Intracoronary application of C1 esterase inhibitor improves cardiac function and reduces myocardial necrosis in an experimental model of ischemia and reperfusion.

Abstract:

BACKGROUND:Myocardial injury from ischemia can be aggravated by reperfusion of the jeopardized area. The precise underlying mechanisms have not been clearly defined, but proinflammatory events, including complement activation, leukocyte adhesion, and infiltration and release of diverse mediators, probably play important roles. The present study addresses the possibility of reducing reperfusion damage by the application of C1 esterase inhibitor (C1-INH). METHODS AND RESULTS:Cardioprotection by C1-INH 20 IU/kg IC was examined in a pig model with 60 minutes of coronary occlusion, followed by 120 minutes of reperfusion. C1-INH was administered during the first 5 minutes of coronary reperfusion Compared with the NaCl controls, C1-INH reduced myocardial injury (48.8 +/- 7.8% versus 73.4 +/- 4.0% necrosis of area at risk, P < or = .018). C1-INH treatment significantly reduced circulating C3a and slightly attenuated C5a plasma concentrations. Myocardial protection was accompanied by reduced plasma concentration of creatine kinase and troponin-T. C1-INH had no effect on global hemodynamic parameters, but local myocardial contractility was markedly improved in the ischemic zone. In the short-axis view, 137 degrees of the anteroseptal region showed significantly improved wall motion at early and 29 degrees at late reperfusion with C1-INH treatment. CONCLUSIONS:C1-INH significantly protects ischemic tissue from reperfusion damage, reduces myocardial necrosis, and improves local cardiac function.

journal_name

Circulation

journal_title

Circulation

authors

Horstick G,Heimann A,Götze O,Hafner G,Berg O,Böhmer P,Becker P,Darius H,Rupprecht HJ,Loos M,Bhakdi S,Meyer J,Kempski O

doi

10.1161/01.cir.95.3.701

subject

Has Abstract

pub_date

1997-02-04 00:00:00

pages

701-8

issue

3

eissn

0009-7322

issn

1524-4539

journal_volume

95

pub_type

杂志文章
  • Anticardiolipin antibodies and recurrent coronary events: a prospective study of 1150 patients. Thrombogenic Factors, and Recurrent Coronary Events Investigators.

    abstract:BACKGROUND:The association of anticardiolipin (aCL) antibodies with coronary artery disease has been shown in several studies but remains controversial. We evaluated the association of aCL and anti-beta(2)-glycoprotein I (abeta(2)GPI) antibodies with the risk of recurrent cardiac events in postinfarction patients. MET...

    journal_title:Circulation

    pub_type: 杂志文章,多中心研究

    doi:10.1161/01.cir.102.11.1258

    authors: Bili A,Moss AJ,Francis CW,Zareba W,Watelet LF,Sanz I

    更新日期:2000-09-12 00:00:00

  • Does retrograde warm blood cardioplegia provide equal protection to both ventricles? A magnetic resonance spectroscopy study in pigs.

    abstract:BACKGROUND:The degree of protection provided to the right ventricle during retrograde continuous normothermic blood cardioplegia (RCNBC) remains controversial. The purpose of this study was to determine whether RCNBC is able to provide "adequate" nutritive flow to both ventricles to prevent ischemic metabolism in norma...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Ye J,Sun J,Shen J,Gregorash L,Summers R,Salerno TA,Deslauriers R

    更新日期:1997-11-04 00:00:00

  • The deceptive aortic root.

    abstract::Coronal, horizontal, and sagittal sections through the mid-line are excellent ways of depicting the anatomical position of the aortic root and for studying its topographical relationship to the surrounding vascular structures. Minimal radiographic abnormalities or no abnormalities at all may be present with an enlarge...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.51.2.389

    authors: Viamote M,Camacho M,Cahill DR,Viamonte M,Mori K

    更新日期:1975-02-01 00:00:00

  • Interleukin-8 mediates downregulation of tissue inhibitor of metalloproteinase-1 expression in cholesterol-loaded human macrophages: relevance to stability of atherosclerotic plaque.

