Key result
Sodium nitrite pretreatment reduces myocardial calcium overload and improves mitochondrial retention during ischemia/reperfusion.
Why the study?
To examine whether changes in calcium homeostasis play a role in the delayed antiarrhythmic effect induced by sodium nitrite 24 hours prior to ischemia and reperfusion.
Does intravenous sodium nitrite administered 24 hours prior attenuate cellular and mitochondrial calcium overload during myocardial ischemia and reperfusion in anesthetized dogs?
Does intravenous sodium nitrite administered 24 hours prior attenuate cellular and mitochondrial calcium overload during myocardial ischemia and reperfusion in anesthetized dogs?
Preclinical evidence in dogs demonstrates that the delayed antiarrhythmic effect of sodium nitrite administered 24 hours before ischemia-reperfusion is mediated in part by attenuating cellular and mitochondrial calcium overload and delaying mitochondrial permeability transition pore opening.
Supports mitochondrial calcium handling in canine ischemia-reperfusion; leaves open translation to human cardioprotection.
We have evidence that the intravenous infusion of sodium nitrite (NaNO2) results in an antiarrhythmic effect when given 24 h prior to an ischemia and reperfusion (I/R) insult in anaesthetized dogs. This protection was associated with the reduction of reactive oxygen species resulting from I/R through the attenuation of mitochondrial respiration. Here, we examined whether the changes in calcium, which also contributes to arrhythmia generation, play a role in the NaNO2-induced effect. On the first day, 30 anaesthetized dogs were treated either with saline or NaNO2 (0.2 µmol/kg/min) for 20 min. Some animals were subjected to a 25 min LAD (anterior descending branch of the left coronary artery) occlusion and 2 min reperfusion (I/R = 4; NaNO2-I/R = 6), or the heart was removed 24 h later. We have shown that nitrite prevented the I/R-induced increase in cellular and mitochondrial calcium deposits. During simulated I/R, the amplitude of the calcium transient and the diastolic calcium level were significantly lower in the nitrite-treated hearts and the ERP (effective refractory period) fraction of the action potential was significantly increased. Furthermore, nitrite also enhanced the mitochondrial respiratory response and prevented the MPTPT opening during calcium overload. These results suggest that nitrite can reduce the harmful consequences of calcium overload, perhaps directly by modulating ion channels or indirectly by reducing the mitochondrial ROS (reactive oxygen species) production.
No takes yet. Share an insight, caveat, or question.
Demeter‐Haludka et al. (2019) studied Myocardial ischemia and reperfusion (I/R) injury and ventricular arrhythmias (n=30). Sodium nitrite (NaNO2) vs. Saline intravenous infusion was evaluated on Cellular and mitochondrial calcium homeostasis, calcium transients, action potential parameters, and mitochondrial tolerance to calcium overload during ischemia/reperfusion (p=<0.05). Sodium nitrite infused 24 hours prior to ischemia/reperfusion significantly reduced cellular and mitochondrial calcium overload and increased mitochondrial calcium retention capacity (p<0.05).
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: