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October 25, 2013Acta Physiologica

Detrimental effects of acute hyperglycaemia on the rat heart

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Key result

Benfotiamine partially mitigates acute hyperglycemia-induced oxidative stress and cardiac dysfunction during ischemia-reperfusion.

Why the study?

Does benfotiamine treatment improve cardiac function during ischaemia-reperfusion in rat hearts exposed to acute hyperglycaemia?

Population

Isolated rat hearts and in vivo streptozotocin-treated rats

Comparison

Acute hyperglycaemia with or without… vs Normoglycaemia (11 mM glucose)

Design

Preclinical

Authors

RMRudo F. MapangaStellenbosch UniversityDJDanzil JosephStellenbosch UniversityBSBurger SymingtonCounty Hospital

Discussion

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Implication

May link acute hyperglycaemia to MI via NOGPs; hypothesis-generating and requires clinical validation before practice change.

Structured PICO

Does benfotiamine treatment improve cardiac function during ischaemia-reperfusion in rat hearts exposed to acute hyperglycaemia?

P
Population
Isolated rat hearts and in vivo streptozotocin-treated rats
I
Intervention
Acute hyperglycaemia (33 mM glucose) with or without benfotiamine (BFT) treatment or non-oxidative glucose pathway (NOGP) inhibitors
C
Comparator
Normoglycaemia (11 mM glucose)
O
Outcome
Cardiac function and infarct size during ischaemia-reperfusionsurrogate

In a rat model, acute hyperglycaemia exacerbates ischaemia-reperfusion injury via non-oxidative glucose pathways, which can be partially mitigated by benfotiamine.

Cite This Study

Mapanga et al. (2013) studied Acute hyperglycaemia and ischaemia-reperfusion injury. Acute hyperglycaemia (33 mM glucose) with or without benfotiamine (BFT) vs. Controls (11 mm glucose) was evaluated on Myocardial oxidative stress, NOGP activation, and cardiac contractile dysfunction. Acute hyperglycaemia generated myocardial oxidative stress and exacerbated cardiac contractile dysfunction during ischaemia-reperfusion, which was partially improved by benfotiamine treatment.

synapsesocial.com/papers/6aa474e13a03b8d03ddc3649https://doi.org/10.1111/apha.12184
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Also Consider

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  1. 1Determinants and importance of stress hyperglycaemia in non-diabetic patients with myocardial infarction.1986 · 268 citations
  2. 2Diabetes and the Accompanying Hyperglycemia Impairs Cardiomyocyte Calcium Cycling through Increased Nuclear O-GlcNAcylation2003 · 385 citations
  3. 3Identification of the mechanism for the inhibition of Na+,K(+)-adenosine triphosphatase by hyperglycemia involving activation of protein kinase C and cytosolic phospholipase A2.1995 · 181 citations
  4. 4Renal Effects of Plant-Derived Oleanolic Acid in Streptozotocin-Induced Diabetic Rats2009 · 61 citations
  5. 5IGF-1 Overexpression Inhibits the Development of Diabetic Cardiomyopathy and Angiotensin II–Mediated Oxidative Stress2001 · 397 citations