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Oxygen Radicals Released During Ischemic Preconditioning Contribute to Cardioprotection in the Rabbit Myocardium
Abstract
Previous studies have proposed that oxygen radicals may play a role in the triggering of ischemic preconditioning. However, studies evaluating the effects of radical scavengers have yielded conflicting results, possibly because of differences in the number of preconditioning episodes used. The present study tested whether N-2-mercaptopropionylglycine (MPG) could block protection of both single and multiple episodes of preconditioning in in situ and in vitro rabbit hearts. All hearts were subjected to 30 min of regional ischemia followed by reperfusion for 2 (in vitro) or 3 (in situ) h. Infarct size was measured by tetrazolium. Infarction in control in situ hearts was 37.5+/-3.5% of the risk zone. A single cycle of preconditioning (PC1), with 5 min ischemia/10 min reperfusion, reduced infarct size to 12.3+/-2.0% (P<0.05). Four cycles of preconditioning (PC4) were equally protective. MPG (1 mg/kg/min i.v.) alone had no effect on infarction but abolished protection afforded by PC1 (35.4+/-3.9%). However, MPG failed to block protection in the PC4 group. In isolated control hearts, infarct size was 31.1+/-1.8% and was reduced to 10.2+/-2.2% (P<0.05) by preconditioning. MPG (300 microM) aborted protection. Infusion of hypoxanthine or xanthine oxidase separately in lieu of preconditioning had no effect on infarct size, but induced protection when combined (14.1+/-2.2%; P<0.05). Polymyxin B, an inhibitor of protein kinase C (PKC), abolished this protection (53.1+/-4.1%). In conclusion, oxygen radicals contribute to ischemic preconditioning in the rabbit and appear to do so via activation of PKC. The fact that MPG could not block protection by PC4 suggests that oxygen radicals act in concert with other triggers of preconditioning such as adenosine and bradykinin.
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“Although constitutively expressed, the HIF-1α subunit has a very short half-life in normoxic conditions because of its rapid hydroxylation by prolyl-4 hydroxylases (PH1–3) (12, 36).”
From Mitochondrial reactive oxygen species production in excitable cells: Modulators of mitochondrial and cell function (2009) · cites this paper as [12]
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“Increased ROS release during IPC activates a signaling pathway that protects against oxidative stress during ischemia-reperfusion [148-150].”
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Saini, H. K., Macháčková, J., & Dhalla, N. (2004) · Antioxidants and Redox Signaling · doi:10.1089/152308604322899468 · Cited by 51
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“In this regard, free radicals have been proposed to be an important mediator of IPC (Baines et al. 1997; Tritto et al. 1997), though the source of free radicals in IPC has not been identified clearly.”
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Self-citationMenadione mimics the infarct-limiting effect of preconditioning in isolated rat hearts
Yue, Y., Krenz, M., Cohen, M. V., Downey, J. M., & Critz, S. D. (2001) · American Journal of Physiology-Heart and Circulatory Physiology · doi:10.1152/ajpheart.2001.281.2.h590 · Cited by 41
“Free radical scavengers also block the infarct-limiting effect of mitochondrial KATP channel opening (12, 28) and PC ischemia (2).”
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Is ischemic preconditioning of the kidney clinically relevant?
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Self-citationOpening of Mitochondrial K+ Channels Increases Ischemic ATP Levels by Preventing Hydrolysis
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“Renal ischemic reperfusion injury results in significant impairment in renal function in the perioperative period. A significant component of ischemic reperfusion injury occurs during the reperfusion phase due to increased oxidative stress and the generation of free radicals. However, ischemic preconditioning can prot…”
BackgroundWhy Does Exercise "Trigger" Adaptive Protective Responses in the Heart?
Alleman, R. J., Stewart, L. M., Tsang, A. M., & Brown, D. A. (2014) · Dose-Response · doi:10.2203/dose-response.14-023.alleman · Cited by 39
“Although mitochondrial ROS are thought to play a central role in ischemic preconditioning (Baines et al. 1997; Pain et al. 2000; Kloner and Jennings 2001), there is a paucity of evidence suggesting a role in exercise preconditioning.”
