T. Nishida et al., The differential cardioprotective effects of nucleoside transport inhibitor on moderate and deep hypothermic ischemia with cold cardioplegia, SURG TODAY, 30(9), 2000, pp. 805-810
The differences in the cardioprotective effects of nucleoside transport inh
ibitor (NTI) which is known to accumulate endogenous adenosine, on moderate
and deep hypothermic ischemia, were examined. Using the Langendorff model,
isolated, perfused rat hearts were arrested with cold cardioplegia and sub
jected to 90 min of global ischemia followed by 40 min of reperfusion. The
temperature during ischemia was maintained at either 10 degrees C (groups 1
and 2) or 25 degrees C (groups 3 and 4). In groups 2 and 4, NTI in the for
m of R75231, 1 mg/l, was added to the cardioplegic solution. The intramyoca
rdial adenosine triphosphate content at the end of ischemia was significant
ly lower in the moderate hypothermia groups than in the deep hypothermia gr
oups. In the moderate hypothermia groups, NTI significantly enhanced the ad
enosine accumulation at the end of ischemia. Moreover. the recovery of both
the contractile function and coronary flow rate in group 4 was superior to
that in group 3, and was similar to those in groups 1 and 2. The addition
of NTI to the cardioplegic solution generated a sufficient cardioprotective
effect in moderate hypothermic ischemia, but not in deep hypothermic ische
mia. The mechanism of this discrepancy is attributed to the differences in
the levels of endogenous adenosine accumulated during ischemia.