Isoflurane postconditioning protects against reperfusion injury by preventing mitochondrial permeability transition by an endothelial nitric oxide synthase-dependent mechanism.

Abstract:

BACKGROUND:The role of endothelial nitric oxide synthase (eNOS) in isoflurane postconditioning (IsoPC)-elicited cardioprotection is poorly understood. The authors addressed this issue using eNOS mice. METHODS:In vivo or Langendorff-perfused mouse hearts underwent 30 min of ischemia followed by 2 h of reperfusion in the presence and absence of postconditioning produced with isoflurane 5 min before and 3 min after reperfusion. Ca+-induced mitochondrial permeability transition (MPT) pore opening was assessed in isolated mitochondria. Echocardiography was used to evaluate ventricular function. RESULTS:Postconditioning with 0.5, 1.0, and 1.5 minimum alveolar concentrations of isoflurane decreased infarct size from 56 +/- 10% (n = 10) in control to 48 +/- 10%, 41 +/- 8% (n = 8, P < 0.05), and 38 +/- 10% (n = 8, P < 0.05), respectively, and improved cardiac function in wild-type mice. Improvement in cardiac function by IsoPC was blocked by N-nitro-L-arginine methyl ester (a nonselective nitric oxide synthase inhibitor) administered either before ischemia or at the onset of reperfusion. Mitochondria isolated from postconditioned hearts required significantly higher in vitro Ca+ loading than did controls (78 +/- 29 microm vs. 40 +/- 25 microm CaCl2 per milligram of protein, n = 10, P < 0.05) to open the MPT pore. Hearts from eNOS mice displayed no marked differences in infarct size, cardiac function, and sensitivity of MPT pore to Ca+, compared with wild-type hearts. However, IsoPC failed to alter infarct size, cardiac function, or the amount of Ca+ necessary to open the MPT pore in mitochondria isolated from the eNOS hearts compared with control hearts. CONCLUSIONS:IsoPC protects mouse hearts from reperfusion injury by preventing MPT pore opening in an eNOS-dependent manner. Nitric oxide functions as both a trigger and a mediator of cardioprotection produced by IsoPC.

journal_name

Anesthesiology

journal_title

Anesthesiology

authors

Ge ZD,Pravdic D,Bienengraeber M,Pratt PF Jr,Auchampach JA,Gross GJ,Kersten JR,Warltier DC

doi

10.1097/ALN.0b013e3181c4a607

subject

Has Abstract

pub_date

2010-01-01 00:00:00

pages

73-85

issue

1

eissn

0003-3022

issn

1528-1175

journal_volume

112

pub_type

杂志文章
  • The extent of metabolism of inhaled anesthetics in humans.

    abstract::To determine the percentage of anesthetic metabolized and to assess the role of metabolism in the total elimination of inhaled anesthetics, the authors administered isoflurane, enflurane, halothane, and methoxyflurane simultaneously, for 2 h, to nine healthy patients. Total anesthetic uptake during the 2 h of washin a...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-198608000-00013

    authors: Carpenter RL,Eger EI 2nd,Johnson BH,Unadkat JD,Sheiner LB

    更新日期:1986-08-01 00:00:00

  • Alcohol consumption alters the pharmacodynamics of alfentanil.

    abstract::Two groups of women, ASA physical status 1, undergoing surgery for primary breast cancer, were studied to assess the effect of alcohol intake on alfentanil pharmacodynamics. Patients in group 1 (n = 6) had an average daily consumption of 20-40 g alcohol. Patients in group 2 (n = 8) were life-long abstainers or drank o...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-198911000-00008

    authors: Lemmens HJ,Bovill JG,Hennis PJ,Gladines MP,Burm AG

    更新日期:1989-11-01 00:00:00

  • Prospective external validation of a predictive score for postoperative pulmonary complications.

    abstract:BACKGROUND:No externally validated risk score for postoperative pulmonary complications (PPCs) is currently available. The authors tested the generalizability of the Assess Respiratory Risk in Surgical Patients in Catalonia risk score for PPCs in a large European cohort (Prospective Evaluation of a RIsk Score for posto...

    journal_title:Anesthesiology

    pub_type: 杂志文章,多中心研究

    doi:10.1097/ALN.0000000000000334

    authors: Mazo V,Sabaté S,Canet J,Gallart L,de Abreu MG,Belda J,Langeron O,Hoeft A,Pelosi P

    更新日期:2014-08-01 00:00:00

  • Cardioprotective trafficking of caveolin to mitochondria is Gi-protein dependent.

    abstract:BACKGROUND:Caveolae are a nexus for protective signaling. Trafficking of caveolin to mitochondria is essential for adaptation to cellular stress though the trafficking mechanisms remain unknown. The authors hypothesized that G protein-coupled receptor/inhibitory G protein (Gi) activation leads to caveolin trafficking t...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0000000000000295

    authors: Wang J,Schilling JM,Niesman IR,Headrick JP,Finley JC,Kwan E,Patel PM,Head BP,Roth DM,Yue Y,Patel HH

    更新日期:2014-09-01 00:00:00

  • Lidocaine and pentylenetetrazol seizure thresholds in cats are not reduced after enflurane anesthesia.

    abstract::Some previous reports indicate that the excitability of the brain may be increased for days following enflurane anesthesia. The authors investigated this possibility in cats by determining whether or not pentylenetetrazol- (Metrazol) or lidocaine-seizure thresholds decreased after repeated enflurane exposure. The lido...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-198105000-00010

    authors: Heavner JE,Amory DW

    更新日期:1981-05-01 00:00:00

  • Interaction of halogenated anesthetics with alpha- and beta-adrenoceptor stimulations in diabetic rat myocardium.

    abstract:BACKGROUND:Halogenated anesthetics potentiate the positive inotropic effects of alpha- and beta-adrenoceptor stimulations. Although diabetes mellitus induces significant myocardial abnormalities, the interaction of halogenated anesthetics and adrenoceptor stimulation in diabetic myocardium remains unknown. METHODS:Lef...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-200411000-00014

    authors: Amour J,David JS,Vivien B,Coriat P,Riou B

    更新日期:2004-11-01 00:00:00

  • Autoregulation of cerebral blood flow during normocapnia and hypocapnia in dogs.

    abstract::The effect of hypocapnia on autoregulation of cerebral blood flow (CBF) and the lower limit of autoregulation (LLA) was determined in dogs anesthetized with nitrous oxide (66%) and halothane (0.2%, end-expired concentration). CBF and cerebral vascular resistance (CVR) were determined during both normocapnia and hypoca...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-198902000-00018

    authors: Artru AA,Katz RA,Colley PS

    更新日期:1989-02-01 00:00:00

  • Effects of halothane on the sarcoplasmic reticulum Ca2+ stores and contractile proteins in rabbit pulmonary arteries.

    abstract:BACKGROUND:The authors' purpose of this study was to elucidate the mechanisms of direct effects of halothane on the contractile proteins and Ca2+ release from the sarcoplasmic reticulum Ca2+ stores using isolated skinned strips (sarcolemma permealized with saponin) from rabbit pulmonary arteries. METHODS:The sarcoplas...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199804000-00031

    authors: Su JY,Tang LJ

    更新日期:1998-04-01 00:00:00

  • Obesity decreases perioperative tissue oxygenation.

    abstract:BACKGROUND:Obesity is an important risk factor for surgical site infections. The incidence of surgical wound infections is directly related to tissue perfusion and oxygenation. Fat tissue mass expands without a concomitant increase in blood flow per cell, which might result in a relative hypoperfusion with decreased ti...

    journal_title:Anesthesiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000542-200402000-00015

    authors: Kabon B,Nagele A,Reddy D,Eagon C,Fleshman JW,Sessler DI,Kurz A

    更新日期:2004-02-01 00:00:00

  • Incidence and predictors of difficult and impossible mask ventilation.