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Signaling pathways targeting mitochondrial potassium channels
Rotko, D., Kunz, W. S., Szewczyk, A. M., & Kulawiak, B. (2020) · The International Journal of Biochemistry & Cell Biology · doi:10.1016/j.biocel.2020.105792 · Cited by 40
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“phosphorylation and antioxidant capacity and multiple studies have confirmed the reduced effectiveness of the aged mitochondria stress responses that accompany ischemia.(26,27) Hence, it is plausible that a defect in the mitochondria of the senescent myocardium accounts for the lack of isoflurane-induced myocardial pr…”
BackgroundRana, A., GOYAL, N., Ahlawat, A., Jamwal, S., Reddy, B. V. K., & Sharma, S. (2014) · Perfusion · doi:10.1177/0267659114536760 · Cited by 38
Protective effect of chelerythrine on gentamicin‐induced nephrotoxicity
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“E-mail: hparlakpinar@hotmail.com of receptor-mediated signals.11 PKC is known to regulate cellular processes, such as proliferation and apoptosis.12,13 The unique structural aspects of PKC cause it to function as a sensor for oxidative stress and to readily respond to ROS.14 Also, ROS have been reported to be involved…”
BackgroundInfluentialThe Slo(w) path to identifying the mitochondrial channels responsible for ischemic protection
Smith, C. O., Nehrke, K. W., & Brookes, P. S. (2017) · Biochemical Journal · doi:10.1042/bcj20160623 · Cited by 40
Ceramide and Ischemia/Reperfusion Injury
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“In addition, an antioxidant, N-2-mercaptopropionyl glycine (MPG), can block both the ROS and TNFα-induced cytoprotective effects [75].”
BackgroundBradykinin preconditioning in coronary artery bypass grafting
Wei, M., Wang, X., Kuukasjärvi, P., et al. (2004) · The Annals of Thoracic Surgery · doi:10.1016/j.athoracsur.2003.11.039 · Cited by 37
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Self-citationEffects of N-(2-mercaptopropionyl)-glycine on mitochondrial function in ischemic–reperfused heart
Tanonaka, K. (2003) · Cardiovascular Research · doi:10.1016/s0008-6363(02)00698-3 · Cited by 37
Cardiac mitochondrial network excitability: insights from computational analysis
Zhou, L., & O'Rourke, B. P. (2012) · American Journal of Physiology-Heart and Circulatory Physiology · doi:10.1152/ajpheart.01073.2011 · Cited by 37
“As natural by-products of oxygen metabolism, ROS are important signaling molecules that regulate gene expression and other oxygen-sensing machineries (15, 85, 87).”
Chang, W., Li, J., Hoek, M. S. V., Zhu, X., Li, C., Huang, H., Hsu, C.-W., Zhong, Q., Li, J., Chen, S., et al. (2013) · The American Journal of Chinese Medicine · doi:10.1142/s0192415x13500237 · Cited by 36
“The transient ROS increase seen during induction in this work has been implicated in various PC models, with such ROS playing a central role as initiators of signaling cascades involved in PC protection (Baines et al., 1997; Vanden Hoek et al., 1998).”
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“Among those, NO and oxygen radicals seem to act as such potential triggers.(3,31,32) Because of the high oxygen consumption of skeletal muscle, its ischemia tolerance is limited, resulting in the accumulation of oxygen radicals and endproducts of ischemic metabolism.”
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“The biological half-life of naloxone is approximately 1 hour [23], and increasing the number of repetitions of preconditioning makes the preconditioned heart more refractory to naloxone [24] or other blockers of preconditioning [25,26].”
BackgroundMatsuzaki, S., Szweda, P. A., Szweda, L. I., & Humphries, K. M. (2009) · Advanced Drug Delivery Reviews · doi:10.1016/j.addr.2009.05.008 · Cited by 37
“Infusion of a superoxide generating system, xanthine oxidase and hypoxanthine, prior to a long ischemic event significantly decreased the reperfusion-induced infarct size in the isolated rabbit heart model [15].”
