Department of Physiology, Technion-Israel Institute of Technology, Haifa, Israel.
Br J Pharmacol. 2011 Jun;163(4):755-69. doi: 10.1111/j.1476-5381.2011.01274.x.
Because myocardial infarction is a major cause of morbidity and mortality worldwide, protecting the heart from the ischaemia and reperfusion (I/R) damage is the focus of intense research. Based on our in vitro findings showing that TVP1022 (the S-enantiomer of rasagiline, an anti-Parkinsonian drug) possesses cardioprotective effects, in the present study we investigated the hypothesis that TVP1022 can attenuate myocardial damage in an I/R model in rats.
The model consisted of 30-min occlusion of the left anterior descending artery followed by 4 or 24 h reperfusion. In addition, we investigated the possible mechanisms of cardioprotection in H9c2 cells and neonatal rat ventricular myocytes (NRVM) exposed to oxidative stress induced by H(2) O(2) .
TVP1022 (20 and 40 mg·kg(-1) ) administered 5 min before reperfusion followed by an additional dose 4 h after reperfusion reduced the infarct size and attenuated the decline in ventricular function. TVP1022 also attenuated I/R-induced deterioration in cardiac mitochondrial integrity evaluated by mitochondrial swelling capacity. In vitro, using H9c2 cells and NRVM, TVP1022 attenuated both serum free- and H(2) O(2) -induced damage, preserved mitochondrial membrane potential and Bcl-2 levels, inhibited mitochondrial cytochrome c release and the increase in cleaved caspase 9 and 3 levels, and enhanced the phosphorylation of protein kinase C and glycogen synthase kinase-3β.
TVP1022 provided cardioprotection in a model of myocardial infarction, and therefore should be considered as a novel adjunctive therapy for attenuating myocardial damage resulting from I/R injuries.
心肌梗死是全世界发病率和死亡率的主要原因,因此保护心脏免受缺血再灌注(I/R)损伤是研究的重点。基于我们的体外研究结果表明,TVP1022(一种抗帕金森病药物雷沙吉兰的 S-对映体)具有心脏保护作用,本研究旨在验证 TVP1022 能否减轻大鼠 I/R 模型中的心肌损伤。
该模型包括左前降支闭塞 30 分钟,随后再灌注 4 或 24 小时。此外,我们还研究了 TVP1022 在 H9c2 细胞和新生大鼠心室肌细胞(NRVM)暴露于 H2O2 诱导的氧化应激下的可能保护机制。
TVP1022(20 和 40 mg·kg-1)在再灌注前 5 分钟给药,再灌注后 4 小时再次给药,可减少梗死面积,减轻心室功能下降。TVP1022 还可减轻 I/R 引起的心脏线粒体完整性恶化,通过线粒体肿胀能力评估。在体外,使用 H9c2 细胞和 NRVM,TVP1022 可减轻无血清和 H2O2 诱导的损伤,维持线粒体膜电位和 Bcl-2 水平,抑制线粒体细胞色素 c 释放以及 cleaved caspase 9 和 3 水平的增加,并增强蛋白激酶 C 和糖原合成酶激酶-3β的磷酸化。
TVP1022 在心梗模型中提供了心脏保护作用,因此应被视为减轻 I/R 损伤引起的心肌损伤的一种新型辅助治疗方法。