Reversal of the postischaemic suppression of coronary function in perfused guinea pig heart by ischaemic preconditioning

J Physiol Pharmacol. 1999 Dec;50(4):605-15.

Abstract

In the isolated guinea pig hearts suppression of endothelium-dependent (Acetylcholine, Substance P, postocclusive hyperaemia) and endothelium-independent (Sodium nitroprusside, PGE1) responses after 30 min subglobal ischaemia (reduction of coronary flow to 5%) were analysed in hearts which were not preconditioned or preconditioned by various protocols. Preconditioning consisted of single 5 min ischaemia (IP5) or single 10 min ischaemia (IP10) or double 5 min ischaemia (IP5 + 5). Thirty minutes of ischaemia followed by reperfusion reduced both endothelium-dependent and endothelium-independent responses approximately by 30-50% and slightly suppressed basal coronary flow by 10%. IP5 and IP5 + 5 protected against postischaemic suppression of responses to NaNP but not against postischaemic impairment of SP, ACh, and POH responses. The endothelium-dependent responses and postischaemic suppression of basal coronary flow were protected by IP10 only. In summary, in the isolated guinea pig heart the 30-min ischaemia impairs vasodilator responses to both endothelium-dependent and endothelium-independent agents. Ischaemic preconditioning protects both endothelial and smooth muscle cells function against this impairment, though endothelial cells require a more extensive preconditioning to put in motion protective mechanisms than smooth muscle cells do. Independent mechanisms of IP in endothelial cells and in smooth muscle cells are suggested.

MeSH terms

  • Acetylcholine / pharmacology
  • Alprostadil / pharmacology
  • Animals
  • Coronary Vessels / physiopathology*
  • Endothelium, Vascular / physiopathology*
  • Guinea Pigs
  • Hyperemia / pathology
  • In Vitro Techniques
  • Ischemic Preconditioning, Myocardial*
  • Muscle, Smooth, Vascular / drug effects*
  • Myocardial Contraction
  • Myocardial Ischemia / physiopathology*
  • Nitric Oxide / physiology*
  • Nitroprusside / pharmacology
  • Perfusion
  • Substance P / pharmacology
  • Time Factors
  • Vasodilation

Substances

  • Nitroprusside
  • Nitric Oxide
  • Substance P
  • Alprostadil
  • Acetylcholine