    abstract:BACKGROUND:Mask ventilation is an essential element of airway management that has rarely been studied as the primary outcome. The authors sought to determine the incidence and predictors of difficult and impossible mask ventilation. METHODS:A four-point scale to grade difficulty in performing mask ventilation (MV) is ...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-200611000-00007

    authors: Kheterpal S,Han R,Tremper KK,Shanks A,Tait AR,O'Reilly M,Ludwig TA

    更新日期:2006-11-01 00:00:00

  • Opposing actions of etomidate on cortical theta oscillations are mediated by different gamma-aminobutyric acid type A receptor subtypes.

    abstract:BACKGROUND:Cortical networks generate diverse patterns of rhythmic activity. Theta oscillations (4-12 Hz) are commonly observed during spatial learning and working memory tasks. The authors ask how etomidate, acting predominantly via gamma-aminobutyric acid type A (GABAA) receptors containing beta2 or beta3 subunits, a...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-200502000-00017

    authors: Drexler B,Roether CL,Jurd R,Rudolph U,Antkowiak B

    更新日期:2005-02-01 00:00:00

  • Alterations in the functional connectivity of frontal lobe networks preceding emergence delirium in children.

    abstract:BACKGROUND:This study aimed to characterize the electroencephalogram in children who emerged with emergence delirium (ED) compared with children without ED using methods that involved the assessment of cortical functional connectivity. METHODS:Children aged 5 to 15 yr had multichannel electroencephalographic recording...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0000000000000376

    authors: Martin JC,Liley DT,Harvey AS,Kuhlmann L,Sleigh JW,Davidson AJ

    更新日期:2014-10-01 00:00:00

  • Breathing under Anesthesia: A Key Role for the Retrotrapezoid Nucleus Revealed by Conditional Phox2b Mutant Mice.

    abstract:BACKGROUND:Optimal management of anesthesia-induced respiratory depression requires identification of the neural pathways that are most effective in maintaining breathing during anesthesia. Lesion studies point to the brainstem retrotrapezoid nucleus. We therefore examined the respiratory effects of common anesthetic/a...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0000000000002675

    authors: Bourgeois T,Ringot M,Ramanantsoa N,Matrot B,Dauger S,Delclaux C,Gallego J

    更新日期:2019-06-01 00:00:00

  • Effects of subanesthetic concentrations of isoflurane and their interactions with epinephrine on acquisition and retention of the rabbit nictitating membrane response.

    abstract:BACKGROUND:Evidence concerning the concentrations of volatile anesthetics that prevent learning and recall is limited. Epinephrine is believed to enable learning during anesthesia. We investigated the effects of isoflurane and its interaction with epinephrine on learning and subsequent retention of the rabbit's classic...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199407000-00029

    authors: el-Zahaby HM,Ghoneim MM,Johnson GM,Gormezano I

    更新日期:1994-07-01 00:00:00

  • The effects of diazepam on cerebral blood flow and oxygen consumption in rats and its synergistic interaction with nitrous oxide.

    abstract::The effects of diazepam on cerebral blood flow (CBF) and cerebral oxygen uptake (CMRO2) was studied using a 133xenon modification of the Kety-Schmidt (1948) technique in paralyzed, artifically ventilated rats with and without simultaneous administration of 70 per cent nitrous oxide. Diazepam was given iv in doses that...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-197609000-00013

    authors: Carlsson C,Hgerdal M,Kaasik AE,Siesjö BK

    更新日期:1976-09-01 00:00:00

  • Kinetic modulation of HERG potassium channels by the volatile anesthetic halothane.

    abstract:BACKGROUND:(human ether-a-gogo related gene) encodes the cardiac rapidly activating delayed rectifier potassium currents (I(kr)), which play an important role in cardiac action potential repolarization. General anesthetics, like halothane, can prolong Q-T interval, suggesting that they act on myocellular repolarization...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-200210000-00026

    authors: Li J,Correa AM

    更新日期:2002-10-01 00:00:00

  • Anesthesia for cesarean delivery and learning disabilities in a population-based birth cohort.

