Why the study?
Although secretory leukocyte protease inhibitor showed cardioprotective effects against myocardial ischemia/reperfusion injury, the effect of post-ischemic treatment with SLPI in an in vivo model had never been investigated.
Does post-ischemic treatment with rhSLPI reduce myocardial ischemia/reperfusion injury in an in vivo model?
Does post-ischemic treatment with rhSLPI reduce myocardial ischemia/reperfusion injury in an in vivo model?
Post-ischemic treatment with rhSLPI reduces myocardial ischemia/reperfusion injury and improves cardiac function in an in vivo model.
Answers are grounded in this paper and cite their sources.
Should not change practice; extends prior SLPI data to post-ischemic in-vivo dosing and leaves open clinical translation.
Myocardial ischemia/reperfusion (I/R) injury is a major cause of mortality and morbidity worldwide. Among factors contributing to I/R injury, proteolytic enzymes could also cause cellular injury, expand the injured area and induce inflammation, which then lead to cardiac dysfunction. Therefore, protease inhibition seems to provide therapeutic benefits. Previous studies showed the cardioprotective effect of secretory leukocyte protease inhibitor (SLPI) against myocardial I/R injury. However, the effect of a post-ischemic treatment with SLPI in an in vivo I/R model has never been investigated. In the present study, recombinant human (rh) SLPI (rhSLPI) was systemically injected during coronary artery occlusion or at the onset of reperfusion. The results show that post-ischemic treatment with rhSLPI could significantly reduce infarct size, Lactate Dehydrogenase (LDH) and Creatine kinase-MB (CK-MB) activity, inflammatory cytokines and protein carbonyl levels, as well as improving cardiac function. The cardioprotective effect of rhSLPI is associated with the attenuation of p38 MAPK phosphorylation, Bax, caspase-3 and -8 protein levels and enhancement of pro-survival kinase Akt and ERK1/2 phosphorylation. In summary, this is the first report showing the cardioprotective effects against myocardial I/R injury of post-ischemic treatments with rhSLPI in vivo. Thus, these results suggest that SLPI could be used as a novel therapeutic strategy to reduce myocardial I/R injury.
No takes yet. Share an insight, caveat, or question.
Mongkolpathumrat et al. (2021) studied this question.
Synapse has enriched 10 related papers. Consider them for comparative context: