Protective effects of adenosine on the diabetic myocardium against ischemia-reperfusion injury: role of calpain.

Abstract:

:Myocardial ischemia/reperfusion injury (I/RI) is the principal cause of mortality and morbidity in diabetic patients undergoing cardiac surgery. However, there is no specific measure available to protect diabetic hearts in this clinical setting. Our clinical studies showed that adenosine pre-treatment or post-treatment and adding adenosine to cardioplegia solution had significant myocardial protective effects in patients undergoing cardiac surgery. However, the specific protective effects and mechanisms of adenosine in diabetic myocardial I/RI are not clear. Calpain is an important proteolytic enzyme in the myocardium. Studies show that the activation of calpain is an injury factor in not only the diabetic myocardium but also myocardial I/RI progression. We therefore hypothesize that adenosine play a protective role in diabetic myocardial I/RI through the inhibition of calpain.

journal_name

Med Hypotheses

journal_title

Medical hypotheses

authors

Yang Y,Duan W,Zhou J,Yan J,Liu J,Zhang J,Jin Z,Yi D

doi

10.1016/j.mehy.2012.06.022

subject

Has Abstract

pub_date

2012-10-01 00:00:00

pages

462-4

issue

4

eissn

0306-9877

issn

1532-2777

pii

S0306-9877(12)00298-8

journal_volume

79

pub_type

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