Brief Episode of Myocardial Ischemia Before Prolonged Ischemia Attenuates Cardiac Sympathetic Nerve Injury

Background The aim of this study was to investigate the effects of brief ischemia before prolonged ischemia on cardiac sympathetic neural function. Brief ischemia inhibits the sympathetic neural release of norepinephrine (NE) during subsequent sustained ischemia. However, whether it can attenuate th...

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Veröffentlicht in:Circulation Journal 2006, Vol.70(7), pp.919-925
Hauptverfasser: Nakadate, Teruo, Nozawa, Takashi, Matsuki, Akira, Nonomura, Makoto, Igarashi, Norio, Igawa, Akihiko, Inoue, Hiroshi
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container_end_page 925
container_issue 7
container_start_page 919
container_title Circulation Journal
container_volume 70
creator Nakadate, Teruo
Nozawa, Takashi
Matsuki, Akira
Nonomura, Makoto
Igarashi, Norio
Igawa, Akihiko
Inoue, Hiroshi
description Background The aim of this study was to investigate the effects of brief ischemia before prolonged ischemia on cardiac sympathetic neural function. Brief ischemia inhibits the sympathetic neural release of norepinephrine (NE) during subsequent sustained ischemia. However, whether it can attenuate the neural function after sustained ischemia remains unknown. Methods and Results Sympathetic neural function was assessed using 123I-metaiodobenzylguanidine (MIBG) in patients who with (Group I) or without angina (Group II) within 3 days prior to acute myocardial infarction. In the rat experiment, cardiac interstitial NE (iNE) with or without pretreatment of 5-min coronary ligation was determined during a 30-min occlusion. Differences between MIBG and Thallium-201 for the total defect score were significantly greater in Group II than in Group I (6.1±4.0 vs 0.4±4.4). Levels of iNE were less in rats with a 5-min pretreatment (7.3±2.3 vs 18.6±5.9 ×103 pg/ml, p
doi_str_mv 10.1253/circj.70.919
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Brief ischemia inhibits the sympathetic neural release of norepinephrine (NE) during subsequent sustained ischemia. However, whether it can attenuate the neural function after sustained ischemia remains unknown. Methods and Results Sympathetic neural function was assessed using 123I-metaiodobenzylguanidine (MIBG) in patients who with (Group I) or without angina (Group II) within 3 days prior to acute myocardial infarction. In the rat experiment, cardiac interstitial NE (iNE) with or without pretreatment of 5-min coronary ligation was determined during a 30-min occlusion. Differences between MIBG and Thallium-201 for the total defect score were significantly greater in Group II than in Group I (6.1±4.0 vs 0.4±4.4). Levels of iNE were less in rats with a 5-min pretreatment (7.3±2.3 vs 18.6±5.9 ×103 pg/ml, p&lt;0.01) and MIBG uptake of ischemic region was greater (0.061±0.029 vs 0.031±0.011 %kg dose/g, p&lt;0.05) compared with rats without the pretreatment. Conclusion A brief episode of ischemia attenuates the sympathetic neural injury caused by subsequent prolonged ischemia and this protective effect is associated with attenuation of NE release during the prolonged ischemia. (Circ J 2006; 70: 919 - 925)</description><identifier>ISSN: 1346-9843</identifier><identifier>EISSN: 1347-4820</identifier><identifier>DOI: 10.1253/circj.70.919</identifier><identifier>PMID: 16799249</identifier><language>eng</language><publisher>Japan: The Japanese Circulation Society</publisher><subject>3-Iodobenzylguanidine - administration &amp; dosage ; Aged ; Angina Pectoris - complications ; Angina Pectoris - diagnostic imaging ; Angina Pectoris - metabolism ; Angina Pectoris - physiopathology ; Animals ; Arrhythmia ; Female ; Humans ; Male ; Middle Aged ; Myocardial infarction ; Myocardial Ischemia - diagnostic imaging ; Myocardial Ischemia - etiology ; Myocardial Ischemia - metabolism ; Myocardial Ischemia - physiopathology ; Nervous system ; Norepinephrine ; Norepinephrine - metabolism ; Nuclear medicine ; Radiography ; Radiopharmaceuticals - administration &amp; dosage ; Rats ; Sympathetic Nervous System - diagnostic imaging ; Sympathetic Nervous System - injuries ; Sympathetic Nervous System - metabolism ; Sympathetic Nervous System - physiopathology ; Tomography, Emission-Computed, Single-Photon</subject><ispartof>Circulation Journal, 2006, Vol.70(7), pp.919-925</ispartof><rights>2006 THE JAPANESE CIRCULATION