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Antagonismo entre leveduras e bactérias láticas na fermentação alcoólica / Antagonism between yeasts and lactic acid bacteria in alcoholic fermentationGomes, Fernanda Sgarbosa 18 December 2009 (has links)
Com o objetivo de avaliar o antagonismo entre leveduras e bactérias contaminantes do processo de produção de etanol com metabolismos distintos (homo e heterofermentativo) em diferentes condições, foi analisado o desempenho fermentativo de linhagens de Saccharomyces cerevisiae empregadas na fermentação industrial (BG- 1, CAT-1, PE-2 e Fleischmann) em co-cultivo com linhagens de Lactobacillus com diferentes metabolismos, sendo uma delas homofermentativa (L. plantarum - FT025B) e duas linhagens heterofermentativas (L. fermentum - FT230B e L. fructosus - FT432B). Foram avaliados o crescimento dos dois grupos de microrganismos com relação à densidade de células no meio e sua viabilidade e também através de suas atividades metabólicas, acessadas pela formação de metabólitos específicos (ácidos lático, succínico e acético, manitol e etanol). Os experimentos foram conduzidos em duas modalidades: I) em condições de laboratório, inoculando-se uma linhagem bacteriana com uma única linhagem de levedura na mesma proporção em meio sintético e sendo incubadas a 32 C por 24h e II) simulando as condições industriais de fermentação, com alimentação utilizando-se mosto misto durante 5 reciclos fermentativos. No Experimento I, a viabilidade da linhagem FT025B mostrou-se reduzida em relação à linhagem FT230. Observou-se também que no meio contendo a bactéria FT025B a viabilidade das 4 linhagens de levedura foi menor do que no meio controle e no meio inoculado com a bactéria FT230B. Os níveis de ácido lático foram mais elevados na presença da bactéria FT025B, enquanto os teores de ácido acético e de glicerol foram maiores nos meios com a linhagem FT230B. A produção de etanol foi reduzida na presença de ambas as bactérias. No Experimento II a presença das bactérias praticamente não afetou a viabilidade das leveduras industriais durante os reciclos. No entanto, ao contrário do que foi observado no Experimento I, as linhagens bacterianas heterofermentativas apresentaram melhor crescimento e maior viabilidade em co-cultivo com as leveduras do que a homofermentativa. Também na presença de ambas as linhagens heterofermentativas observou-se uma significativa redução no rendimento alcoólico. A produção de lactato por tais linhagens foi muito próxima e em alguns ciclos até maior que a produção pela linhagem homofermentativa. No entanto, como no Experimento I, nos tratamentos com a bactéria FT025B a produção de glicerol foi menor até mesmo que no tratamento controle, tratando-se do primeiro registro de menor produção de glicerol por leveduras que se encontram na presença de contaminação bacteriana. Sugere-se que o ácido lático e o acético, juntamente com o etanol, podem ter agido sinergisticamente no metabolismo e crescimento das leveduras, resultando principalmente em uma diminuição do rendimento alcoólico. É também provável que as linhagens bacterianas heterofermentativas foram capazes de resistir melhor aos elevados teores de etanol excretados pelas leveduras e encontrados no processo industrial, uma vez que também são capazes de produzir tal composto. / This study aimed to evaluate the antagonism between yeasts and contaminating bacteria of the ethanol production process with different metabolisms (homo- and heterofermentative) in different conditions. Thus, the fermentation performance of Saccharomyces cerevisiae strains used in industrial fermentation (BG-1, CAT-1, PE-2 and Fleischmann) was analyzed in co-cultivation with Lactobacillus strains with different metabolisms, one of them homofermentative (L . plantarum - FT025B) and two heterofermentatives strains (L. fermentum - FT230B and L. fructosus - FT432B). It was evaluated the growth of two microrganisms groups with respect to the cells density in the medium and their viability and also through their metabolic activities, accessed by specific metabolites production (lactic, acetic and succinic acid, mannitol and ethanol). The experiments were conducted in two ways: I) in laboratory conditions, inoculating a bacterial strain with a single yeast strain in the same synthetic medium incubated at 32°C for 24h and II) simulating the industrial fermentation conditions, with fed by using mixed must for 5 fermentative recycle. In Experiment I, the viability of FT025B strain proved to be small in relation to FT230 strain. It was also observed that in the medium containing the bacteria FT025B the viability of the 4 yeast strains was lower than the control and the treatment with FT230B strain. The levels of lactic acid were higher in the presence of bacteria FT025B, while the levels of acetic acid and glycerol were higher in treatments with FT230B strain. The production of ethanol was reduced in the presence of both bacteria. In Experiment II, the presence of bacteria did not affect the viability of industrial yeasts during recycling. However, contrary to what was observed in Experiment I, the heterofermentatives bacterial strains showed higher growth and higher viability in co-cultivation with the yeasts than homofermentative. Also in the presence of both strains heterofermentatives there was a significant reduction in the alcoholic yield. The lactate production by these strains was very close and, in some cycles, higher than the production by the homofermentative strain. However, as in Experiment I,in the treatments with FT025B strain the production of glycerol was lower even than in the control treatment, this is the first record of lower production of glycerol by yeasts that are in the presence of bacterial contamination. It is suggested that the lactic acid and acetic acid along with ethanol, may have acted synergistically in yeasts metabolism and growth, resulting in reduced alcoholic yields. It is also likely that the bacterial strains heterofermentatives were better able to resist the high ethanol levels excreted by yeasts and found in industrial process, since they are also able to produce this compound.
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Efeitos da associação entre treinamento físico e tratamento farmacológico com -bloqueadores sobre a cardiomiopatia induzida por hiperatividade simpática em camundongos / Effects of the association between exercise training and - blockers in a genetic model of sympathetic hyperactivity induced heart failure in miceVanzelli, Andréa Somolanji 08 December 2009 (has links)
Adicionalmente às alterações estruturais e funcionais observadas na insuficiência cardíaca (IC), as alterações na dinâmica do Ca2+ intracelular apresentam uma relação negativa com a contratilidade e função cardíaca. Para evitar a progressão da IC, o tratamento desta síndrome, conta atualmente com intervenções multifatoriais, incluindo a terapia farmacológica, com destaque aos -bloqueadores, e a terapia não medicamentosa incluindo o treinamento físico aeróbico, que quando realizado em intensidade adequada melhora a tolerância ao esforço e a qualidade de vida do portador de insuficiência cardíaca. É bem conhecido que os -bloqueadores melhoram a função cardíaca e dinâmica do Ca2+ intracelular na IC, além de minimizar a remodelação cardíaca, no entanto, ainda existem controvérsias sobre qual o melhor -bloqueador a ser utilizado e seus efeitos específicos na regulação de Ca2+ intracelular. Quanto aos efeitos do treinamento físico aeróbico na IC, seu efeito é reconhecido na melhora da tolerância aos esforços e qualidade de vida do paciente, o que é atribuído principalmente, a ganhos vasculares e músculos-esqueléticos. Em relação à função cardíaca, em trabalho anterior do nosso laboratório, o treinamento físico aeróbico melhorou a função cardíaca associado à melhora nos transientes de cálcio do miócito cardíaco. Como tanto o treinamento físico como os -bloqueadores apresentaram seus respectivos efeitos positivos, mas diferenciados, na presente tese estudou-se o efeito associado do treinamento físico ao tratamento com -bloqueadores sobre a função cardíaca e o fluxo de cálcio no cardiomiócito. Além disso, comparou-se qual -bloqueador (metoprolol ou carvedilol) seria mais efetivo na associação com o treinamento físico. Dividimos nossa amostra em 6 grupos, todos com IC. Dentre eles, 3 foram mantidos sedentários; salina (S), metoprolol (M) e carvedilol (C) e 3 foram treinados; treinados (T), treinados e tratados com metoprolol (MT) e treinados e tratados com carvedilol (CT). Verificamos que apenas os camundongos com IC treinados melhoraram a tolerância ao esforço, medida por teste máximo em esteira rolante, o que não foi observado no tratamento farmacológico isoladamente. Quanto à função cardíaca, observamos uma melhora da função nos grupos que realizaram treinamento físico ou foram tratados com metoprolol ou carvedilol isoladamente. Nos grupos que associaram as terapias farmacológicas e