Skip to main content
Erschienen in: Cardiovascular Drugs and Therapy 3/2010

01.06.2010

How to Mediate Cardioprotection in Ischemic Hearts—Accumulated Evidence of Basic Research Should Translate to Clinical Medicine

verfasst von: Masafumi Kitakaze

Erschienen in: Cardiovascular Drugs and Therapy | Ausgabe 3/2010

Einloggen, um Zugang zu erhalten

Abstract

Ischemic heart failure is one of the leading causes of death in the western countries and it is a critical issue to overcome ischemic heart diseases for the human health care worldwide. There are several aspects of ischemic heart failure that we need to seriously consider for the conquest of cardiovascular death. First of all, we need to know either causes or pathophysiology of the onset of coronary artery disease, the ischemia/reperfusion injury and post-infarction cardiac remodeling. Secondly, we need to find the potential seeds for the molecular, pharmacological, biomedical or engineering treatment to prevent or attenuate ischemic heart diseases. Thirdly, we need to accelerate translational research and to create the network of clinical trials to grow the novel seeds to the fruitful big trees. Finally, we need to justify these strategies to overcome the ischemic heart diseases and to contribute the world welfare systems after we propose the novel therapy for the prevention and attenuation of ischemic heart diseases. The most strong and essential hypotheses to attenuate the cardiovascular injury in ischemic heart disease for last three decades are ischemic preconditioning/postconditioning. Many investigators have involved in the clarification of the characteristics of ischemic preconditioning/postconditioning and their cellular mechanisms, and the clinical applications of their basic results. Here, 8 potential basic and clinical researchers includeing us discuss these issues that they have devotedly studies for many years.
Literatur
1.
Zurück zum Zitat Bolli R. Cardioprotective function of inducible nitric oxide synthase and role of nitric oxide in myocardial ischemia and preconditioning: an overview of a decade of research. J Mol Cell Cardiol. 2001;33:1897–918.CrossRefPubMed Bolli R. Cardioprotective function of inducible nitric oxide synthase and role of nitric oxide in myocardial ischemia and preconditioning: an overview of a decade of research. J Mol Cell Cardiol. 2001;33:1897–918.CrossRefPubMed
2.
Zurück zum Zitat Kloner RA, Jennings RB. Consequences of brief ischemia: stunning, preconditioning, and their clinical implications: part 2. Circulation. 2001;104:3158–67.CrossRefPubMed Kloner RA, Jennings RB. Consequences of brief ischemia: stunning, preconditioning, and their clinical implications: part 2. Circulation. 2001;104:3158–67.CrossRefPubMed
3.
Zurück zum Zitat Mubagwa K, Mullane K. Flameng Role of adenosine in the heart and circulation. Cardiovasc Res. 1996;32:797–813.PubMed Mubagwa K, Mullane K. Flameng Role of adenosine in the heart and circulation. Cardiovasc Res. 1996;32:797–813.PubMed
4.
Zurück zum Zitat Kitakaze M, Minamino T, Node K, et al. Adenosine and cardioprotection in the diseased heart. Jpn Circ J. 1999;63:231–43.CrossRefPubMed Kitakaze M, Minamino T, Node K, et al. Adenosine and cardioprotection in the diseased heart. Jpn Circ J. 1999;63:231–43.CrossRefPubMed
5.
Zurück zum Zitat Chulz R, Cohen MV, Behrends M, Downey JM, Heusch G. Signal transduction of ischemic preconditioning. Cardiovasc Res. 2001;52:181–98.CrossRef Chulz R, Cohen MV, Behrends M, Downey JM, Heusch G. Signal transduction of ischemic preconditioning. Cardiovasc Res. 2001;52:181–98.CrossRef
6.
Zurück zum Zitat Kitakaze M. It is the time to ask what adenosine can do for cardioprotection in ischemic heart disease. Internal Medicine. 1999;38:305–6.CrossRefPubMed Kitakaze M. It is the time to ask what adenosine can do for cardioprotection in ischemic heart disease. Internal Medicine. 1999;38:305–6.CrossRefPubMed
