Inhibition of cyclo-oxygenase-2 exacerbates ischaemia-induced acute myocardial dysfunction in the rabbit
作者:Giuseppe Rossoni、Marcelo N Muscara、Giuseppe Cirino、John L Wallace
DOI:10.1038/sj.bjp.0704585
日期:2002.3
The effects of treatment with a number of cyclo‐oxygenase inhibitors, (celecoxib, meloxicam, DuP‐697 and aspirin) on ischaemia‐reperfusion‐induced myocardial dysfunction were examined using an in vitro perfused rabbit heart model.
Ischaemia resulted in myocardial dysfunction, as indicated by a significant increase in left ventricular end diastolic pressure and marked changes in coronary perfusion pressure and left ventricular developed pressure. In the post‐ischaemic state, coronary perfusion pressure increased dramatically, left ventricular developed pressure recovered to a small degree and there were significant increases in creatinine kinase release (indicative of myocardial damage) and prostacyclin release.
Pretreatment with aspirin, or with drugs that selectively inhibit cyclo‐oxygenase‐2 (celecoxib, meloxicam and DuP‐697), resulted in a concentration‐dependent exacerbation of the myocardial dysfunction and damage. Exacerbation of myocardial dysfunction and damage was evident with 10 μM concentrations of the cyclo‐oxygenase‐2 inhibitors, which inhibited prostacyclin release but did not affect cyclo‐oxygenase‐1 activity (as measured by whole blood thromboxane synthesis).
NCX‐4016, a nitric oxide‐releasing aspirin derivative, significantly reduced the myocardial dysfunction and damage caused by ischaemia and reperfusion. Beneficial effects were observed even at a concentration (100 μM) that significantly inhibited prostacyclin synthesis by the heart.
The results suggest that prostacyclin released by cardiac tissue in response to ischaemia and reperfusion is derived, at least in part, from cyclo‐oxygenase‐2. Cyclo‐oxygenase‐2 plays an important protective role in a setting of ischaemia‐reperfusion of the heart.
British Journal of Pharmacology (2002) 135, 1540–1546.; doi:10.1038/sj.bjp.0704585
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- 使用体外兔心灌注模型,研究了多种环氧化酶抑制剂(塞来昔布、美洛昔康、杜普697和阿司匹林)对缺血-再灌注引起的心肌功能障碍的影响。
- 缺血导致心肌功能障碍,表现为左心室舒张末期压力显著升高,冠脉灌注压和左心室发展压发生明显变化。在缺血后状态,冠脉灌注压急剧增加,左心室发展压略有恢复,肌酸激酶释放(心肌损伤指标)和前列腺素释放显著增加。
- 与阿司匹林或选择性抑制环氧化酶-2(COX-2)的药物(塞来昔布、美洛昔康和杜普697)预处理后,心肌功能障碍和损伤呈浓度依赖性加重。在COX-2抑制剂浓度为10 μM时,心肌功能障碍和损伤明显加重,此时抑制了前列腺素释放,但未影响环氧化酶-1(COX-1)活性(以全血血栓烷合成为指标)。
- NCX-4016(一种NO释放型阿司匹林衍生物)显著降低了缺血和再灌注引起的心肌功能障碍和损伤。即使在100 μM浓度下(显著抑制心脏前列腺素合成),仍观察到其有益效果。
英国药理学杂志 (2002) 135, 1540–1546.; doi:10.1038/sj.bjp.0704585
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