nãofarmacológica, observamos uma melhora da função apenas no grupo treinado carvedilol associada a um aumento da expressão da SERCA 2, proteína esta, envolvida na recaptação do Ca2+ para o reticulo sarcoplasmático, e, portanto, relacionada ao relaxamento da bomba cardíaca, apesar de não se observar aumento no pico do transiente de cálcio em cardiomiócitos isolados. Em conjunto, os resultados sugerem uma associação preferencial entre o treinamento físico e o carvedilol o que pode trazer implicações clínicas futuras importantes para o tratamento da IC. / In heart failure (HF), structural and functional alterations in myocardium are often paralleled by, defects in intracellular Ca2+ transients.. Within therapeutical strategies for heart failure, it is worth mentioning -blockers and aerobic exercise training. It is known that -blockers improve cardiac function and Ca2+ handling in heart failure. Indeed, -blockers present cardiac antiremodeling effects, but there are many controversies concerning which - blocker is more efficient in HF treatment and which would be its specific effects in Ca2+ regulation. In relation to aerobic exercise training effects in HF, it is important to highlight its positive effects in exercise tolerance and life quality improvement associated with vascular and skeletal muscle gains. We also observed previously that exercise training improves cardiac function associated with improved calcium transients in cardiac myocytes. Taking into consideration the positive impact of both exercise training and -blockers, presently we studied the associative effect of exercise training and -blockers on cardiac function and Ca2+ handling in cardiomyocytes in sympathetic hyperactivity induced HF in mice. We further compared which -blocker (metoprolol or carvedilol) would be more effective to be associated with exercise training. HF mice were assigned into 6 different groups, being 3 of them sedentary: saline (S), metoprolol (M) and carvedilol (C) and 3 exercisetrained: trained (T), trained and treated with metoprolol (MT), and trained and treated with carvedilol (CT). We observed that only HF mice exercise-trained improved exercise tolerance evaluated by maximum exercise test on a treadmill, which was not observed in -blocker treatment alone. Both exercise training and -blockers improved cardiac function evaluated by echocardiography, respectively. When exercise training was associated with -blockers, only HF mice exercise-trained and carvedilol-treated improved cardiac function associated with increased expression of SERCA 2 protein levels, which is involved in sarcoplasmic Ca2+ reuptake and cardiac relaxation. This response was not paralleled by changes in peak Ca2+ transients in isolated cardiac myocytes. Our results provide evidence for a superior effect of exercise training associated with carvedilol for improving cardiac function in HF mice.
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Modeling Tardive Dyskinesia: Predictive 5-HT<sub>2c</sub> Receptor Antagonist TreatmentKostrzewa, Richard M., Huang, Nuo Yu, Kostrzewa, John P., Nowak, Przemyslaw, Brus, Ryszard 01 March 2007 (has links)
Tardive dyskinesia (TD), a movement disorder produced by long-term treatment with a classical antipsychotic drug, is generally considered to be a disorder of dopamine (DA) systems, since classical antipsychotics are potent DA D2 receptor blockers. Also, acute DA D1 agonist treatment of rats is known to produce vacuous chewing movements (VCMs), a behavioral feature resembling the oral dyskinesia that is so prominent in most instances of TD. In this paper we outline a series of studies in a new animal model of TD in which DA D1 receptor supersensitivity was produced by neonatal 6-hydroxydopamine (6-OHDA)-induced destruction of nigrostriatal DA fibers. In rats so-lesioned 5-HT receptor supersensitivity is additionally produced, and in fact 5-HT receptor antagonists attenuate enhanced DA D16-lesioned rats treated with haloperidol for one year, there is a 2-fold increase in numbers of VCMs (versus intact rats treated with haloperidol); and this high frequency of VCMs persists for more than 6 months after discontinuing haloperidol treatment. During this stage, 5-HT2 receptor antagonists, but not DA D1 receptor antagonists, attenuate the incidence of VCMs. This series of findings implicates the 5-HT neuronal phenotype in TD, and promotes 5-HT2 receptor antagonists, more specifically 5-HT2C receptor antagonists, as a rational treatment approach for TD in humans.