7.
Zurück zum Zitat Allen DG, Orchard CH. Myocardial contractile function during ischemia and hypoxia. Circ Res. 1987;60:153–68.PubMed Allen DG, Orchard CH. Myocardial contractile function during ischemia and hypoxia. Circ Res. 1987;60:153–68.PubMed
8.
Zurück zum Zitat Mauser M, Hoffmeister HM, Nienaber C, Schaper W. Influence of ribose, adenosine, and “AICAR” on the rate of myocardial adenosine triphosphate synthesis during reperfusion after coronary artery occlusion in the dog. Circ Res. 1985;56:220–30.PubMed Mauser M, Hoffmeister HM, Nienaber C, Schaper W. Influence of ribose, adenosine, and “AICAR” on the rate of myocardial adenosine triphosphate synthesis during reperfusion after coronary artery occlusion in the dog. Circ Res. 1985;56:220–30.PubMed
9.
Zurück zum Zitat Pike MM, Luo CS, Clark D, et al. NMR measurements of Na+ and cellular energy in the ischemic rat heart: role of Na+/H+ exchange. Am J Physiol. 1993;265:H2017–26.PubMed Pike MM, Luo CS, Clark D, et al. NMR measurements of Na+ and cellular energy in the ischemic rat heart: role of Na+/H+ exchange. Am J Physiol. 1993;265:H2017–26.PubMed
10.
Zurück zum Zitat Marban E, Kitakaze M, Kusuoka H, Porterfield JP, Yue DT, Chacko VP. Intracellular free calcium concentration measured with 19F NMR spectroscopy in intact ferret hearts containing the Ca2+-indicator 5,5′-F2-BAPTA. Proceeding National Academy Science (U.S.A) 1987;84:6005-9. Marban E, Kitakaze M, Kusuoka H, Porterfield JP, Yue DT, Chacko VP. Intracellular free calcium concentration measured with 19F NMR spectroscopy in intact ferret hearts containing the Ca2+-indicator 5,5′-F2-BAPTA. Proceeding National Academy Science (U.S.A) 1987;84:6005-9.
11.
Zurück zum Zitat Sato H, Hori M, Kitakaze M, et al. Reperfusion after brief ischemia disrupts the microtuble structure in the canine hearts. Circ Res. 1993;72:361–75.PubMed Sato H, Hori M, Kitakaze M, et al. Reperfusion after brief ischemia disrupts the microtuble structure in the canine hearts. Circ Res. 1993;72:361–75.PubMed
12.
Zurück zum Zitat Kitakaze M, Weisman HF, Marban E. Contractile dysfunction and ATP depletion following transient calcium overload in perfused ferret hearts. Circulation. 1988;77:685–95.PubMed Kitakaze M, Weisman HF, Marban E. Contractile dysfunction and ATP depletion following transient calcium overload in perfused ferret hearts. Circulation. 1988;77:685–95.PubMed
13.
Zurück zum Zitat Kitakaze M, Weisfeldt ML, Marban E. Acidosis during early reperfusion prevents myocardial stunning in perfused ferret hearts. J Clin Invest. 1988;82:920–7.CrossRefPubMed Kitakaze M, Weisfeldt ML, Marban E. Acidosis during early reperfusion prevents myocardial stunning in perfused ferret hearts. J Clin Invest. 1988;82:920–7.CrossRefPubMed
14.
Zurück zum Zitat Kitakaze M, Takashima S, Minamino T, et al. Transient acidosis during early reperfusion following myocardial ischemia limits infarct size in the dogs. Am J Physiol. 1997;272:H2071–8.PubMed Kitakaze M, Takashima S, Minamino T, et al. Transient acidosis during early reperfusion following myocardial ischemia limits infarct size in the dogs. Am J Physiol. 1997;272:H2071–8.PubMed
15.
Zurück zum Zitat Taga R, Okabe E. Hydroxyl radical participation in the in vitro effects of gram-negative endotoxin on cardiac sarcolemmal Na, K-ATPase activity. Jpn J Pharmacol. 1991;55:339–49.CrossRefPubMed Taga R, Okabe E. Hydroxyl radical participation in the in vitro effects of gram-negative endotoxin on cardiac sarcolemmal Na, K-ATPase activity. Jpn J Pharmacol. 1991;55:339–49.CrossRefPubMed
16.
Zurück zum Zitat Kitakaze M, Hori M, Takashima S, et al. Superoxide dismutase enhances ischemia-induced reactive hyperemic flow and adenosine release in dogs: a role of 5′-nucleotidase activity. Circ Res. 1992;71:558–66.PubMed Kitakaze M, Hori M, Takashima S, et al. Superoxide dismutase enhances ischemia-induced reactive hyperemic flow and adenosine release in dogs: a role of 5′-nucleotidase activity. Circ Res. 1992;71:558–66.PubMed
