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activation fails to provide myocardial protection in ischemia and reperfusion in pigs
1 Cardiology Section, VA Medical Center and University of Colorado Health Sciences Center, Denver, CO, USA
* To whom correspondence should be addressed. E-mail: Gregory.Schwartz{at}med.va.gov.
Peroxisome proliferator-activated receptor-gamma (PPAR-
) modulates substrate metabolism and inflammatory responses. In experimental myocardial ischemia and reperfusion (I/R) in rats, thiazolidinedione PPAR-
activators reduce infarct size and preserve left ventricular function. To date, only troglitazone has been shown to be protective in I/R in large animals. However, because troglitazone contains both
-tocopherol and thiazolidinedione moieties it remains uncertain whether PPAR-
activation per se is protective in myocardial I/R in large animals. To address this question, 56 pigs were treated orally for 8 weeks with troglitazone 75 mg/kg/d, rosiglitazone 3 mg/kg/d,
-tocopherol 73 mg/kg/d (equimolar to troglitazone dose), or received no treatment. Pigs were then anesthetized and subjected to 90 min low flow regional myocardial ischemia and 90 min reperfusion. Myocardial expression of PPAR-
, determined by ribonuclease protection assay, increased with troglitazone and rosiglitazone compared with no treatment. Rosiglitazone had no significant effect on myocardial contractile function (Frank-Starling relations), substrate uptake, or expression of pro-inflammatory cytokines during I/R, compared with untreated pigs. In contrast, pigs treated with troglitazone or
-tocopherol had greater preservation of myocardial contractile function and lactate uptake and attenuated cytokine expression, compared to untreated pigs. Multivariate analysis indicated that presence of an
-tocopherol moiety, but not a thiazolidinedione moiety in the test compound was significantly related to greater contractile function and lactate uptake and lower cytokine expression during I/R. We conclude that PPAR-
activation is not protective in a porcine model of myocardial I/R. The protective effects of troglitazone is attributable to its
-tocopherol moiety. These findings, in conjunction with prior rat studies, suggest interspecies differences in the response to PPAR-
activation in the heart.
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