Kim, S.-E., Mori, R., Komatsu, T., Chiba, T., Hayashi, H., Park, S., Sugawa, M. D., Dencher, N. A., & Shimokawa, I. (2015) · AGE · doi:10.1007/s11357-015-9787-8 · Cited by 34
“10 In ischemic preconditioned heart models, ROS are required for the cardioprotective 11 signal (Chen et al. 1995; Baines et al. 1997).”
BackgroundAge-related differences in cardiac ischemia–reperfusion injury: effects of estrogen deficiency
Korzick, D. H., & Lancaster, T. S. (2013) · Pflügers Archiv - European Journal of Physiology · doi:10.1007/s00424-013-1255-7 · Cited by 34
“tion provided by each of these agonists can be blocked by inhibition of PKC [13, 70, 132, 168], illustrating the central”
Preconditioning the hyperlipidemic myocardium: Fact or fantasy?
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Role of energy metabolism in the preconditioned heart – a possible contribution of mitochondria
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Killer Proteases and Little Strokes—How the Things that do not Kill You Make You Stronger
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“Preconditioning protection can be blocked with antioxidants and KATP channel blockers (Baines et al, 1997; Das et al, 1999; Forbes et al, 2001; Lebuffe et al, 2003; Ravati et al, 2001).”
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Pagel, P. S., Krolikowski, J. G., Pratt, P. F., Shim, Y. H., Amour, J., Warltier, D. C., & Weihrauch, D. (2008) · Journal of Cardiothoracic and Vascular Anesthesia · doi:10.1053/j.jvca.2008.04.005 · Cited by 33
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“PKC is known to be activated by ROS [ 28 ], and phosphorylate ERK1/2 [16].”
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“These add to the list of shared properties between the two forms of preconditioning, which includes the production of reactive oxygen species, activation of Src and PKCε, and mitoK-ATP channel opening (1, 10, 13, 14, 32, 38).”
Kehl, F., Krolikowski, J. G., Weihrauch, D., Pagel, P. S., Warltier, D. C., & Kersten, J. R. (2003) · Anesthesiology · doi:10.1097/00000542-200306000-00013 · Cited by 32
“ROS generated by the mitochondrial electron transport chain during brief episodes of hypoxia or ischemia have been shown to activate signal transduction pathways that confer protection of ischemic myocardium.(16,17) Diazoxide, a selective mitochondrial KATP channel agonist, produces preconditioning by generating ROS.”
BackgroundMechanisms of ischemic preconditioning effects on Ca2+paradox-induced changes in heart
Kawabata, K., Netticadan, T., Osada, M., et al. (2000) · American Journal of Physiology-Heart and Circulatory Physiology · doi:10.1152/ajpheart.2000.278.3.h1008 · Cited by 32
“Several endogenous agonists such as adenosine (14), norepinephrine (27), and bradykinin (7), as well as free radicals (5), have been implicated in mediating the beneficial effects of IP.”
BackgroundLacerda, L., Smith, R. M., Opie, L. H., & Lecour, S. (2006) · Life Sciences · doi:10.1016/j.lfs.2006.07.020 · Cited by 31
Cardioprotection by Noble Gases
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Propofol Inhibits Desflurane-Induced Preconditioning in Rabbits
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Antiapoptotic Cardioprotective Effect of Hypothermia Treatment Against Oxidative Stress Injuries
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Biophysical and Physiological Properties of Porcine Surfactant Enriched with Polymyxin B
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“It has been shown that ROS generated during an initial ischemic insult are necessary for the induction of the preconditioned state (3, 28).”
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“PKC has also been attributed to IPC as it is activated by low concentrations of oxygen radicals and has been observed to be involved in IPC cardioprotection [81-84].”
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“In fact , either ROS-generators or ROS-scavengers, given before the index ischemia, trigger or aboli sh preconditioning [2,7,10,16,23,43,47,48,61].”
