Oxygen free radical-mediated heart injury in animal models and during bypass surgery in humans. Effects of α-tocopherol

R. Ferrari, S. Curello, G. M. Boffa, E. Condorelli, E. Pasini, G. Guarnieri, A. Albertini

Research output: Contribution to journalArticle

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Abstract

There is evidence that oxygen free radicals play a role in myocardial ischemic and reperfusion injury. We investigated the effect of ischemia and reperfusion on glutathione status. Reperfusion after prolonged ischemia (60 min) induced an important release of reduced (GSH) and oxidized (GSSG) glutathione, concomitant with an increase of tissue GSSG and no recovery of mechanical function, indicating that reperfusion results in oxidative stress. These alterations are associated with tissue and mitochondrial calcium accumulation, loss of mitochondrial function, and membrane damage. We also determined the arteriocoronary sinus difference for GSH and GSSG of 16 CAD patients undergoing coronary artery bypass. Patients were divided in two groups according to the length of clamping period: 25±2 min (group 1), and 55±6 min (group 2). In group 1, reperfusion resulted in a transient release of GSH, GSSG, CPK, and lactate, with return to preclamping values in 10 minutes. In group 2, reperfusion determined a sustained and pronounced release of GSH, GSSG, CPK, and lactate during declamping, suggesting the occurrence of an oxidative stress. Using an in vitro model, administration of α-tocopherol bound with albumin showed protection of mitochondrial function, improved recovery of contraction, and reduced oxidative stress during reperfusion.

Original languageEnglish
Pages (from-to)237-253
Number of pages17
JournalAnnals of the New York Academy of Sciences
Volume570
Publication statusPublished - 1989

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Heart Injuries
Tocopherols
Glutathione Disulfide
Surgery
Reperfusion
Free Radicals
Reactive Oxygen Species
Animals
Animal Models
Oxidative stress
Oxygen
Oxidative Stress
Recovery of Function
Glutathione
Lactic Acid
Tissue
Ischemia
Recovery
Myocardial Reperfusion Injury
Mitochondrial Membranes

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)

Cite this

Oxygen free radical-mediated heart injury in animal models and during bypass surgery in humans. Effects of α-tocopherol. / Ferrari, R.; Curello, S.; Boffa, G. M.; Condorelli, E.; Pasini, E.; Guarnieri, G.; Albertini, A.

In: Annals of the New York Academy of Sciences, Vol. 570, 1989, p. 237-253.

Research output: Contribution to journalArticle

Ferrari, R. ; Curello, S. ; Boffa, G. M. ; Condorelli, E. ; Pasini, E. ; Guarnieri, G. ; Albertini, A. / Oxygen free radical-mediated heart injury in animal models and during bypass surgery in humans. Effects of α-tocopherol. In: Annals of the New York Academy of Sciences. 1989 ; Vol. 570. pp. 237-253.
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