Key result
RNS60 reduces hypoxia-induced myocardial injury, lowering troponin T by ~20% in preclinical models.
Why the study?
RNS60 has been reported to reduce ischemia/reperfusion injury in pig acute myocardial infarction, but its effects during cardiac hypoxia and as a cardioplegic additive remained to be investigated.
Does RNS60 reduce myocardial injury and improve metabolic recovery in animal models of hypoxia and cold cardioplegic arrest?
Does RNS60 reduce myocardial injury and improve metabolic recovery in animal models of hypoxia and cold cardioplegic arrest?
RNS60 demonstrates promising cardioprotective effects through preservation of cardiac energy metabolism in preclinical models of hypoxia and ischemia/reperfusion.
RNS60 merits testing in human cardioplegia trials; leaves open clinical translation from these animal models.
RNS60 is a physically modified saline solution hypothesized to contain oxygen nanobubbles. It has been reported to reduce ischemia/reperfusion injury in a pig model of acute myocardial infarction. We investigated the effects of RNS60 during cardiac hypoxia in mice and as an additive to cardioplegic solution in rat hearts. ApoE−/−LDLr−/− mice were treated by intravenous injection of RNS60 or saline as a control while monitoring the ECG and post-hypoxic serum release of troponin T and creatine kinase activity. Hearts infused with Custodiol containing 10% RNS60 or saline as the control were subjected to 4 h of 4 °C preservation, followed by an assessment of myocardial metabolites, purine release, and mechanical function. RNS60 attenuated changes in the ECG STU area during hypoxia, while the troponin T concentration and creatine kinase activity were significantly higher in the serum of the controls. During reperfusion after 4 h of cold ischemia, the Custodiol/RNS60-treated hearts had about 30% lower LVEDP and better dp/dtmax and dp/dtmin together with a decreased release of purine catabolites vs. the controls. The myocardial ATP, total adenine nucleotides, and phosphocreatine concentrations were higher in the RNS60-treated hearts. This study indicates that RNS60 enhances cardioprotection in experimental myocardial hypoxia and under conditions of cardioplegic arrest. Improved cardiac energetics are involved in the protective effect, but complete elucidation of the mechanism requires further study.
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Zabielska-Kaczorowska et al. (2022) studied Cardiac Ischemic Injury / Hypoxia (n=20). RNS60 vs. 0.9% sodium chloride (saline) or Custodiol with saline was evaluated on Myocardial injury measured by ECG STU area, serum troponin T, and creatine kinase in mice; mechanical function and metabolic markers in rat hearts. (20% lower troponin T levels, 35% lower CK activity in mice; 30% lower LVEDP, 28% higher ATP in rats, p=<0.05). RNS60 administration significantly reduced hypoxia-induced myocardial injury in mice (lowering troponin T by 20%) and improved functional and energetic recovery in rat hearts following cold cardioplegic arrest.
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