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-opioid receptor agonists on infarct size
reduction in swine
Departments of 1 Anesthesiology and 2 Physiology and the 3 Biomedical Engineering Institute, University of Minnesota, Minneapolis, Minnesota 55455; and 4 Department of Pathology, University of Kentucky, Lexington, Kentucky 40511
Opioids are involved in
cardiac ischemic preconditioning. Important species differences
in cellular signaling mechanisms, antiarrhythmic, and antistunning
effects have been described. The role of the
-opioid receptor
activation in swine remains unknown. Forty minutes before a 45-min
occlusion and 180-min reperfusion of the left anterior descending
coronary artery, open-chest, pentobarbital-anesthetized swine
received either 1) saline (controls); 2)
[D-Ala2,D-Leu5]enkephalin
(DADLE); 3) [D-Pen2,5]enkephalin
(DPDPE); 4) deltorphin-D, a novel
2-opioid
agonist; or 5) ischemic preconditioning (IP).
Assessed were 1) infarct size to area at risk (IS,
triphenyltetrazolium staining), 2) regional and global
myocardial function (sonomicrometry, ventricular pressure catheters), and 3) arrhythmias (electrocardiogram analyses).
It was found that DPDPE and deltorphin-D pretreatment reduced
IS from 64.7 ± 5 to 36.5 ± 6% and 27.4 ± 11%
(P < 0.01), respectively, whereas DADLE had no effect
(66.8 ± 3%). Both IP and DADLE had a proarrhythmic effect
(P < 0.01). However, no differences in global or
regional myocardial function or arrhythmia scores were observed between
groups. This suggests that
-receptor-specific opioids provide
cardioprotection in swine.
cardioprotection; myocardial ischemia; regional myocardial
function; arrhythmia;
-opioid receptor
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