    abstract:BACKGROUND:The accumulation of macrophage-derived foam cells in atherosclerotic lesions correlates with increased local release of matrix-degrading metalloproteinases (MMPs) and a thin fibrous cap. The activity of these enzymes is controlled by specific tissue inhibitors of metalloproteinases (TIMPs). METHODS AND RESU...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.99.3.420

    authors: Moreau M,Brocheriou I,Petit L,Ninio E,Chapman MJ,Rouis M

    更新日期:1999-01-26 00:00:00

  • Long-term benefit of postconditioning.

    abstract:BACKGROUND:We previously demonstrated that ischemic postconditioning decreases creatine kinase release, a surrogate marker for infarct size, in patients with acute myocardial infarction. Our objective was to determine whether ischemic postconditioning could afford (1) a persistent infarct size limitation and (2) an imp...

    journal_title:Circulation

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1161/CIRCULATIONAHA.107.729780

    authors: Thibault H,Piot C,Staat P,Bontemps L,Sportouch C,Rioufol G,Cung TT,Bonnefoy E,Angoulvant D,Aupetit JF,Finet G,André-Fouët X,Macia JC,Raczka F,Rossi R,Itti R,Kirkorian G,Derumeaux G,Ovize M

    更新日期:2008-02-26 00:00:00

  • Immediate diagnosis of acute myocardial infarction by two-dimensional echocardiography.

    abstract::To define the role of portable two-dimensional echocardiography (2-D echo) in the immediate diagnosis of acute chest pain syndrome, 80 consecutive patients were studied. Adequate 2-D echo studies were obtained in 65 (81%). Thirty-three patients had clinical evidence of transmural or nontransmural acute myocardial infa...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.65.2.323

    authors: Horowitz RS,Morganroth J,Parrotto C,Chen CC,Soffer J,Pauletto FJ

    更新日期:1982-02-01 00:00:00

  • Hirulog in the treatment of unstable angina. Results of the Thrombin Inhibition in Myocardial Ischemia (TIMI) 7 trial.

    abstract:BACKGROUND:Direct thrombin inhibitors are a new class of drugs that may offer a more effective and potentially simpler alternative to heparin. Hirulog is a synthetic peptide based on the leech-derived compound hirudin and, like hirudin, is a highly specific, direct inhibitor of free and clot-bound thrombin. METHODS AN...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1161/01.cir.92.4.727

    authors: Fuchs J,Cannon CP

    更新日期:1995-08-15 00:00:00

  • Randomized crossover comparison of DDDR versus VDD pacing after atrioventricular junction ablation for prevention of atrial fibrillation. The atrial pacing peri-ablation for paroxysmal atrial fibrillation (PA (3)) study investigators.

    abstract:BACKGROUND:Some clinical data suggest that atrial-based pacing prevents paroxysmal atrial fibrillation (AF). This study tested the hypothesis that DDDR pacing compared with VDD pacing prevents AF after atrioventricular (AV) junction ablation. METHODS AND RESULTS:Patients were randomized to DDDR pacing (n=33) or to VDD...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1161/01.cir.102.7.736

    authors: Gillis AM,Connolly SJ,Lacombe P,Philippon F,Dubuc M,Kerr CR,Yee R,Rose MS,Newman D,Kavanagh KM,Gardner MJ,Kus T,Wyse DG

    更新日期:2000-08-15 00:00:00

  • Aortic valve replacement and concomitant mitral valve regurgitation in the elderly: impact on survival and functional outcome.

    abstract:BACKGROUND:The impact of mitral regurgitation (MR) on elderly patients (> or = 70 years) undergoing isolated aortic valve replacement (AVR) is not clearly defined. This study investigates the long-term effects of preoperative, moderate MR on survival and functional outcome in elderly AVR patients. METHODS AND RESULTS:...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.104.526046

    authors: Barreiro CJ,Patel ND,Fitton TP,Williams JA,Bonde PN,Chan V,Alejo DE,Gott VL,Baumgartner WA

    更新日期:2005-08-30 00:00:00

  • Hemodynamic patterns of age-related changes in blood pressure. The Framingham Heart Study.

    abstract:BACKGROUND:We attempted to characterize age-related changes in blood pressure in both normotensive and untreated hypertensive subjects in a population-based cohort from the original Framingham Heart Study and to infer underlying hemodynamic mechanisms. METHODS AND RESULTS:A total of 2036 participants were divided into...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.96.1.308

    authors: Franklin SS,Gustin W 4th,Wong ND,Larson MG,Weber MA,Kannel WB,Levy D

    更新日期:1997-07-01 00:00:00

  • Paclitaxel-Coated Balloons and Eluting Stents: Is There a Mortality Risk in Patients With Peripheral Artery Disease?

