage in this model.

xanthine oxidase; superoxide dismutase; oxypurinol; white blood cells; microcirculation


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