BackgroundIschemic Preconditioning of Skeletal Muscle Mitigates Remote Injury and Mortality
Eberlin, K. R., McCormack, M. C., Nguyen, J., Tatlıdede, H. S., Randolph, M. A., & Austen, W. G. (2008) · Journal of Surgical Research · doi:10.1016/j.jss.2008.01.040 · Cited by 29
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Self-citationTherapeutic potential of ischaemic preconditioning
Edwards, R. J., Saurin, A. T., Rakhit, R. D., & Marber, M. S. (2000) · British Journal of Clinical Pharmacology · doi:10.1046/j.1365-2125.2000.00236.x · Cited by 28
Liem, D. A., Manintveld, O. C., Schoonderwoerd, K. C., McFalls, E. O., Heinen, A., Verdouw, P. D., Sluiter, W. J., & Duncker, D. J. (2007) · Translational research · doi:10.1016/j.trsl.2007.09.007 · Cited by 27
Pharmacological preconditioning by diazoxide downregulates cardiac L‐type Ca2+ channels
González, G., Zaldivar, D., Carrillo, E. G., Hernández, A., García, M. C., & Sánchez, J. A. (2010) · British Journal of Pharmacology · doi:10.1111/j.1476-5381.2010.00960.x · Cited by 27
“The targets for ROS have not been fully identified, but oxygen radicals are proposed to contribute to IPC by activating protein kinase C (Baines et al., 1997).”
BackgroundCellular mechanisms of acute versus delayed preconditioning
Korthuis, R. J., Gute, D. C., Cepinskas, G., & Kvietys, P. R. (1998) · Pathophysiology · doi:10.1016/s0928-4680(98)00007-8 · Cited by 27
“Indeed, PKC blockade during prolonged ischemia has been shown to prevent the beneficial actions of oxidant preconditioning induced by a 5 min infusion of hypoxanthine/xanthine oxidase into isolated rabbit hearts [67,68].”
BackgroundInfluentialLooi, Y. H., Kane, K. A., McPhaden, A. R., & Wainwright, C. L. (2006) · British Journal of Pharmacology · doi:10.1038/sj.bjp.0706771 · Cited by 26
“Reactive oxygen species (ROS) have also been shown to be one of the triggers that can mimic the cardioprotective effects of preconditioning (Bilinska et al., 1996; Baines et al., 1997).”
BackgroundDas, B., & Sarkar, C. (2003) · PubMed · Cited by 26
Mitochondrial Therapies in Heart Failure
von Hardenberg, A., & Maack, C. (2016) · Handbook of experimental pharmacology · doi:10.1007/164_2016_123 · Cited by 26
ROLE OF p38‐MITOGEN‐ACTIVATED PROTEIN KINASE IN ISCHAEMIC PRECONDITIONING IN RAT HEART
Bell, J. R., Eaton, P., & Shattock, M. J. (2007) · Clinical and Experimental Pharmacology and Physiology · doi:10.1111/j.1440-1681.2007.04794.x · Cited by 25
“Most studies suggest that p38-MAPK is phosphorylated during ischaemia, irrespective of whether the heart has been preconditioned.29,31,32 However, some studies have found p38-MAPK to be dual phosphorylated during sustained ischaemia only in preconditioned hearts.7,9,10 Fryer et al.28 failed to see a change in activity…”
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Cardioprotection of Interleukin-2 Is Mediated via κ-Opioid Receptors
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“Reactive oxygen species (ROS) have been implicated to be involved in cardioprotection of IPC (Baines et al., 1997; Tritto et al., 1997).”
