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February 15, 1996Circulation

Role of Activation of Protein Kinase C in the Infarct SizeLimiting Effect of Ischemic Preconditioning Through Activation of Ecto-5′-nucleotidase

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Why the study?

Does ischemic preconditioning reduce infarct size through activation of protein kinase C and ecto-5'-nucleotidase in a canine heart model?

Population

Canine heart model of ischemia-reperfusion injury

Comparison

Ischemic preconditioning with or without protein… vs Control group (no ischemic preconditioning)

Design

Preclinical

Follow-up

6 hours of reperfusion

Authors

MKMasafumi KitakazeHeart Failure & TransplantKoichi NodeKoichi NodeHeart Failure / CardiomyopathyTMTetsuo MinaminoGeneral / Preventive / Lipids

Discussion

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Implication

Supports PKC mediation of preconditioning in canine models; leaves open translation to human cardioprotection and requires clinical trials.

Structured PICO

Does ischemic preconditioning reduce infarct size through activation of protein kinase C and ecto-5'-nucleotidase in a canine heart model?

P
Population
Canine heart model of ischemia-reperfusion injury
I
Intervention
Ischemic preconditioning (four 5-minute coronary artery occlusions with alternating 5-minute reperfusions) with or without protein kinase C inhibitors (polymyxin B and GF109203X) or methoxamine
C
Comparator
Control group (no ischemic preconditioning)
O
Outcome
Infarct size normalized by the risk area after 90 minutes of occlusion and 6 hours of reperfusionsurrogate

Ischemic preconditioning limits myocardial infarct size through a mechanism involving the activation of protein kinase C and ecto-5'-nucleotidase.

Cite This Study

Kitakaze et al. (1996) studied this question.

synapsesocial.com/papers/6a70e38ef44fa9f079de9fa7https://doi.org/10.1161/01.cir.93.4.781
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Specific alpha 1-adrenergic receptor subtypes modulate catecholamine-induced increases and decreases in ventricular automaticity.1990 · 81 citations
  2. 2Stimulation of endothelial adenosine A1 receptors enhances adhesion of neutrophils in the intact guinea pig coronary system1994 · 46 citations
  3. 3Ischemic preconditioning increases adenosine release and 5'-nucleotidase activity during myocardial ischemia and reperfusion in dogs. Implications for myocardial salvage.1993 · 204 citations
  4. 4Myocardial protection with preconditioning.1990 · 438 citations
  5. 5Myocardial alpha 1-adrenoceptors mediate positive inotropic effect and changes in phosphatidylinositol metabolism. Species differences in receptor distribution and the intracellular coupling process in mammalian ventricular myocardium.1991 · 135 citations