17.
Zurück zum Zitat Gross GJ, Farber NE, Hardman HF, Warltier DC. Beneficial actions of superoxide dismutase and catalase in stunned myocardium of dogs. Am J Physiol. 1986;250:H372–7.PubMed Gross GJ, Farber NE, Hardman HF, Warltier DC. Beneficial actions of superoxide dismutase and catalase in stunned myocardium of dogs. Am J Physiol. 1986;250:H372–7.PubMed
18.
Zurück zum Zitat Sekili S, McCay PB, Li XY, et al. Direct evidence that the hydroxyl radical plays a pathogenetic role in myocardial “stunning” in the conscious dog and demonstration that stunning can be markedly attenuated without subsequent adverse effects. Circ Res. 1993;73:705–23.PubMed Sekili S, McCay PB, Li XY, et al. Direct evidence that the hydroxyl radical plays a pathogenetic role in myocardial “stunning” in the conscious dog and demonstration that stunning can be markedly attenuated without subsequent adverse effects. Circ Res. 1993;73:705–23.PubMed
19.
Zurück zum Zitat Flaherty JT, Pitt B, Gruber JW, et al. Recombinant human superoxide dismutase (h-SOD) fails to improve recovery of ventricular function in patients undergoing coronary angioplasty for acute myocardial infarction. Circulation. 1994;89:1982–91.PubMed Flaherty JT, Pitt B, Gruber JW, et al. Recombinant human superoxide dismutase (h-SOD) fails to improve recovery of ventricular function in patients undergoing coronary angioplasty for acute myocardial infarction. Circulation. 1994;89:1982–91.PubMed
20.
Zurück zum Zitat Schömig A, Dart AM, Dietz R, Mayer E, Kübler W. Release of endogenous catecholamines in the ischemic myocardium of the rat. Part A: locally mediated release. Circ Res. 1984;55:689–701.PubMed Schömig A, Dart AM, Dietz R, Mayer E, Kübler W. Release of endogenous catecholamines in the ischemic myocardium of the rat. Part A: locally mediated release. Circ Res. 1984;55:689–701.PubMed
21.
Zurück zum Zitat Kitakaze M, Hori M, Tamai J, et al. α1-Adrenoceptor activity regulates release of adenosine from the ischemic myocardium in dogs. Circ Res. 1987;60:631–9.PubMed Kitakaze M, Hori M, Tamai J, et al. α1-Adrenoceptor activity regulates release of adenosine from the ischemic myocardium in dogs. Circ Res. 1987;60:631–9.PubMed
22.
Zurück zum Zitat Kitakaze M, Hori M, Gotoh K, et al. Beneficial effects of α2-activity on ischemic myocardium during coronary hypoperfusion in dogs. Circ Res. 1989;65:1632–45.PubMed Kitakaze M, Hori M, Gotoh K, et al. Beneficial effects of α2-activity on ischemic myocardium during coronary hypoperfusion in dogs. Circ Res. 1989;65:1632–45.PubMed
23.
Zurück zum Zitat Huang AH, Feigl EO. Adrenergic coronary vasoconstriction helps maintain uniform transmural blood flow distribution during exercise. Circ Res. 1988;62:286–98.PubMed Huang AH, Feigl EO. Adrenergic coronary vasoconstriction helps maintain uniform transmural blood flow distribution during exercise. Circ Res. 1988;62:286–98.PubMed
24.
Zurück zum Zitat Kloner RA, Ganote CE, Jennings RB. The “no-reflow” phenomenon after temporary coronary occlusion in the dog. J Clin Invest. 1987;54:1496–508.CrossRef Kloner RA, Ganote CE, Jennings RB. The “no-reflow” phenomenon after temporary coronary occlusion in the dog. J Clin Invest. 1987;54:1496–508.CrossRef
25.
Zurück zum Zitat Ito H, Maruyama A, Iwakura K, Takiuchi S, et al. Clinical implications of the ‘no reflow’ phenomenon. A predictor of complications and left ventricular remodeling in reperfused anterior wall myocardial infarction. Circulation 1996;223–8. Ito H, Maruyama A, Iwakura K, Takiuchi S, et al. Clinical implications of the ‘no reflow’ phenomenon. A predictor of complications and left ventricular remodeling in reperfused anterior wall myocardial infarction. Circulation 1996;223–8.
26.
