Key result
Brief myocardial ischemia increases rat endocardial PGE2 synthesis ~97%, an effect lost after prolonged ischemia.
Why the study?
Does brief and prolonged myocardial ischemia alter eicosanoid synthesis in dog and rat hearts?
Does brief and prolonged myocardial ischemia alter eicosanoid synthesis in dog and rat hearts?
Brief, but not prolonged, myocardial ischemia transiently stimulates prostaglandin synthesis in the endocardium of dog and rat hearts.
Answers are grounded in this paper and cite their sources.
Hypothesis-generating for transient endocardial PGE2 in brief ischemia; leaves open human translation and clinical relevance.
We compared the effects of brief and prolonged myocardial ischemia on tissue prostaglandin synthesis. Regional ischemia was induced in dogs and maintained for 5 or 30 minutes. Isolated rat hearts were subjected to global ischemia in a working heart preparation for periods of 5 or 20 minutes. De novo synthesis of prostaglandins PGE2 and PGF2 alpha was measured in endocardial and epicardial explants from hearts subjected to transient ischemia. After 5 minutes of coronary ligation, PGE2 production by the ischemic canine endocardium increased by 68%, compared with non-ischemic tissue, and PGF2 alpha levels rose by 29%. In isolated rat hearts, 5-minute ischemia increased endocardial rate of PGE2 synthesis (13.2 +/- 1.7 pmol/g/h, as compared with 6.7 +/- 0.5 under normoxic conditions). Ischemic stimulation of eicosanoid production by the endocardium was no longer apparent after 30-minute regional or 20-minute global ischemia. In contrast, the epicardium showed significant changes only after 30-minute ischemia and only with respect to PGF2 alpha (12.0 +/- 6.2 in the ischemic vs 7.1 +/- 3.2 pmol/g/h in the non-ischemic tissue). Ischemia-induced differences in prostaglandin production were attenuated in the presence of arachidonic acid or aspirin.
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Rabinowitz et al. (1995) studied Myocardial ischemia. Brief and prolonged myocardial ischemia vs. Non-ischemic tissue / normoxic conditions was evaluated on Endocardial rate of PGE2 synthesis (pmol/g/h). Brief 5-minute myocardial ischemia increased endocardial PGE2 synthesis in isolated rat hearts (13.2 vs 6.7 pmol/g/h), an effect that was no longer apparent after prolonged ischemia.
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