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Ann Thorac Surg 1991;52:1300-1305
© 1991 The Society of Thoracic Surgeons
a Laboratory of Experimental Cardiac Surgery, Katholieke Universiteit Leuven, Leuven Belgium
b Janssen Research Foundation, Beerse, Belgium
Accepted for publication July 17, 1991.
* Address reprint requests to Dr Flameng, Center of Experimental Surgery and Anesthesiology, Katholieke University Leuven, Provisorium 1, Minderbroedersstraat 17, 3000 Leuven, Belgium.
The cardioprotective effects of a nucleoside transport inhibitor, R75231, were investigated in the isolated rabbit heart. The hearts were subjected to 20 minutes of global normothermic ischemia followed by reperfusion. Before ischemia either solvent (group 1), 5 µmol/L of adenosine (group 2), or 0.64 mg/L R75231 (group 3) was added to the perfusate. Preischemic hemodynamics were not changed by treatment, except for an increase in coronary flow in the adenosine group (126% of control; p < 0.05). Upon reperfusion, coronary flow was depressed in the controls (72% of the preischemic control values), increased in the adenosine group (113%) and unchanged in the R75231 group (89%). Functional recovery was significantly better in the adenosine group as well as in the R75231 group as compared with the controls (p < 0.05). Cardiac output was 74% of the preischemic control value in the R75231 group, 67% in the adenosine group, and only 38% in the controls. Analysis of the coronary effluent after reperfusion showed a significant inhibition of rapid release of purines and a reverse of the adenosine/inosine ratio in the R75231 group as compared with the others. We conclude that R75231 has a cardioprotective effect that is probably related to accumulation of endogenous adenosine.
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