    abstract::Paclitaxel drug-coated balloons and drug-eluting stents became commercially available for the treatment of intermittent claudication in 2015 and 2012, respectively. Both devices demonstrated superiority in limb revascularization compared with non-paclitaxel-coated devices and were rapidly accepted into clinical practi...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.119.041099

    authors: Beckman JA,White CJ

    更新日期:2019-10-15 00:00:00

  • Association between apolipoprotein E alleles and calcific valvular heart disease.

    abstract:BACKGROUND:Studies on apolipoprotein E (apoE) alleles have reported an increased risk of coronary heart disease in patients with the apoE4 allele. Given the risk factor and histological similarities between coronary and calcific valvular heart disease (aortic stenosis [AS] and mitral annular calcification [MAC]), we po...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.CIR.0000097560.96431.3E

    authors: Novaro GM,Sachar R,Pearce GL,Sprecher DL,Griffin BP

    更新日期:2003-10-14 00:00:00

  • Cyclooxygenase-2 inhibitor treatment improves left ventricular function and mortality in a murine model of doxorubicin-induced heart failure.

    abstract:BACKGROUND:Progression of heart failure after initial myocardial injury is mediated in part by various redundant inflammatory mediators, including the widely expressed cyclooxygenase-2 (COX-2). Because COX-2 inhibitors are useful in treating many inflammation-mediated diseases, we asked whether COX-2 inhibition can att...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.CIR.0000121354.34067.48

    authors: Delgado RM 3rd,Nawar MA,Zewail AM,Kar B,Vaughn WK,Wu KK,Aleksic N,Sivasubramanian N,McKay K,Mann DL,Willerson JT

    更新日期:2004-03-23 00:00:00

  • From vulnerable plaque to vulnerable patient: a call for new definitions and risk assessment strategies: Part II.

    abstract::Atherosclerotic cardiovascular disease results in >19 million deaths annually, and coronary heart disease accounts for the majority of this toll. Despite major advances in treatment of coronary heart disease patients, a large number of victims of the disease who are apparently healthy die suddenly without prior sympto...

    journal_title:Circulation

    pub_type: 共识发展会议,杂志文章,评审

    doi:10.1161/01.CIR.0000087481.55887.C9

    authors: Naghavi M,Libby P,Falk E,Casscells SW,Litovsky S,Rumberger J,Badimon JJ,Stefanadis C,Moreno P,Pasterkamp G,Fayad Z,Stone PH,Waxman S,Raggi P,Madjid M,Zarrabi A,Burke A,Yuan C,Fitzgerald PJ,Siscovick DS,de Korte CL

    更新日期:2003-10-14 00:00:00

  • Early detection of canine myocardial infarction by magnetic resonance imaging in vivo.

    abstract::This study was undertaken to assess the ability of proton magnetic resonance imaging (MRI) to detect myocardial ischemia shortly after coronary artery occlusion. Fifteen dogs were studied before and serially for up to 6 hr after anterior descending or circumflex coronary artery ligation in vivo by gated MRI with a 0.1...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.71.3.587

    authors: Pflugfelder PW,Wisenberg G,Prato FS,Carroll SE,Turner KL

    更新日期:1985-03-01 00:00:00

  • Adrenergic receptors and sensitization of adenylyl cyclase in acute myocardial ischemia.

    abstract::Acute myocardial ischemia leads to a gradual increase in beta-adrenergic receptors at the cell surface. This increase occurs rapidly after onset of global ischemia (15 minutes) and persists even after prolonged periods of global ischemia. This alteration can be observed both in vivo and in vitro in isolated perfused h...

    journal_title:Circulation

    pub_type: 杂志文章,评审

    doi:

    authors: Strasser RH,Marquetant R,Kübler W

    更新日期:1990-09-01 00:00:00

  • Excess mortality due to coronary artery disease after valve surgery. Secular trends in valvular regurgitation and effect of internal mammary artery bypass.

