PT  - JOURNAL ARTICLE
AU  - Louch, William E.
AU  - Ferrier, Gregory R.
AU  - Howlett, Susan E.
TI  - Losartan Improves Recovery of Contraction and Inhibits Transient Inward Current in a Cellular Model of Cardiac Ischemia and Reperfusion
DP  - 2000 Nov 01
TA  - Journal of Pharmacology and Experimental Therapeutics
PG  - 697--704
VI  - 295
IP  - 2
4099  - http://jpet.aspetjournals.org/content/295/2/697.short
4100  - http://jpet.aspetjournals.org/content/295/2/697.full
SO  - J Pharmacol Exp Ther2000 Nov 01; 295
AB  - Losartan, a selective angiotensin II (AII) type I receptor antagonist, may protect against myocardial stunning and arrhythmia in ischemia and reperfusion. To examine the cellular basis for these protective actions, we studied effects of losartan and AII on contractile and electrical activity of ventricular myocytes exposed to simulated ischemia and reperfusion. Ionic currents were measured with voltage-clamp techniques and contractions were measured with a video edge detector. After 10 min of superfusion with Tyrode's solution at 37°C, cells were exposed to simulated ischemia (hypoxia, acidosis, hyperkalemia, hypercapnia, lactate accumulation, and substrate deprivation) for 30 min followed by 25 min of reperfusion with normal Tyrode's solution. During ischemia, drug-treated cells were exposed to either 0.1 μM AII, 10 μM losartan, or both simultaneously. In reperfusion, contractions were depressed to 42% of preischemic levels in untreated cells. Losartan treatment significantly improved contractile recovery to 84% (P < .05) of preischemic levels. AII-treated cells showed contractile recovery similar to untreated cells (40%), whereas cells treated with losartan plus AII recovered to 101% of preischemic levels. Cells exposed to losartan or losartan plus AII also exhibited reduced incidence of transient inward current (ITI) (20%, P< .05; 36%) relative to untreated cells (60%). However, ITI incidence was not altered by treatment with AII alone (57%). Treatment with exogenous agonist did not potentiate contractile depression or ITI incidence, and losartan exerted protective effects in the presence and absence of AII. Thus, losartan may have effects that are independent of AII receptor blockade. The American Society for Pharmacology and Experimental Therapeutics