BackgroundSato, H., Miki, T., Vallabhapurapu, R., et al. (1997) · Basic Research in Cardiology · doi:10.1007/bf00788946 · Cited by 25
Self-citationRoles of Mitochondrial Benzodiazepine Receptor in the Heart
Surinkaew, S., Chattipakorn, S. C., & Chattipakorn, N. (2011) · Canadian Journal of Cardiology · doi:10.1016/j.cjca.2010.12.023 · Cited by 27
Nox1 NADPH oxidase is necessary for late but not early myocardial ischaemic preconditioning
Jiang, S., Streeter, J., Schickling, B., Zimmerman, K., Weiss, R. M., & Miller, F. J. (2014) · Cardiovascular Research · doi:10.1093/cvr/cvu027 · Cited by 24
Mitochondria: A mirror into cellular dysfunction in heart disease
White, M. Y., Edwards, A. V. G., Cordwell, S. J., & Eyk, J. E. V. (2008) · PROTEOMICS - CLINICAL APPLICATIONS · doi:10.1002/prca.200780135 · Cited by 24
“PKC pathway activation has been suggested to be dependent upon ROS activation during ischemic PC [130], pharmacological PC [131–133], PostC [134], cardiomyopathy and HF (as reviewed in [135]).”
BackgroundRole of microtubules in ischemic preconditioning against myocardial infarction
NAKAMURA, Y., Miura, T., NAKANO, A., Ichikawa, Y., Takafumi, Y. A. N. O., Kobayashi, H., IKEDA, Y., MIKI, T., & Shimamoto, K. (2004) · Cardiovascular Research · doi:10.1016/j.cardiores.2004.07.013 · Cited by 24
“This explanation is consistent with earlier findings that infusion of free radical scavengers during PC abolished PC-induced cardioprotection and that transient infusion of free radicals induced PClike protection that was sensitive to PKC inhibitors [31,32].”
ResultRole of protein kinase C in intestinal ischemic preconditioning1,2
Um, J. W., Matthews, J. B., Song, J. C., et al. (2004) · Journal of Surgical Research · doi:10.1016/j.jss.2004.10.011 · Cited by 23
Is oxytocin a therapeutic factor for ischemic heart disease?
Alizadeh, A. M., & Mirzabeglo, P. (2013) · Peptides · doi:10.1016/j.peptides.2013.04.016 · Cited by 22
Chai, Y., & Lin, Y. (2010) · American Journal of Physiology-Cell Physiology · doi:10.1152/ajpcell.00196.2009 · Cited by 23
Ischemic Preconditioning: Triggering Role of Nitric Oxide-Derived Oxidants in Isolated Hearts
Novalija, E., Hogg, N., Kevin, L. G., Camara, A. K. S., & Stowe, D. F. (2003) · Journal of Cardiovascular Pharmacology · doi:10.1097/00005344-200311000-00003 · Cited by 24
Raupach, A., Reinle, J., Stroethoff, M., Mathes, A., Heinen, A., Hollmann, M. W., Huhn, R., & Bunte, S. (2019) · Journal of Clinical Medicine · doi:10.3390/jcm8040507 · Cited by 22
“[32] support our findings with the ROS scavenger MPG in an isolated, perfused rabbit heart model.”
ResultLi, D.-Y., Shi, X., Li, W., et al. (2016) · Life Sciences · doi:10.1016/j.lfs.2016.02.077 · Cited by 21
“Endothelial NO, free radicals, adenosine, kinases, opioids, catecholamines and ATP-sensitive potassium (KATP) channels may be involved, but the mechanism is not fully understood [15-17].”
BackgroundUchiyama, Y., Otani, H., Okada, T., et al. (2003) · Journal of Thoracic and Cardiovascular Surgery · doi:10.1016/s0022-5223(03)00236-8 · Cited by 21
A Dual Role of ATM in Ischemic Preconditioning and Ischemic Injury
Xie, G.-H., Dai, H., Liu, F., Zhang, Y., Zhu, L., Nie, J.-J., & Wu, J.-H. (2019) · Cellular and Molecular Neurobiology · doi:10.1007/s10571-019-00773-6 · Cited by 19
Ischemia and reperfusion-induced arrhythmias: role of hyperoxic preconditioning
Pourkhalili, K., Hajizadeh, S., Tiraihi, T., Akbari, Z., Esmailidehaj, M., Bigdeli, M. R., & Khoshbaten, A. (2009) · Journal of Cardiovascular Medicine · doi:10.2459/jcm.0b013e32832997f3 · Cited by 19
Ischaemic postconditioning: from bench to bedside ...