Zurück zum Zitat Hansen PR. Role of neutrophils in myocardial ischemia and reperfusion. Circulation. 1995;91:1872–85.PubMed Hansen PR. Role of neutrophils in myocardial ischemia and reperfusion. Circulation. 1995;91:1872–85.PubMed
27.
Zurück zum Zitat Watanabe T, Suzuki N, Shimamoto N, Fujino M, Imada A. Contribution of endogenous endothelin to the extension of myocardial infarct size in rats. Circ Res. 1991;69:370–7.PubMed Watanabe T, Suzuki N, Shimamoto N, Fujino M, Imada A. Contribution of endogenous endothelin to the extension of myocardial infarct size in rats. Circ Res. 1991;69:370–7.PubMed
28.
Zurück zum Zitat Gottlieb RA, Burleson KO, Kloner RA, Babior BM, Engler RL. Reperfusion injury induces apoptosis in rabbit cardiomyocytes. J Clin Invest. 1994;94:1621–8.CrossRefPubMed Gottlieb RA, Burleson KO, Kloner RA, Babior BM, Engler RL. Reperfusion injury induces apoptosis in rabbit cardiomyocytes. J Clin Invest. 1994;94:1621–8.CrossRefPubMed
29.
Zurück zum Zitat Murry CE, Jennings RB, Reimer KA. Preconditioning with ischemia: a delay of lethal cell injury in ischemic myocardium. Circulation. 1986;74:1124–36.PubMed Murry CE, Jennings RB, Reimer KA. Preconditioning with ischemia: a delay of lethal cell injury in ischemic myocardium. Circulation. 1986;74:1124–36.PubMed
30.
Zurück zum Zitat Kuzuya T, Hoshida S, Yamashita N, et al. Delayed effects of sublethal ischemia on the acquisition of tolerance to ischemia. Circ Res. 1993;72:1293–9.PubMed Kuzuya T, Hoshida S, Yamashita N, et al. Delayed effects of sublethal ischemia on the acquisition of tolerance to ischemia. Circ Res. 1993;72:1293–9.PubMed
31.
Zurück zum Zitat Marbar MS, Latchman DS, Walker JM, Yellon DM. Cardiac stress protein elevation 24 hours after brief ischemia or heat stress associated with resistance to myocardial infarction. Circulation. 1993;83:13–25. Marbar MS, Latchman DS, Walker JM, Yellon DM. Cardiac stress protein elevation 24 hours after brief ischemia or heat stress associated with resistance to myocardial infarction. Circulation. 1993;83:13–25.
32.
Zurück zum Zitat Yang X, Cohen MV, Downey JM. Mechanism of cardioprotection by early ischemic preconditioning. Cardiovasc Drugs Ther 2010;24: this issue. Yang X, Cohen MV, Downey JM. Mechanism of cardioprotection by early ischemic preconditioning. Cardiovasc Drugs Ther 2010;24: this issue.
33.
Zurück zum Zitat Mura T, Tanno M. Mitochondria and GSK-3β in cardioprotection against ischemia/reperfusion injury. Cardiovasc Drugs Ther 2010;24: this issue. Mura T, Tanno M. Mitochondria and GSK-3β in cardioprotection against ischemia/reperfusion injury. Cardiovasc Drugs Ther 2010;24: this issue.
34.
Zurück zum Zitat Hausenloy DJ, Yellon DM. The second window of preconditioning (SWOP). Where are we now? Cardiovasc Drugs Ther 2010;24: this issue. Hausenloy DJ, Yellon DM. The second window of preconditioning (SWOP). Where are we now? Cardiovasc Drugs Ther 2010;24: this issue.
35.
Zurück zum Zitat Hausenloy DJ, Yellon DM. Remote ischaemic preconditioning: underlying mechanisms and clinical application. Cardiovasc Res. 2008;79:377–86.CrossRefPubMed Hausenloy DJ, Yellon DM. Remote ischaemic preconditioning: underlying mechanisms and clinical application. Cardiovasc Res. 2008;79:377–86.CrossRefPubMed
36.
Zurück zum Zitat Zhao ZQ, Corvera JS, Halkos ME, et al. Inhibition of myocardial injury by ischemic postconditioning during reperfusion: comparison with ischemic preconditioning. Am J Physiol Heart Circ Physiol. 2003;285:H579–88.PubMed Zhao ZQ, Corvera JS, Halkos ME, et al. Inhibition of myocardial injury by ischemic postconditioning during reperfusion: comparison with ischemic preconditioning. Am J Physiol Heart Circ Physiol. 2003;285:H579–88.PubMed
37.
Zurück zum Zitat Kin H, Zhao ZQ, Sun HY, et al. Postconditioning attenuates myocardial ischemia-reperfusion injury by inhibiting events in the early minutes of reperfusion. Cardiovasc Res. 2004;62:74–85.CrossRefPubMed Kin H, Zhao ZQ, Sun HY, et al. Postconditioning attenuates myocardial ischemia-reperfusion injury by inhibiting events in the early minutes of reperfusion. Cardiovasc Res. 2004;62:74–85.CrossRefPubMed