    abstract:BACKGROUND:Anesthetics administered to immature brains may cause histopathological changes and long-term behavioral abnormalities. The association between perinatal exposure to anesthetics during Cesarean delivery (CD) and development of learning disabilities (LD) was determined in a population-based birth cohort. MET...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0b013e3181adf481

    authors: Sprung J,Flick RP,Wilder RT,Katusic SK,Pike TL,Dingli M,Gleich SJ,Schroeder DR,Barbaresi WJ,Hanson AC,Warner DO

    更新日期:2009-08-01 00:00:00

  • Density detection in dependent left lung region using transesophageal echocardiography.

    abstract:BACKGROUND:Densities in dependent lung regions worsen oxygenation in patients with acute respiratory distress syndrome. Identification of these densities requires examination using computed tomography (CT). In this study, the authors evaluated the use of transesophageal echocardiography (TEE) to estimate densities in t...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-200105000-00017

    authors: Tsubo T,Sakai I,Suzuki A,Okawa H,Ishihara H,Matsuki A

    更新日期:2001-05-01 00:00:00

  • Deficit Accumulation and Phenotype Assessments of Frailty Both Poorly Predict Duration of Hospitalization and Serious Complications after Noncardiac Surgery.

    abstract:BACKGROUND:Frailty is associated with adverse postoperative outcomes, but it remains unclear which measure of frailty is best. This study compared two approaches: the Modified Frailty Index, which is a deficit accumulation model (number of accumulated deficits), and the Hopkins Frailty Score, which is a phenotype model...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0000000000002959

    authors: Sonny A,Kurz A,Skolaris LA,Boehm L,Reynolds A,Cummings KC 3rd,Makarova N,Yang D,Sessler DI

    更新日期:2020-01-01 00:00:00

  • Antiemetic activity of propofol after sevoflurane and desflurane anesthesia for outpatient laparoscopic cholecystectomy.

    abstract:BACKGROUND:Controversy exists regarding the effectiveness of propofol to prevent postoperative nausea and vomiting. This prospective, randomized, single-blinded study was designed to evaluate the antiemetic effectiveness of 0.5 mg/kg propofol when administered intravenously after sevoflurane- compared with desflurane-b...

    journal_title:Anesthesiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000542-199810000-00007

    authors: Song D,Whitten CW,White PF,Yu SY,Zarate E

    更新日期:1998-10-01 00:00:00

  • Pharmacokinetics, neuromuscular effects, and biodisposition of 3-desacetylvecuronium (Org 7268) in cats.

    abstract::The pharmacokinetics, biodisposition, and neuromuscular blocking properties of 3-desacetylvecuronium were studied in 17 adult cats. Animals were divided into three groups: five cats with kidney failure induced by bilateral ligation of the renal pedicles, six cats with galactosamine-induced fulminant hepatitis, and six...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199106000-00013

    authors: Segredo V,Shin YS,Sharma ML,Gruenke LD,Caldwell JE,Khuenl-Brady KS,Agoston S,Miller RD

    更新日期:1991-06-01 00:00:00

  • Preemptive intravenous morphine-6-glucuronide is ineffective for postoperative pain relief.

    abstract:BACKGROUND:Morphine-6-glucuronide (M-6-G), a major metabolite of morphine, is reported to be more potent than morphine when administered intrathecally; however, its efficiency remains under debate when administered intravenously. This study was designed to assess the analgesic efficiency of intravenous M-6-G for the tr...

    journal_title:Anesthesiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000542-200002000-00015

    authors: Motamed C,Mazoit X,Ghanouchi K,Guirimand F,Abhay K,Lieutaud T,Bensaid S,Fernandez C,Duvaldestin P

    更新日期:2000-02-01 00:00:00

  • Predictors of pulse oximetry data failure.

    abstract:BACKGROUND:Pulse oximeters have been reported to fail to record data in 1.12-2.50% of cases in which anesthesia records were handwritten. There is reason to believe that these may be underestimates. Computerized anesthesia records may provide insight into the true incidence of pulse oximetry data failures and factors t...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199604000-00013

    authors: Reich DL,Timcenko A,Bodian CA,Kraidin J,Hofman J,DePerio M,Konstadt SN,Kurki T,Eisenkraft JB

