Jr. Lee et al., Correlation between ICAM-1 and functional recovery of piglet myocardium with leukocyte-depleted reperfusion, ANN THORAC, 70(5), 2000, pp. 1531-1535
Citations number
18
Categorie Soggetti
Cardiovascular & Respiratory Systems","Medical Research Diagnosis & Treatment
Background. Reperfusion injury involves leukocyte-endothelial interaction m
ediated by cell adhesion molecules. This study was designed to determine th
e time course of intercellular adhesion molecule-1 (ICAM-1) expression and
the functional recovery of myocardium when reperfused with leukocyte deplet
ed whole blood.
Methods. Sixteen neonatal piglet hearts were harvested and stored with 4 de
greesC cold University of Wisconsin Solution (UWS) for 12 hours. An ex vivo
model consisting of an isolated working heart perfusion circuit, roller pu
mps, and a membrane oxygenator, was used for reperfusion. Atrial tissues we
re taken for staining ICAM-1. The stroke work index (SWI) was calculated du
ring 4 hours of reperfusion. Two groups (group 1: reperfused with whole blo
od, group 2: with leukocyte depleted blood) were compared.
Results. The differences of ICAM-1 expression between group 1 and 2 were si
gnificant at 3 and 4 hours of reperfusion (p < 0.05). The differences of th
e mean stroke work indices were significant at 2, 3, and 4 hours after repe
rfusion (p < 0.05).
Conclusions. Leukocyte-depleted reperfusion attenuates the expression of IC
AM-1 and reduces the time-dependent functional deterioration of the myocard
ium. These results suggest that adhesion molecule like ICAM-1 plays a major
role in deteriorating myocardial function during the reperfusion, possibly
by leukocyte-mediated inflammatory process. (Ann Thorac Surg 2000;70:1531-
5) (C) 2000 by The Society of Thoracic Surgeons.