Melatonin enhanced the cardioprotective effects of HTK solution on Langendorff-perfused mouse hearts subjected to ischemia/reperfusion

  • سال انتشار: 1403
  • محل انتشار: مجله علوم پایه پزشکی ایران، دوره: 27، شماره: 3
  • کد COI اختصاصی: JR_IJBMS-27-3_014
  • زبان مقاله: انگلیسی
  • تعداد مشاهده: 57
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نویسندگان

Mingchu Sun

Institute of Medical Research, Northwestern Polytechnical University, Xi’an Shaanxi, ۷۱۰۰۷۲ China

Zihui Zhang

Institute of Medical Research, Northwestern Polytechnical University, Xi’an Shaanxi, ۷۱۰۰۷۲ China

Yue Yin

Department of Physiology and Pathophysiology, School of Basic Medicine, Fourth Military Medical University, Xi’an, ۷۱۰۰۳۲ China

Lu Yu

Department of Pathology, Xijing Hospital, Fourth Military Medical University, Xi’an ۷۱۰۰۳۲, China

Wenhua Jiang

Institute of Medical Research, Northwestern Polytechnical University, Xi’an Shaanxi, ۷۱۰۰۷۲ China

Chan Zhang

Institute of Medical Research, Northwestern Polytechnical University, Xi’an Shaanxi, ۷۱۰۰۷۲ China

Chunhu Gu

Department of Cardiovascular Surgery, Xijing Hospital, Fourth Military Medical University, Xi’an ۷۱۰۰۳۲, China

Heng Ma

Department of Physiology and Pathophysiology, School of Basic Medicine, Fourth Military Medical University, Xi’an, ۷۱۰۰۳۲ China

Yishi Wang

Department of Physiology and Pathophysiology, School of Basic Medicine, Fourth Military Medical University, Xi’an, ۷۱۰۰۳۲ China

چکیده

Objective(s): Cardiac arrest is a crucial procedure in various cardiac surgeries, during which the heart is subjected to an ischemic state. The occurrence of ischemia/reperfusion (I/R) injury is inevitable due to aortic blockage and opening. The Histidine-tryptophan-ketoglutarate (HTK) solution is commonly used as an organ protection liquid to mitigate cardiac injury during cardiac surgery. Despite its widespread use, there is significant potential for improving its protective efficacy.Materials and Methods: The cardioprotective effect of HTK solution with and without melatonin was evaluated using the isolated Langendorff-perfused mouse heart model. The isolated C۵۷bL/۶ mouse hearts were randomly divided into four groups: control, I/R, HTK solution treatment before reperfusion (HTK+I/R), and HTK solution combined with melatonin before reperfusion (HTK+M+I/R). Cardiac function and myocardial injury markers were then measured. AMP-activated protein kinase α۲ (AMPKα۲) KO mice were used to investigate the underlying mechanism.Results: In our study, we found that melatonin significantly improved the protective effects of HTK solution in an isolated Langendorff-perfused mouse model, mechanistically by reducing mitochondrial damage, improving energy metabolism, inhibiting cardiomyocyte apoptosis, and reducing myocardial infarction size. We also observed that the HTK solution alone was ineffective in inhibiting ER stress, but when melatonin was added, there was a significant reduction in ER stress. Furthermore, melatonin was found to alleviate carbonyl stress during cardiac I/R. Interestingly, our results showed that the cardioprotective properties of melatonin were dependent on AMPKα۲.Conclusion: The findings presented in this study offer a valuable empirical foundation for the development of perioperative cardioprotective strategies.

کلیدواژه ها

Endoplasmic reticulum-stress, Heart protection, Langendorff heart, Melatonin, Myocardial ischemia/reperfusion injury

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