    abstract:BACKGROUND:During the 1980s, mortality from coronary artery disease (CAD) decreased markedly in the United States. This raises the question of whether a parallel decrease occurred in excess mortality due to CAD in patients undergoing surgical correction of valvular regurgitation. METHODS AND RESULTS:Survival of 752 pa...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Tribouilloy CM,Enriquez-Sarano M,Schaff HV,Orszulak TA,Fett SL,Bailey KR,Tajik AJ,Frye RL

    更新日期:1998-11-10 00:00:00

  • Noninvasive evaluation of intrarenal oxygenation with BOLD MRI.

    abstract:BACKGROUND:The countercurrent arrangement of capillary blood flow in the medulla of mammalian kidneys generates a gradient of oxygen tension between the renal cortex and the papillary tip that results in a state of relative hypoxia within the renal medulla. Exploration of the pathophysiological implications of medullar...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.94.12.3271

    authors: Prasad PV,Edelman RR,Epstein FH

    更新日期:1996-12-15 00:00:00

  • An enzyme histochemical study of human sinus node, coronary sinus, and mitral valve muscle.

    abstract::An enzyme histochemical study of the sinoatrial node, the coronary sinus, and the atrial muscle extending into the anterior mitral valve was performed on human hearts. Investigation of the activity and localization of the structurally bound enzymes was performed by conventional histochemical techniques. Determination ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.72.1.205

    authors: Théry C,Krivosic I,Asseman P,Meijer AE

    更新日期:1985-07-01 00:00:00

  • Increased plasminogen activator inhibitor type 1 in coronary artery atherectomy specimens from type 2 diabetic compared with nondiabetic patients: a potential factor predisposing to thrombosis and its persistence.

    abstract:BACKGROUND:Inhibition of fibrinolysis attributable to elevated concentrations of plasminogen activator inhibitor type 1 (PAI-1) in blood is associated with insulin resistance, hyperinsulinemia, and type 2 diabetes mellitus. Because we have shown that insulin can stimulate PAI-1 synthesis in vivo and because accelerated...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.97.22.2213

    authors: Sobel BE,Woodcock-Mitchell J,Schneider DJ,Holt RE,Marutsuka K,Gold H

    更新日期:1998-06-09 00:00:00

  • Ultrafast computed tomography as a diagnostic modality in the detection of coronary artery disease: a multicenter study.

    abstract:BACKGROUND:Ultrafast computed tomography (CT), by acquiring images of the proximal coronary arteries, detects coronary calcifications and has been demonstrated to be highly sensitive for the detection of coronary artery disease in many small studies. The aim of this study was to determine the relationship between ultra...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1161/01.cir.93.5.898

    authors: Budoff MJ,Georgiou D,Brody A,Agatston AS,Kennedy J,Wolfkiel C,Stanford W,Shields P,Lewis RJ,Janowitz WR,Rich S,Brundage BH

    更新日期:1996-03-01 00:00:00

  • Phenotypic Consequences of a Genetic Predisposition to Enhanced Nitric Oxide Signaling.

    abstract:BACKGROUND:Nitric oxide signaling plays a key role in the regulation of vascular tone and platelet activation. Here, we seek to understand the impact of a genetic predisposition to enhanced nitric oxide signaling on risk for cardiovascular diseases, thus informing the potential utility of pharmacological stimulation of...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.117.028021

    authors: Emdin CA,Khera AV,Klarin D,Natarajan P,Zekavat SM,Nomura A,Haas M,Aragam K,Ardissino D,Wilson JG,Schunkert H,McPherson R,Watkins H,Elosua R,Bown MJ,Samani NJ,Baber U,Erdmann J,Gormley P,Palotie A,Stitziel NO,Gup

    更新日期:2018-01-16 00:00:00

  • Impaired modulation of sympathetic excitability by nitric oxide after long-term administration of organic nitrates in pigs.

    abstract:BACKGROUND:Endogenous nitric oxide (NO) reduces sympathetic vasoconstriction by attenuating neuronal excitability in the brain stem and inhibition of postganglionic neurotransmission. We studied whether this modulation of sympathetic circulatory control by NO may be altered during chronic administration of NO donor dru...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.97.23.2352

    authors: Zanzinger J,Czachurski J,Seller H

    更新日期:1998-06-16 00:00:00

  • Enhanced activity of variant phospholipase C-delta1 protein (R257H) detected in patients with coronary artery spasm.