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Characterization of a polypeptide factor that inhibits the growth of a human breast cancer line in vitroHarris, Neil S 24 April 2017 (has links)
This thesis concerns a melanoma-derived growth regulatory factor that inhibited proliferation of several malignant human cell lines, and, in particular, a line designated UCT-BR-1, which was derived from a human breast cancer metastasis. The work is presented in four chapters. Chapter 1 provides a review of the relevant literature at the time of writing; Chapters 2 and 3 describe the experimental work that was done; and in Chapter 4 I discuss the implications of my results for current and future work in growth factors. Experimental results are presented as Charts (which may be Figures or Tables) and the methods and experimental protocols that I used are described in the Chart legends and not in the main text of the thesis. The Appendix contains details of the tissue culture techniques and descriptions of the cell lines that were used. Sources of the various laboratory materials as well as the methods that were employed for the more routine procedures are also described in the appendix.
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Tamoxifen metabolites can target both aromatase and estrogen receptorsLiu, Jinzhong 10 August 2015 (has links)
Indiana University-Purdue University Indianapolis (IUPUI) / Breast cancer remains the most prevalent malignancy diagnosed in women. More than two thirds of all diagnosed breast cancers are estrogen receptor (ER)-positive and are dependent on estrogen signaling. Drugs for the treatment of ER-positive breast cancer can be divided into three classes: selective estrogen receptor modulators (SERMs), selective estrogen receptor down-regulators (SERDs) and aromatase inhibitors (AIs). However, the efficacy and safety of SERMs, SERDs and AIs are compromised by side effects or tumor resistance. One possible way of improving treatment efficacy and safety profiles is to develop agents with dual aromatase inhibitory and ER modulatory activity.
Over the past 30 years, tamoxifen, a SERM, has become the most widely used drug for the adjuvant treatment of breast cancer. The metabolism of tamoxifen has a complex profile involving both active and inactive metabolites, among which endoxifen, 4-hydroxytamoxifen (4-HT) and norendoxifen (Nor) have been shown to have ER modulatory activity. Previous studies have also shown that norendoxifen is a potent AI in vitro. These preliminary studies support the utilization of tamoxifen metabolites as lead compounds for the development of dual AI/SERM(D) agents.
Hydroxynorendoxifen (Hdn) was identified as a novel tamoxifen metabolite, with an average plasma concentration of 0.82 nM. Nor and Hdn were potent and relatively selective AIs, with Kis of 70 nM and 20 nM, respectively. Nor and Hdn have high binding affinity for ER-α and ER-β, with EC50 values less than 35 nM. Nor and Hdn can inhibit breast cancer cell proliferation with high potency, with IG50s of 25 nM and 9 nM, respectively. Nor and Hdn can suppress progesterone receptor (PGR) mRNA expression level by reducing it by 68% and 86%. Moreover, a series of Nor analogues were shown to have both potent aromatase inhibitory activity and high ERs binding affinity.
Results from this dissertation will contribute to three aspects: 1) the identification of Hdn as a tamoxifen metabolite illustrated a more comprehensive metabolism profile of tamoxifen; 2) the data suggest Nor and Hdn possess dual aromatase inhibitory and ER antagonistic activity; 3) a series of Nor analogues were characterized as lead compounds for the development of dual AI/SERM(D) agents.
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Expedient synthesis of chiral poly-substituted morpholine and oxazepine derivatives for the preparation of cyclophilin A inhibitorsBilbeisi, Rana A., 1983- January 2008 (has links)
No description available.
