Institute of Biotechnology and Pharmaceutical Research, National Health Research Institutes, Zhunan 35053, Taiwan.
Taipei Heart Institute, Taipei Medical University, Taipei 11031, Taiwan.
Int J Mol Sci. 2022 Oct 3;23(19):11730. doi: 10.3390/ijms231911730.
CXCR4 antagonists have been claimed to reduce mortality after myocardial infarction in myocardial infarction (MI) animals, presumably due to suppressing inflammatory responses caused by myocardial ischemia-reperfusion injury, thus, subsequently facilitating tissue repair and cardiac function recovery. This study aims to determine whether a newly designed CXCR4 antagonist DBPR807 could exert better vascular-protective effects than other clinical counterparts (e.g., AMD3100) to alleviate cardiac damage further exacerbated by reperfusion. Consequently, we find that instead of traditional continuous treatment or multiple-dose treatment at different intervals of time, a single-dose treatment of DBPR807 before reperfusion in MI animals could attenuate inflammation via protecting oxidative stress damage and preserve vascular/capillary density and integrity via mobilizing endothelial progenitor cells, leading to a desirable fibrosis reduction and recovery of cardiac function, as evaluated with the LVEF (left ventricular ejection fraction) in infarcted hearts in rats and mini-pigs, respectively. Thus, it is highly suggested that CXCR4 antagonists should be given at a single high dose prior to reperfusion to provide the maximal cardiac functional improvement. Based on its favorable efficacy and safety profiles indicated in tested animals, DBPR807 has a great potential to serve as an adjunctive medicine for percutaneous coronary intervention (PCI) therapies in acute MI patients.
趋化因子受体 4 拮抗剂已被声称可降低心肌梗死(MI)动物的死亡率,推测是由于抑制了心肌缺血再灌注损伤引起的炎症反应,从而促进组织修复和心功能恢复。本研究旨在确定一种新设计的趋化因子受体 4 拮抗剂 DBPR807 是否比其他临床对照药物(如 AMD3100)具有更好的血管保护作用,以进一步减轻再灌注引起的心脏损伤。因此,我们发现,与传统的连续治疗或不同时间间隔的多次剂量治疗不同,在 MI 动物再灌注前单次给予 DBPR807 治疗可以通过保护氧化应激损伤来减轻炎症,并通过动员内皮祖细胞来维持血管/毛细血管密度和完整性,从而导致理想的纤维化减少和心功能恢复,分别用大鼠和小型猪的梗死心脏中的 LVEF(左心室射血分数)进行评估。因此,强烈建议在再灌注前给予趋化因子受体 4 拮抗剂单次高剂量,以提供最大的心功能改善。基于在试验动物中显示的良好疗效和安全性特征,DBPR807 有可能成为急性 MI 患者经皮冠状动脉介入治疗(PCI)的辅助药物。
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