Warm blood cardioplegic arrest induces mitochondrial-mediated cardiomyocyte apoptosis associated with increased urocortin expression in viable cells

Tiziano M. Scarabelli, Evasio Pasini, Gianna Ferrari, Mario Ferrari, Anastasis Stephanou, Kevin Lawrence, Paul Townsend, Carol Chen-Scarabelli, Gianluca Gitti, Louis Saravolatz, David Latchman, Richard A. Knight, Julius M. Gardin

Research output: Contribution to journalArticlepeer-review

Abstract

Objectives This study assesses the mechanisms of apoptosis in patients after on-pump coronary artery bypass graft surgery and the potential involvement of the endogenous cardiac peptide urocortin as a cardiomyocyte salvage mechanism. We have previously described the mechanisms of apoptosis after ischemia-reperfusion injury in the rat heart and shown that endogenous urocortin is cardioprotective. Here we extend these findings to the human heart exposed to ischemic-reperfusion injury. Methods Two sequential biopsy specimens were obtained from the right atriums of 24 patients undergoing coronary artery bypass grafting at the start of grafting and 10 minutes after release of the aortic clamp. Apoptosis was identified by means of immunocytochemical colocalization between terminal deoxynucleotidyl transferase-mediated nick end-labeling positivity and active caspase-3. Immunostaining for active caspase-9 and caspase-8 was performed to identify the pathways of apoptosis induction. Urocortin and adenosine triphosphate-dependent potassium channel expression was also assessed by means of immunocytochemistry. Results Myocyte apoptosis (

Original languageEnglish
Pages (from-to)364-371
Number of pages8
JournalJournal of Thoracic and Cardiovascular Surgery
Volume128
Issue number3
DOIs
Publication statusPublished - Sep 2004

Keywords

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ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

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