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Preconditioning of Isolated Rabbit Cardiomyocytes: Induction by Metabolic Stress and Blockade by the Adenosine Antagonist SPT and Calphostin C, a Protein Kinase C InhibitorArmstrong, Stephen, Downey, James M., Ganote, Charles E. 01 January 1994 (has links)
Objective: The aim was to determine if isolated rabbit cardiomyocytes could be preconditioned. Methods: Cardiomyocytes isolated from rabbit hearts were subjected to 15 min oxygenated preincubation, with and without substrate, prior to concentration into an ischaemic slurry, with or without glucose present. The effects of an adenosine agonist (CCPA), an adenosine receptor blocker (SPT), and the protein kinase C blocker, calphostin C, on rates of ischaemic contracture and survival of the myocytes were determined after various times of ischaemia, following resuspension of the cells in hypotonic media. Results: A glucose-free preincubation period protected myocytes from subsequent ischaemic injury, with a 40% reduction of cell death at 90-120 min and 1-2 h delay in cell death. CCPA added during preincubation and during the ischaemic period also tended to protect from injury, but the differences were not significant and protection was less than with a glucose-free preincubation. Although preincubation with CCPA did not precondition, SPT added to the preincubation medium only, or to both the preincubation medium and the ischaemic pellet, inhibited the preconditioning effect of a glucose-free preincubation period. Calphostin C, added only into the ischaemic pellet, inhibited the preconditioning effect of glucose-free preincubation. Conclusions: Glucose-free preincubation protects ischaemic isolated myocytes from subsequent ischaemia. The degree of protection is great enough to account for protection seen in intact hearts, following preconditioning protocols. Protection is blocked by SPT and a highly specific protein kinase C inhibitor, calphostin C. Protection from ischaemic injury that seems to mimic ischaemic preconditioning can be induced in isolated cardiomyocytes, and appears dependent on adenosine receptors and activation of protein kinase C.Cardiovascular Research 1994;28:72-77.
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Development of a novel cell-based screening platform to identify inhibitors of viral interferon antagonists from clinically important virusesVasou, Andri January 2016 (has links)
All viruses encode for at least one viral interferon (IFN) antagonist, which is used to subvert the cellular IFN response, a powerful antiviral innate immune response. Numerous in vitro and in vivo studies have demonstrated that IFN antagonism is crucial for virus survival, suggesting that viral IFN antagonists could represent promising therapeutic targets. This study focuses on Respiratory Syncytial Virus (RSV), an important human pathogen for which there is no vaccine or virus-specific antiviral drug. RSV encodes two IFN antagonists NS1 and NS2, which play a critical role in RSV replication and pathogenicity. We developed a high-throughput screening (HTS) assay to target NS2 via our A549.pr(ISRE)GFP-RSV/NS2 cell-line, which contains a GFP gene under the control of an IFN-stimulated response element (ISRE) to monitor IFN- signalling pathway. NS2 inhibits the IFN-signalling pathway and hence GFP expression in the A549.pr(ISRE)GFP-RSV/NS2 cell-line by mediating STAT2 degradation. Using a HTS approach, we screened 16,000 compounds to identify small molecules that inhibit NS2 function and therefore relinquish the NS2 imposed block to IFN-signalling, leading to restoration of GFP expression. A total of twenty-eight hits were identified; elimination of false positives left eight hits, four of which (AV-14, -16, -18, -19) are the most promising. These four hit compounds have EC₅₀ values in the single μM range and three of them (AV-14, -16, -18) represent a chemically related series with an indole structure. We demonstrated that the hit compounds specifically inhibit the STAT2 degradation function of NS2, not the function of NS1 or unrelated viral IFN antagonists. At the current time, compounds do not restrict RSV replication in vitro, hence hit optimization is required to improve their potency. Nonetheless, these compounds could be used as chemical tools to determine the unknown mechanism by which NS2 mediates STAT2 degradation and tackle fundamental questions about RSV biology.
