Targeted Antioxidant Properties ofN-[(Tetramethyl-3-pyrroline-3-carboxamido)propyl]phthalimide and Its Nitroxide Metabolite in Preventing Postischemic Myocardial Injury1

  1. Ravi A. Shankar,
  2. Kalman Hideg1,
  3. Jay L. Zweier and
  4. Periannan Kuppusamy
  1. Department of Medicine, Division of Cardiology and the EPR Center, Johns Hopkins University, School of Medicine, Baltimore, Maryland; and1Institute of Organic and Medicinal Chemistry, University of Pécs, Pécs, Hungary (K.H.)

    Abstract

    We investigated the cardioprotective efficacy of a new compound based on 2,2,5,5-tetramethyl-3-pyrroline-3-carboxamide (TPC-NH). Biochemical studies using electron paramagnetic resonance (EPR) spectroscopy suggest thatTPC-NH is a scavenger of reactive oxygen species. In vitro cellular studies show that TPC-NH protects isolated cardiomyocytes against oxidative damage caused by superoxide radicals. Ex vivo EPR studies on the isolated rat heart indicate that the TPC-NH is metabolically oxidized to the nitroxide form. Studies were also performed in the isolated rat heart model to measure the efficacy of TPC-NH and its metabolites in preventing postischemic reperfusion injury. Serial measurements of contractile function were performed on hearts subjected to ischemia-reperfusion. Hearts were either untreated or treated with 50 μM TPC-NH or with its metabolites for 1 min before ischemia and during the first 5 min of reflow. TPC-NH showed marked protection with a more than 3-fold increased recovery of contractile function compared with control hearts, whereas its oxidative metabolites exhibited significant but lower protection. Thus,TPC-NH and, to a lesser extent, its oxidation metabolites exhibit potent membrane-targeted antioxidant action and exert marked protection against myocardial injury in the postischemic heart.

    Footnotes

    • Send reprint requests to: Periannan Kuppusamy, Ph.D., The EPR Center, 5501 Hopkins Bayview Circle, Room LB-68, Baltimore, MD 21224. E-mail: kuppu{at}welch.jhu.edu

    • 1 This work was supported in part by National Cancer Institute Grant CA78886, National Institutes of Health Grant HL38324, Hungarian Research Foundation OTKA Grant T 021277, and Hungarian Academy of Sciences Grant AKP 97-13 4,2 (K.H.). P.K. was supported by an Established Investigator Award from the American Heart Association during the tenure of this study.

    • Abbreviations:
      ROS
      reactive oxygen species
      TPC-NH
      N-[(2,2,5,5-tetramethyl-3-pyrroline-3-carboxamido)propyl]phthalimide
      TPC-NOH
      N-[(1-hydroxyl-2,2,5,5-tetramethyl-3-pyrrolin-3-carboxamido)propyl]phthalimide
      TPC-NO
      N-[(1-oxyl-2,2,5,5-tetramethyl-3-pyrroline-3-carboxamido)propyl]phthalimide
      AAPH
      2,2′-azobis-2-amidinopropane dihydrochloride
      DTPA
      diethylenetriaminepentaacetate
      X
      xanthine
      XO
      xanthine oxidase
      EPR
      electron paramagnetic resonance
      LVEDP
      left ventricular end-diastolic pressure
      LVSP
      left ventricular systolic pressure
      LVDP
      left ventricular developed pressure
      HR
      heart rate
      CF
      coronary flow
      RPP
      rate-pressure product
      LDH
      lactate dehydrogenase
      • Received June 30, 1999.
      • Accepted November 19, 1999.
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