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Am J Physiol Heart Circ Physiol 284: H798-H803, 2003; doi:10.1152/ajpheart.00659.2002
0363-6135/03 $5.00
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Vol. 284, Issue 3, H798-H803, March 2003

Effective protection by NHE-1 inhibition in ischemic and reperfused heart under preconditioning blockade

James V. Haist, Claire N. Hirst, and Morris Karmazyn

Department of Physiology and Pharmacology, University of Western Ontario, London, Ontario, Canada N6A 5C1

We compared the protective effects of ischemic preconditioning (IPC) and the Na+/H+ exchanger-1 (NHE-1) inhibitor cariporide in isolated rat hearts subjected to global ischemia (45 or 90 min) and 30-min reperfusion and determined the protective effects of cariporide under IPC blockade with the mitochondrial ATP-sensitive K+ channel blocker 5-hydroxydecanoate (5-HD). With 45-min ischemia, both IPC and cariporide equally increased maximum recovery of left ventricular developed pressure twofold (P < 0.05), although recovery was significantly greater with cariporide for the first 15 min of reperfusion. 5-HD almost completely blocked the protective effects of IPC on recovery but had no influence on the salutary effects of cariporide. With 90-min ischemic control, recovery was only 3% of preischemia and was unaffected by IPC, although cariporide increased recovery to ~30% (P < 0.05). This was associated with a 37% preservation of viable cardiac cells, whereas no structurally intact cells were found in either IPC or control hearts. Our study shows that NHE-1 inhibition is a more effective cardioprotective strategy than IPC in this model, possibly because of enhanced myocyte salvage, and because protection by NHE-1 inhibition is completely unaffected by IPC blockade with 5-HD.

sodium-hydrogen exchange; cariporide; cardioprotection


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