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Vol. 303, Issue 2, 681-687, November 2002
2-Adrenoceptor in Mild Hypothermic Ischemia
Department of Cardiovascular Surgery, Hokkaido University School of
Medicine, Sapporo, Japan
Yohimbine, an
2-adrenoceptor antagonist, has been
reported to protect hypoxic myocardium and inhibit carrier-mediated
norepinephrine (NE) release and reperfusion arrhythmias (ventricular
fibrillation; VF) in normothermic ischemia. In heart surgery, mild
hypothermic (tepid) cardioplegia has been reported to reduce metabolic
demand and permit immediate recovery of cardiac function. Therefore, we
determined the effect of yohimbine on NE release and reperfusion arrhythmias in isolated perfused guinea pig hearts of tepid temperature (32°C) ischemia model. Stepwise increase of global ischemia period (20, 40, and 60 min) induced a progressive increase of NE release and
duration of VF. Neuronal uptake 1 inhibitor desipramine (100 nM)
and Na+-H+ exchanger inhibitor
5-N-ethyl-N-isopropyl-amiloride (10 µM)
decreased NE and VF in 60-min hypothermic ischemia. This indicated that NE release induced by protracted tepid ischemia was due to
carrier-mediated release. Yohimbine (1 µM) markedly reduced NE
release and VF (p < 0.01 versus control) and
5-bromo-N-(4,5-dihydro-1H-imidazol-2-yl)-6-quinoxalinamine [UK 14,304 (UK); 10 µM], an
2-adrenoceptor agonist,
increased NE release and VF (p < 0.01 versus
control). Yohimbine (1 µM) prevented the potentiated effect of UK (10 µM) in hypothermia (p < 0.01 versus UK). Our
findings indicate that presynaptic reduction of carrier-mediated NE
release seems to be one of the most important factors controlling
reperfusion arrhythmias, and
2-adrenoceptor blockade by
yohimbine (1 µM) in tepid ischemia may contribute to effective
myocardial protection in terms of NE release and reperfusion arrhythmia.
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