van Vuuren, D., & Lochner, A. (2008) · Europe PMC (PubMed Central) · Cited by 20
Mitochondrialne kanały potasowe: podsumowanie
Szewczyk, A. M., Bednarczyk, P., Jędraszko, J., Kampa, R. P., Koprowski, P., Krajewska, M., Kucman, S. K., Kulawiak, B., Laskowski, M., Rotko, D., et al. (2018) · Postępy Biochemii · doi:10.18388/pb.2018_132 · Cited by 21
The protective effect of ischemic preconditioning on rat testis
Şahinkanat, T., Özkan, K. U., Tolun, F. İ., et al. (2007) · Reproductive Biology and Endocrinology · doi:10.1186/1477-7827-5-47 · Cited by 20
Ceramide-induced preconditioning involves reactive oxygen species
Lecour, S., Owira, P. M. O., & Opie, L. H. (2005) · Life Sciences · doi:10.1016/j.lfs.2005.08.013 · Cited by 19
Nicorandil decreases postischemic actin oxidation
Schwalb, H., Olivson, A., Li, J., Houminer, E., Wahezi, S. E., Opie, L. H., Maulik, D., Borman, J. B., & Powell, S. R. (2001) · Free Radical Biology and Medicine · doi:10.1016/s0891-5849(01)00620-7 · Cited by 19
Tsouka, V., Markou, T., & Lazou, A. (2002) · Cellular Physiology and Biochemistry · doi:10.1159/000067901 · Cited by 19
Matsuhisa, S., Otani, H., Okazaki, T., et al. (2008) · American Journal of Physiology-Heart and Circulatory Physiology · doi:10.1152/ajpheart.91533.2007 · Cited by 18
“The redox-sensitive nature of IPC has been substantiated by the use of antioxidants, such as N-acetylcysteine and 2-mercaptopropionylglycine (MPG), which blocked IPC-induced cardioprotection by eliminating oxidative stress (2, 6).”
BackgroundMitochondrial superoxide production and respiratory activity: Biphasic response to ischemic duration
Matsuzaki, S., Szweda, L. I., & Humphries, K. M. (2009) · Archives of Biochemistry and Biophysics · doi:10.1016/j.abb.2009.01.006 · Cited by 18
Metadata
- Authors
- Baines, C. P., Goto, M., & Downey, J. M.
- Affiliations
- University of South Alabama (US)
- Venue
- Journal of Molecular and Cellular Cardiology
- Publisher
- Elsevier BV
- Published
- 1997-01
- Volume
- 29
- Issue
- 1
- Pages
- 207-216
- ISSN
- 0022-2828 (ISSN-L)
- OpenAlex
- W2122501550
- Cited by
- 484
- References
- 0
- Citations by year
- 2025: 1 · 2023: 1 · 2022: 5 · 2021: 4 · 2020: 7 · 2019: 8 · 2018: 8 · 2017: 11 · 2016: 12 · 2015: 12 · 2014: 16 · 2013: 21 · 2012: 18
- FWCI
- 13.61
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Molecular and Cellular Cardiology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Ischemia and Reperfusion
- Health Sciences › Medicine › Surgery › Organ Transplantation Techniques and Outcomes
- Health Sciences › Medicine › Physiology (medical) › Nitric Oxide and Endothelin Effects
- Keywords
- ischemic preconditioning, oxygen free radicals, cardioprotection, protein kinase C, infarct size, myocardial ischemia-reperfusion injury, xanthine oxidase, hypoxanthine, adenosine, bradykinin, radical scavengers
- MeSH terms
- Analysis of Variance, Animals, Enzyme Activation, Female, Free Radicals, Hemodynamics, Male, Tiopronin, Myocardial Infarction, Protein Kinase C, Rabbits, Free Radical Scavengers, Reactive Oxygen Species, Ischemic Preconditioning, Myocardial, In Vitro Techniques
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