38.
Zurück zum Zitat Sun HY, Wang NP, Kerendi F, et al. Hypoxic postconditioning reduces cardiomyocyte loss by inhibiting ROS generation and intracellular Ca2+ overload. Am J Physiol Heart Circ Physiol. 2005;288:H1900–8.CrossRefPubMed Sun HY, Wang NP, Kerendi F, et al. Hypoxic postconditioning reduces cardiomyocyte loss by inhibiting ROS generation and intracellular Ca2+ overload. Am J Physiol Heart Circ Physiol. 2005;288:H1900–8.CrossRefPubMed
39.
Zurück zum Zitat Zhao Z-Q. Postconditioning in reperfusion: a status report. Cardiovasc Drugs Ther 2010;24:this issue. Zhao Z-Q. Postconditioning in reperfusion: a status report. Cardiovasc Drugs Ther 2010;24:this issue.
40.
Zurück zum Zitat Ishihara M, Sato H, Tateishi H, et al. Implications of prodromal angina pectoris in anterior wall acute myocardial infarction: acute angiographic findings and long-term prognosis. J Am Coll Cardiol. 1997;30:970–5.CrossRefPubMed Ishihara M, Sato H, Tateishi H, et al. Implications of prodromal angina pectoris in anterior wall acute myocardial infarction: acute angiographic findings and long-term prognosis. J Am Coll Cardiol. 1997;30:970–5.CrossRefPubMed
41.
Zurück zum Zitat Ross AM, Gibbons RJ, Stone GW, Kloner RA. Alexander RW; AMISTAD-II Investigators. A randomized, double-blinded, placebo-controlled multicenter trial of adenosine as an adjunct to reperfusion in the treatment of acute myocardial infarction (AMISTAD-II). J Am Coll Cardiol. 2005;45:1775–80.CrossRefPubMed Ross AM, Gibbons RJ, Stone GW, Kloner RA. Alexander RW; AMISTAD-II Investigators. A randomized, double-blinded, placebo-controlled multicenter trial of adenosine as an adjunct to reperfusion in the treatment of acute myocardial infarction (AMISTAD-II). J Am Coll Cardiol. 2005;45:1775–80.CrossRefPubMed
42.
Zurück zum Zitat Kitakaze M, Asakura M, Kim J, et al. On behalf of the J-WIND investigators. Human atrial natriuretic peptide and nicorandil as adjuncts to reperfusion treatment for acute myocardial infarction (J-WIND): two randomised trials. Lancet. 2007;370:1483–93.CrossRefPubMed Kitakaze M, Asakura M, Kim J, et al. On behalf of the J-WIND investigators. Human atrial natriuretic peptide and nicorandil as adjuncts to reperfusion treatment for acute myocardial infarction (J-WIND): two randomised trials. Lancet. 2007;370:1483–93.CrossRefPubMed
43.
Zurück zum Zitat Asakura M. Cardioprotection in the clinical setting—Lesson from J-WIND. Cardiovasc Drugs Ther 2010;24: this issue. Asakura M. Cardioprotection in the clinical setting—Lesson from J-WIND. Cardiovasc Drugs Ther 2010;24: this issue.
44.
Zurück zum Zitat Piot C, Croisille P, Staat P, et al. Effect of cyclosporine on reperfusion injury in acute myocardial infarction. N Engl J Med. 2008;359:473–81.CrossRefPubMed Piot C, Croisille P, Staat P, et al. Effect of cyclosporine on reperfusion injury in acute myocardial infarction. N Engl J Med. 2008;359:473–81.CrossRefPubMed
45.
Zurück zum Zitat Ivanes F, Mewton N, Rioufol G, Piot C, Elbaz M, Revel D, et al. Cardioprotection in the clinical setting. Cardiovasc Drugs Ther 2010;24: this issue. Ivanes F, Mewton N, Rioufol G, Piot C, Elbaz M, Revel D, et al. Cardioprotection in the clinical setting. Cardiovasc Drugs Ther 2010;24: this issue.
Metadaten
Titel
How to Mediate Cardioprotection in Ischemic Hearts—Accumulated Evidence of Basic Research Should Translate to Clinical Medicine
verfasst von
Masafumi Kitakaze
Publikationsdatum
01.06.2010
Verlag
Springer US
Erschienen in
Cardiovascular Drugs and Therapy / Ausgabe 3/2010
Print ISSN: 0920-3206
Elektronische ISSN: 1573-7241
DOI
https://doi.org/10.1007/s10557-010-6248-6

Weitere Artikel der Ausgabe 3/2010

Cardiovascular Drugs and Therapy 3/2010 Zur Ausgabe

Update Kardiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.