    更新日期:1996-04-01 00:00:00

  • Mortality experience among anesthesiologists, 1954-1976.

    abstract::To determine whether anesthesiologists, because of prolonged exposure to halothane or other inhalational anesthetics, might have higher death rates from all causes, from cancer, and from hepatic or renal disease than other physicians, the mortality rates of male and female members of the American Society of Anesthesio...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-197909000-00003

    authors: Lew EA

    更新日期:1979-09-01 00:00:00

  • Cumulative duration of "triple low" state of low blood pressure, low bispectral index, and low minimum alveolar concentration of volatile anesthesia is not associated with increased mortality.

    abstract:BACKGROUND:Mortality after noncardiac surgery has been associated with the "triple low state," a combination of low mean arterial blood pressure (<75 mmHg), low bispectral index (<45), and low minimum alveolar concentration of volatile anesthesia (<0.70). The authors set out to determine whether duration of a triple lo...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0000000000000281

    authors: Kertai MD,White WD,Gan TJ

    更新日期:2014-07-01 00:00:00

  • Isoflurane modulation of neuronal nicotinic acetylcholine receptors expressed in human embryonic kidney cells.

    abstract:BACKGROUND:It is well established that neuronal nicotinic acetylcholine receptors (nAChRs) are sensitive to inhalational anesthetics. The authors previously reported that halothane potently blocked alpha4beta2-type nAChRs of rat cortical neurons. However, the effect of isoflurane, which is widely used clinically, on nA...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-200501000-00015

    authors: Yamashita M,Mori T,Nagata K,Yeh JZ,Narahashi T

    更新日期:2005-01-01 00:00:00

  • Factors associated with postoperative exacerbation of sleep-disordered breathing.

    abstract:INTRODUCTION:The knowledge on the mechanism of the postoperative exacerbation of sleep-disordered breathing may direct the perioperative management of patients with obstructive sleep apnea. The objective of this study is to investigate the factors associated with postoperative severity of sleep-disordered breathing. M...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0000000000000041

    authors: Chung F,Liao P,Elsaid H,Shapiro CM,Kang W

    更新日期:2014-02-01 00:00:00

  • Preoperative orthostatic dysfunction is associated with an increased incidence of postoperative nausea and vomiting.

    abstract:BACKGROUND:Postoperative nausea and vomiting (PONV) occurs frequently after gynecologic surgery. Because hemodynamic condition seems to be influential, women presenting with preoperative orthostatic dysregulation may have an increased risk for PONV. The aim of the present study was to assess the relationship between pr...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-200206000-00017

    authors: Pusch F,Berger A,Wildling E,Zimpfer M,Moser M,Sam C,Krafft P

    更新日期:2002-06-01 00:00:00

  • Dexamethasone changes brain monoamine metabolism and aggravates ischemic neuronal damage in rats.

    abstract:BACKGROUND:Glucocorticoids have been reported to aggravate ischemic brain damage. Because changes in the activities of various neuronal systems are closely related to the outcome of ischemic damage, the authors evaluated the effects of dexamethasone on the monoaminergic systems and ischemic neuronal damage. METHODS:Th...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199902000-00028

    authors: Tsubota S,Adachi N,Chen J,Yorozuya T,Nagaro T,Arai T

    更新日期:1999-02-01 00:00:00

  • Hepatic effects of repeated halothane anesthetics in the hypoxic rat model.

    abstract::The hepatic effects of repeated anesthesia of phenobarbital-induced Fischer 344 rats with 1% halothane/14% oxygen were investigated, after anesthetics were administered at either 1-day or 5-day intervals. Urinary excretion of fluoride, a product of reductive halothane metabolism, was increased in the 24-h period follo...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-198709000-00013

    authors: Plummer JL,Hall PD,Jenner MA,Cousins MJ

    更新日期:1987-09-01 00:00:00