SOCIETY</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c576t-66374b9417a3417924c26824f802af1625d8731632a982979afd0c487077305b3</citedby><cites>FETCH-LOGICAL-c576t-66374b9417a3417924c26824f802af1625d8731632a982979afd0c487077305b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,1882,4023,27922,27923,27924</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16799249$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nakadate, Teruo</creatorcontrib><creatorcontrib>Nozawa, Takashi</creatorcontrib><creatorcontrib>Matsuki, Akira</creatorcontrib><creatorcontrib>Nonomura, Makoto</creatorcontrib><creatorcontrib>Igarashi, Norio</creatorcontrib><creatorcontrib>Igawa, Akihiko</creatorcontrib><creatorcontrib>Inoue, Hiroshi</creatorcontrib><title>Brief Episode of Myocardial Ischemia Before Prolonged Ischemia Attenuates Cardiac Sympathetic Nerve Injury</title><title>Circulation Journal</title><addtitle>Circ J</addtitle><description>Background The aim of this study was to investigate the effects of brief ischemia before prolonged ischemia on cardiac sympathetic neural function. Brief ischemia inhibits the sympathetic neural release of norepinephrine (NE) during subsequent sustained ischemia. However, whether it can attenuate the neural function after sustained ischemia remains unknown. Methods and Results Sympathetic neural function was assessed using 123I-metaiodobenzylguanidine (MIBG) in patients who with (Group I) or without angina (Group II) within 3 days prior to acute myocardial infarction. In the rat experiment, cardiac interstitial NE (iNE) with or without pretreatment of 5-min coronary ligation was determined during a 30-min occlusion. Differences between MIBG and Thallium-201 for the total defect score were significantly greater in Group II than in Group I (6.1±4.0 vs 0.4±4.4). Levels of iNE were less in rats with a 5-min pretreatment (7.3±2.3 vs 18.6±5.9 ×103 pg/ml, p&lt;0.01) and MIBG uptake of ischemic region was greater (0.061±0.029 vs 0.031±0.011 %kg dose/g, p&lt;0.05) compared with rats without the pretreatment. Conclusion A brief episode of ischemia attenuates the sympathetic neural injury caused by subsequent prolonged ischemia and this protective effect is associated with attenuation of NE release during the prolonged ischemia. (Circ J 2006; 70: 919 - 925)</description><subject>3-Iodobenzylguanidine - administration &amp; dosage</subject><subject>Aged</subject><subject>Angina Pectoris - complications</subject><subject>Angina Pectoris - diagnostic imaging</subject><subject>Angina Pectoris - metabolism</subject><subject>Angina Pectoris - physiopathology</subject><subject>Animals</subject><subject>Arrhythmia</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Myocardial infarction</subject><subject>Myocardial Ischemia - diagnostic imaging</subject><subject>Myocardial Ischemia - etiology</subject><subject>Myocardial Ischemia - metabolism</subject><subject>Myocardial Ischemia - physiopathology</subject><subject>Nervous system</subject><subject>Norepinephrine</subject><subject>Norepinephrine - metabolism</subject><subject>Nuclear medicine</subject><subject>Radiography</subject><subject>Radiopharmaceuticals - administration &amp; dosage</subject><subject>Rats</subject><subject>Sympathetic Nervous System - diagnostic imaging</subject><subject>Sympathetic Nervous System - injuries</subject><subject>Sympathetic Nervous System - metabolism</subject><subject>Sympathetic Nervous System - physiopathology</subject><subject>Tomography, Emission-Computed, Single-Photon</subject><issn>1346-9843</issn><issn>1347-4820</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkElPwzAQRi0EYincOCOfOJHiJbHjY6lYKrFJwNlynUmbKImLnSD132Pail5mRpo3n0YPoUtKxpRl_NZW3tZjScaKqgN0SnkqkzRn5HAzi0TlKT9BZyHUhDBFMnWMTqiQSrFUnaL6zldQ4vtVFVwB2JX4Ze2s8UVlGjwLdgltZfAdlM4Dfveucd0Civ1m0vfQDaaHgKebK4s_1u3K9EvoK4tfwf8AnnX14Nfn6Kg0TYCLXR-hr4f7z-lT8vz2OJtOnhObSdEnQnCZzlVKpeGxxDctEzlLy5wwU1LBsiKXnArOjMqZksqUBbFpLomUnGRzPkLX29yVd98DhF63VbDQNKYDNwQt8izeMxXBmy1ovQvBQ6lXvmqNX2tK9J9bvXGrJdHRbcSvdrnDvIViD-9kRmCyBerQmwX8A8ZHFQ3s0-S2xND9bmm8ho7_Ahf4jIc</recordid><startdate>2006</startdate><enddate>2006</enddate><creator>Nakadate, Teruo</creator><creator>Nozawa, Takashi</creator><creator>Matsuki, Akira</creator><creator>Nonomura, Makoto</creator><creator>Igarashi, Norio</creator><creator>Igawa, Akihiko</creator><creator>Inoue, Hiroshi</creator><general>The Japanese Circulation Society</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>2006</creationdate><title>Brief Episode of Myocardial Ischemia Before Prolonged Ischemia Attenuates Cardiac Sympathetic Nerve Injury</title><author>Nakadate, Teruo ; Nozawa, Takashi ; Matsuki, Akira ; Nonomura, Makoto ; Igarashi, Norio ; Igawa, Akihiko ; Inoue, Hiroshi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c576t-66374b9417a3417924c26824f802af1625d8731632a982979afd0c487077305b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>3-Iodobenzylguanidine - administration &amp; dosage</topic><topic>Aged</topic><topic>Angina Pectoris - complications</topic><topic>Angina Pectoris - diagnostic imaging</topic><topic>Angina Pectoris - metabolism</topic><topic>Angina Pectoris - physiopathology</topic><topic>Animals</topic><topic>Arrhythmia</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Myocardial infarction</topic><topic>Myocardial Ischemia - diagnostic imaging</topic><topic>Myocardial Ischemia - etiology</topic><topic>Myocardial Ischemia - metabolism</topic><topic>Myocardial Ischemia - physiopathology</topic><topic>Nervous system</topic><topic>Norepinephrine</topic><topic>Norepinephrine - metabolism</topic><topic>Nuclear medicine</topic><topic>Radiography</topic><topic>Radiopharmaceuticals - administration &amp; dosage</topic><topic>Rats</topic><topic>Sympathetic Nervous System - diagnostic imaging</topic><topic>Sympathetic Nervous System - injuries</topic><topic>Sympathetic Nervous System - metabolism</topic><topic>Sympathetic Nervous System - physiopathology</topic><topic>Tomography, Emission-Computed, Single-Photon</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nakadate, Teruo</creatorcontrib><creatorcontrib>Nozawa, Takashi</creatorcontrib><creatorcontrib>Matsuki, Akira</creatorcontrib><creatorcontrib>Nonomura, Makoto</creatorcontrib><creatorcontrib>Igarashi, Norio</creatorcontrib><creatorcontrib>Igawa, Akihiko</creatorcontrib><creatorcontrib>Inoue, Hiroshi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Circulation Journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nakadate, Teruo</au><au>Nozawa, Takashi</au><au>Matsuki, Akira</au><au>Nonomura, Makoto</au><au>Igarashi, Norio</au><au>Igawa, Akihiko</au><au>Inoue, Hiroshi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Brief Episode of Myocardial Ischemia Before Prolonged Ischemia Attenuates Cardiac Sympathetic Nerve Injury</atitle><jtitle>Circulation Journal</jtitle><addtitle>Circ J</addtitle><date>2006</date><risdate>2006</risdate><volume>70</volume><issue>7</issue><spage>919</spage><epage>925</epage><pages>919-925</pages><issn>1346-9843</issn><eissn>1347-4820</eissn><abstract>Background The aim of this study was to investigate the effects of brief ischemia before prolonged ischemia on cardiac sympathetic neural function. Brief ischemia inhibits the sympathetic neural release of norepinephrine (NE) during subsequent sustained ischemia. However, whether it can attenuate the neural function after sustained ischemia remains unknown. Methods and Results Sympathetic neural function was assessed using 123I-metaiodobenzylguanidine (MIBG) in patients who with (Group I) or without angina (Group II) within 3 days prior to acute myocardial infarction. In the rat experiment, cardiac interstitial NE (iNE) with or without pretreatment of 5-min coronary ligation was determined during a 30-min occlusion. Differences between MIBG and Thallium-201 for the total defect score were significantly greater in Group II than in Group I (6.1±4.0 vs 0.4±4.4). Levels of iNE were less in rats with a 5-min pretreatment (7.3±2.3 vs 18.6±5.9 ×103 pg/ml, p&lt;0.01) and MIBG uptake of ischemic region was greater (0.061±0.029 vs 0.031±0.011 %kg dose/g, p&lt;0.05) compared with rats without the pretreatment. Conclusion A brief episode of ischemia attenuates the sympathetic neural injury caused by subsequent prolonged ischemia and this protective effect is associated with attenuation of NE release during the prolonged ischemia. (Circ J 2006; 70: 919 - 925)</abstract><cop>Japan</cop><pub>The Japanese Circulation Society</pub><pmid>16799249</pmid><doi>10.1253/circj.70.919</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
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subjects 3-Iodobenzylguanidine - administration & dosage
Aged
Angina Pectoris - complications
Angina Pectoris - diagnostic imaging
Angina Pectoris - metabolism
Angina Pectoris - physiopathology
Animals
Arrhythmia
Female
Humans
Male
Middle Aged
Myocardial infarction
Myocardial Ischemia - diagnostic imaging
Myocardial Ischemia - etiology
Myocardial Ischemia - metabolism
Myocardial Ischemia - physiopathology
Nervous system
Norepinephrine
Norepinephrine - metabolism
Nuclear medicine
Radiography
Radiopharmaceuticals - administration & dosage
Rats
Sympathetic Nervous System - diagnostic imaging
Sympathetic Nervous System - injuries
Sympathetic Nervous System - metabolism
Sympathetic Nervous System - physiopathology
Tomography, Emission-Computed, Single-Photon
title Brief Episode of Myocardial Ischemia Before Prolonged Ischemia Attenuates Cardiac Sympathetic Nerve Injury
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