    abstract:BACKGROUND:We recently demonstrated that phospholipase C (PLC)-delta1 activity in cultured skin fibroblasts obtained from patients with coronary spastic angina (CSA) is enhanced. We tested the hypothesis that structural abnormality in PLC-delta1 isoform is a cause of the enhanced activity. METHODS AND RESULTS:Sequence...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.0000014613.36469.3f

    authors: Nakano T,Osanai T,Tomita H,Sekimata M,Homma Y,Okumura K

    更新日期:2002-04-30 00:00:00

  • ACE inhibition attenuates sympathetic coronary vasoconstriction in patients with coronary artery disease.

    abstract:BACKGROUND:In humans, angiotensin converting enzyme (ACE) inhibition attenuates the vasoconstriction induced by sympathetic stimulation in a number of peripheral districts. Whether this is also the case in the coronary circulation is unknown, however. METHODS AND RESULTS:In nine normotensive patients with angiographic...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.85.6.2004

    authors: Perondi R,Saino A,Tio RA,Pomidossi G,Gregorini L,Alessio P,Morganti A,Zanchetti A,Mancia G

    更新日期:1992-06-01 00:00:00

  • Neurohumoral activation in preclinical heart failure. Remodeling and the potential for intervention.

    abstract::Congestive heart failure is often preceded by a latent or preclinical phase in which patients are relatively asymptomatic. During this period, there is neuroendocrine activation, left ventricular dysfunction, and remodeling of the heart. The extent to which these activities are interrelated is unclear, but it appears ...

    journal_title:Circulation

    pub_type: 杂志文章,评审

    doi:

    authors: Francis GS,McDonald KM,Cohn JN

    更新日期:1993-05-01 00:00:00

  • Eplerenone in patients with systolic heart failure and mild symptoms: analysis of repeat hospitalizations.

    abstract:BACKGROUND:Eplerenone is known to reduce time to first hospitalization for heart failure or cardiovascular death in patients with heart failure and mild symptoms. In chronic diseases such as heart failure, characterized by repeat hospitalizations, analyzing all heart failure hospitalizations, not just the first, should...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.112.110536

    authors: Rogers JK,McMurray JJ,Pocock SJ,Zannad F,Krum H,van Veldhuisen DJ,Swedberg K,Shi H,Vincent J,Pitt B

    更新日期:2012-11-06 00:00:00

  • Weight Loss and Heart Failure: A Nationwide Study of Gastric Bypass Surgery Versus Intensive Lifestyle Treatment.

    abstract:BACKGROUND:Associations of obesity with incidence of heart failure have been observed, but the causality is uncertain. We hypothesized that gastric bypass surgery leads to a lower incidence of heart failure compared with intensive lifestyle modification in obese people. METHODS:We included obese people without previou...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.116.025629

    authors: Sundström J,Bruze G,Ottosson J,Marcus C,Näslund I,Neovius M

    更新日期:2017-04-25 00:00:00

  • Noninvasive arterial thrombus imaging with 99mTc monoclonal antifibrin antibody.

    abstract:BACKGROUND:The T2G1s monoclonal antifibrin antibody binds specifically to fibrin but not to fibrinogen. METHODS AND RESULTS:In a canine model of acute arterial thrombosis, we determined the feasibility of imaging thrombi using a 99mTc-labeled Fab' fragment. In 14 dogs, 10 carotid and 13 femoral artery thrombi were pro...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.85.1.298

    authors: Cerqueira MD,Stratton JR,Vracko R,Schaible TF,Ritchie JL

    更新日期:1992-01-01 00:00:00

  • Endothelial progenitor cell vascular endothelial growth factor gene transfer for vascular regeneration.

    abstract:BACKGROUND:Previous studies have established that bone marrow-derived endothelial progenitor cells (EPCs) are present in the systemic circulation. In the current study, we investigated the hypothesis that gene transfer can be used to achieve phenotypic modulation of EPCs. METHODS AND RESULTS:In vitro, ex vivo murine v...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/hc0602.103673

    authors: Iwaguro H,Yamaguchi J,Kalka C,Murasawa S,Masuda H,Hayashi S,Silver M,Li T,Isner JM,Asahara T

    更新日期:2002-02-12 00:00:00