Bil-Lula Iwona, Kuliczkowski Wiktor, Krzywonos-Zawadzka Anna, Frydrychowski Piotr, Stygar Dominika, Hałucha Kornela, Noszczyk-Nowak Agnieszka
Department of Medical Laboratory Diagnostics, Division of Clinical Chemistry and Laboratory Haematology, Wrocław Medical University, 50-556 Wrocław, Poland.
Institute of Heart Diseases, Wroclaw Medical University, 50-556 Wroclaw, Poland.
Biomedicines. 2024 Apr 2;12(4):784. doi: 10.3390/biomedicines12040784.
The restoration of blood flow to the ischemic myocardium inflicts ischemia/reperfusion (I/R) heart injury (IRI). The main contributors to IRI are increased oxidative stress and subsequent excessive production of ROS, increased expression of NOS and peroxinitate, activation of MMPs, and enhanced posttranslational modifications of contractile proteins, which make them more susceptible to proteolytic degradation. Since the pathophysiology of IRI is a complex issue, and thus, various therapeutic strategies are required to prevent or reduce IRI and microvascular dysfunction, in the current study we proposed an innovative multi-drug therapy using low concentrations of drugs applied intracoronary to reach microvessels in order to stabilize the pro- and antioxidant balance during a MI in an in vivo pig model. The ability of a mixture of doxycycline (1 μM), ML-7 (0.5 μM), and L-NAME (2 μM) to modulate the pro- and antioxidative balance was tested in the left ventricle tissue and blood samples. Data showed that infusion of a MIX reduced the total oxidative status (TOS), oxidative stress index (OSI), and malondialdehyde (MDA). It also increased the total antioxidant capacity, confirming its antioxidative properties. MIX administration also reduced the activity of MMP-2 and MMP-9, and then decreased the release of MLC1 and BNP-26 into plasma. This study demonstrated that intracoronary administration of low concentrations of doxycycline in combination with ML-7 and L-NAME is incredibly efficient in regulating pro- and antioxidant balance during MI.
缺血心肌的血流恢复会导致缺血/再灌注(I/R)心脏损伤(IRI)。IRI的主要促成因素包括氧化应激增加以及随后ROS的过度产生、NOS和过氧亚硝酸盐的表达增加、MMPs的激活以及收缩蛋白翻译后修饰增强,这些使得它们更容易受到蛋白水解降解。由于IRI的病理生理学是一个复杂的问题,因此,需要各种治疗策略来预防或减少IRI和微血管功能障碍,在本研究中,我们提出了一种创新的多药疗法,即通过冠状动脉内应用低浓度药物来到达微血管,以在体内猪模型的心肌梗死期间稳定促氧化和抗氧化平衡。在左心室组织和血液样本中测试了强力霉素(1μM)、ML-7(0.5μM)和L-NAME(2μM)混合物调节促氧化和抗氧化平衡的能力。数据显示,输注MIX可降低总氧化状态(TOS)、氧化应激指数(OSI)和丙二醛(MDA)。它还增加了总抗氧化能力,证实了其抗氧化特性。给予MIX还降低了MMP-2和MMP-9的活性,进而减少了MLC1和BNP-26释放到血浆中。这项研究表明,冠状动脉内给予低浓度的强力霉素与ML-7和L-NAME联合使用在调节心肌梗死期间的促氧化和抗氧化平衡方面具有极高的效率。