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The new oral anti-coagulants and the phase 3 clinical trials - a systematic review of the literatureTahir, Faryal, Riaz, Haris, Riaz, Talha, Badshah, Maaz, Riaz, Irbaz, Hamza, Ameer, Mohiuddin, Hafsa January 2013 (has links)
BACKGROUND:Anticoagulation with vitamin K antagonists such as warfarin has historically been used for the long term management of patients with thromboembolic disease. However, these agents have a slow onset of action which requires bridging therapy with heparin and its analogues, which are available only in parenteral route. To overcome these limitations, new oral anticoagulants such as factor Xa inhibitors and direct thrombin inhibitors have been developed. The aim of this article is to systematically review the phase 3 clinical trials of new oral anticoagulants in common medical conditions.METHODS:We searched PubMed (Medline) from January 2007 to February 2013 using "Oral anticoagulants", "New oral anticoagulants", "Randomized controlled trial", "Novel anticoagulants", "Apixaban", "Rivaroxaban", "Edoxaban", "Dabigatran etexilate", "Dabigatran" and a combination of the above terms. The available evidence from the phase 3 RCTs was summarized on the basis of individual drug and the medical conditions categorized into "atrial fibrillation", "acute coronary syndrome", "orthopedic surgery", "venous thromboembolism" and "medically ill patients".RESULTS:Apixaban, rivaroxaban and dabigatran have been found to be either non-inferior or superior to enoxaparin in prophylaxis of venous thromboembolism in knee and hip replacement with similar bleeding risk, superior to warfarin for stroke prevention in atrial fibrillation with significant reduction in the risk of major bleeding, non-inferior to aspirin for reducing cardiovascular death and stroke in acute coronary syndrome with significant increase in the risk of major bleed. Rivaroxaban and dabigatran are also superior to the conventional agents in the management of symptomatic venous thromboembolism. However, compared to enoxaparin, apixaban and rivaroxaban use lead to significantly increased bleeding risk in medically ill patients. Additional studies evaluating the specific reversal agents of these new drugs for the management of life-threatening bleeding or other adverse effects are necessary.CONCLUSION:Considering their pharmacological properties, their efficacy and bleeding complications, the new oral agents offer a net favourable clinical profile in orthopedic surgery, atrial fibrillation, acute coronary syndrome and increase the risk of bleeding in critically ill patients. Further studies are necessary to determine the long term safety and to identify the specific reversal agents of these new drugs.
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The role of calcium and calcium antagonists in the reperfusion injury of the heartConradie, Suzanne Louise January 2005 (has links)
Thesis (PhD)--Stellenbosch University, 2005. / ENGLISH ABSTRACT: The reperfusion injury after myocardial ischemia is relevant in the clinical setting,
after cardiopulmonary bypass for cardiac surgery, after PTCA and stenting and
after cardiopulmonary resuscitation. The components of the reperfusion injury
considered in this study were myocardial stunning and reperfusion arrhythmias.
Calcium antagonists have been shown to be beneficial in attenuating the
myocardial reperfusion injury in the in vitro and in vivo laboratory setting
(Lamping, Gross 1985, Przyklenk and Kloner 1988, Taylor 1990, Ehring 1992,
Gross and Piper 1992). However systemic administration of a dose of calcium
antagonist, large enough to attenuate the myocardial reperfusion injury in the
clinical setting, would inevitably lead to unwanted systemic side effects of the
drug.
The aim of this study was to investigate the hypothesis that an adequate dose of
verapamil administered timeously, directly into the ischemic myocardium, would
attenuate the reperfusion injury, either when administered from the onset of
ischemia, or from 3 minutes before reperfusion.
The anesthetized open chest porcine model of myocardial ischemia (15 min total
LAD occlusion) and reperfusion was employed in this study. A low dose of
verapamil (0.5 mg/8mt or 0.0625mg/mt), a high dose of verapamil (2mg/8m or O.25mg/ml), or vehicle (saline) (8ml) was infused over 8 minutes, directly into
the LAD coronary artery supplying the ischemic segment. The infusion was
started either at the onset of ischemia, or from 3 minutes before reperfusion.
