Intracellular sodium hydrogen exchange inhibition and clinical myocardial protection

Although the mechanisms underlying ischemia/reperfusion injury remain elusive, evidence supports the etiologic role of intracellular calcium overload and oxidative stress induced by reactive oxygen species. Activation of the sodium hydrogen exchanger (NHE) is associated with intracellular calcium ac...

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Veröffentlicht in:The Annals of thoracic surgery 2003-02, Vol.75 (2), p.S700-S708
Hauptverfasser: Mentzer, Robert M, Lasley, Robert D, Jessel, Andreas, Karmazyn, Morris
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container_end_page S708
container_issue 2
container_start_page S700
container_title The Annals of thoracic surgery
container_volume 75
creator Mentzer, Robert M
Lasley, Robert D
Jessel, Andreas
Karmazyn, Morris
description Although the mechanisms underlying ischemia/reperfusion injury remain elusive, evidence supports the etiologic role of intracellular calcium overload and oxidative stress induced by reactive oxygen species. Activation of the sodium hydrogen exchanger (NHE) is associated with intracellular calcium accumulation. Inhibition of the NHE-1 isoform may attenuate the consequences of this injury. Although there is strong preclinical and early clinical evidence that NHE inhibitors may be cardioprotective, definitive proof of this concept in humans awaits the results of ongoing clinical trials.
doi_str_mv 10.1016/S0003-4975(02)04700-8
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subjects Amiloride - pharmacology
Animals
Biological and medical sciences
Cardiology. Vascular system
Coronary Artery Bypass
Coronary heart disease
Creatine Kinase - blood
Diuretics - pharmacology
Guanidines - pharmacology
Heart
Humans
Immunohistochemistry
Ischemic Preconditioning, Myocardial
Medical sciences
Myocardial Reperfusion Injury - physiopathology
Myocardial Reperfusion Injury - prevention & control
Sodium-Hydrogen Exchangers - antagonists & inhibitors
Sodium-Hydrogen Exchangers - metabolism
Sodium-Hydrogen Exchangers - physiology
Sulfones - pharmacology
title Intracellular sodium hydrogen exchange inhibition and clinical myocardial protection
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