Cyclosporine A at reperfusion fails to reduce infarct size in the in vivo rat heart

Basic Res Cardiol. 2013 Sep;108(5):379. doi: 10.1007/s00395-013-0379-4. Epub 2013 Aug 18.

Abstract

We examined the effects on infarct size and mitochondrial function of ischemic (Isch), cyclosporine A (CsA) and isoflurane (Iso) preconditioning and postconditioning in the in vivo rat model. Anesthetized open-chest rats underwent 30 min of ischemia followed by either 120 min (protocol 1: infarct size assessment) or 15 min of reperfusion (protocol 2: assessment of mitochondrial function). All treatments administered before the 30-min ischemia (Pre-Isch, Pre-CsA, Pre-Iso) significantly reduced infarct as compared to control. In contrast, only Post-Iso significantly reduced infarct size, while Post-Isch and Post-CsA had no significant protective effect. As for the postconditioning-like interventions, the mitochondrial calcium retention capacity significantly increased only in the Post-Iso group (+58 % vs control) after succinate activation. Only Post-Iso increased state 3 (+177 and +62 %, for G/M and succinate, respectively) when compared to control. Also, Post-Iso reduced the hydrogen peroxide (H2O2) production (-46 % vs control) after complex I activation. This study suggests that isoflurane, but not cyclosporine A, can prevent lethal reperfusion injury in this in vivo rat model. This might be related to the need for a combined effect on cyclophilin D and complex I during the first minutes of reperfusion.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Anesthetics, Inhalation / pharmacology
  • Animals
  • Cyclosporine / pharmacology*
  • Disease Models, Animal
  • Enzyme Inhibitors / pharmacology*
  • Ischemic Postconditioning / methods
  • Ischemic Preconditioning, Myocardial / methods
  • Isoflurane / pharmacology
  • Male
  • Mitochondrial Membrane Transport Proteins
  • Mitochondrial Permeability Transition Pore
  • Myocardial Infarction / pathology*
  • Myocardial Reperfusion Injury / pathology*
  • Myocardial Reperfusion Injury / prevention & control
  • Rats
  • Rats, Wistar

Substances

  • Anesthetics, Inhalation
  • Enzyme Inhibitors
  • Mitochondrial Membrane Transport Proteins
  • Mitochondrial Permeability Transition Pore
  • Cyclosporine
  • Isoflurane