The time taken for the various parameters to return to pre ischemic values was
compared between the different groups.
The results showed that the high dose of verapamil (2mg) attenuated the
reperfusion injury both when administered from the onset of ischemia, and when
administered from 3 minutes before reperfusion, compared to either the low dose
of verapamil, or the saline infusions. The high dose of verapamil groups had a
faster recovery of both systolic contractile function and diastolic function and a
lower incidence of ventricular fibrillation on reperfusion. There were no systemic
effects of verapamil infusion in any of the groups.
The clinical setting of cardiac surgery expressly lends itself to the clinical
application of this finding. There is direct access to the coronary arteries both
before ischemia and before reperfusion. A small dose of calcium channel
blocking drug, with no systemic effect can be administered into the aortic root at
the onset of ischemia, just prior to cardioplegia (when the heart is still warm),
and after rewarming a few minutes prior to removal of the aortic cross clamp. / AFRIKAANSE OPSOMMING: Die reperfusie besering na miokardiale isgemie is klinies relevant na
kardiopulmonêre omleiding vir hart chirurgie, na kardiologiese PTKA en stut
prosedures en na kardiopulmonale ressussitasie. Die komponente van die
reperfusie besering wat in hierdie studie oorweeg is, is miokardiale tydelike
omkeerbare onderdrukking (stunning) en reperfusie arritmieë.
Kalsium antagoniste is gewys om effektief te wees in beperking van die
reperfusie besering in beide in vitro en in vivo laboratorium eksperimente
(Lamping, Gross 1985, Przyklenk en Kloner 1988, Taylor 1990, Ehring 1992,
Gross en Piper 1992). Sistemiese toediening van 'n dosis kalsium kanaal
blokker, voldoende om die miokardiale reperfusie besering in die pasiënt te
beperk, lei egter tot ongewenste sistemiese newe effekte van die middel.
Die doel van die studie was om die hipotese te ondersoek dat 'n voldoende dosis
verapamil, wat betyds direk toegedien is aan die isgemiese miokardium, die
reperfusie besering sal beperk, ongeag of dit toegedien is vanaf die begin van
isgemie, of van 3 minute voor reperfusie.
Die vark model van miokardiale isgemie en reperfusie is aangewend in die studie.
Die varke was tydens die eksperiment onder narkose, met die borskas oop, en
15 minute totale LAD okklusie is toegepas. 'n Lae dosis verapamil (0.5mg/8ml of 0.0625 mg/mt), of hoë dosis veraparnil (2mg/8mt of 0.25mg/mt), of saline
(8mt) is oor 8 minute toegedien direk in die LAD arterie wat die isgemiese
segment voorsien. Die infuus is begin direk na die aanvang van isgemie, of 3
minute voor die aanvang van reperfusie. Die tyd geneem vir terugvoer van
parameters na pre isgemiese waardes is tussen die groepe vergelyk.
Die resultate toon dat die hoë dosis veraparnil die reperfusie besering beperk in
vergelyking met die lae dosis veraparnil of saline infusies, ongeag of dit van die
begin van isgemie, of van 3 minute voor reperfusie toegedien word. Die groepe
wat die hoë dosis veraparnil ontvang het, het vinniger herstel van sistoliese en
diastoliese funksie getoon en het'n laer insidensie van reperfusie disritmieë,
gewys. Geen sistemiese effekte van veraparnail infuus is waargeneem nie.
Die kliniese toepassing van hierdie bevinding is by uitstek geskik vir toepassing
tydens kardiopulmonale omleiding by kardiale chirurgie. Daar is direkte toegang
tot koronêre arteries voor isgemie en voor reperfusie. 'n Klein dosis kalsium
antagonis, met weglaatbare sistemiese effekte, kan toegedien word in die aorta
wortel met die aanvang van isgemie, net voor kardioplegie toediening (hart
steeds warm), en na verwarming, 'n paar minute voor verwydering van die aorta
kruis klem.
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