Changes in the antioxidative defensive system during open heart operations in humans

It is known that reperfusion of the ischemic myocardium may intensify damage and increase the extent of myocardial necrosis. Oxygen free radicals and their metabolites have been implicated as possible elements in myocardial ischemia-reperfusion injury. In this study in cyanotic patients undergoing o...

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Veröffentlicht in:The Annals of thoracic surgery 1994-07, Vol.58 (1), p.170-175
Hauptverfasser: Kim, Ki-Bong, Chung, Hyoung Hwa, Kim, Myung Suk, Rho, Joon Ryang
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container_title The Annals of thoracic surgery
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creator Kim, Ki-Bong
Chung, Hyoung Hwa
Kim, Myung Suk
Rho, Joon Ryang
description It is known that reperfusion of the ischemic myocardium may intensify damage and increase the extent of myocardial necrosis. Oxygen free radicals and their metabolites have been implicated as possible elements in myocardial ischemia-reperfusion injury. In this study in cyanotic patients undergoing open heart operation for tetralogy of Fallot, the myocardial tissue activities of catalase, superoxide dismutase, glutathione peroxidase, and lactate dehydrogenase were determined together with the tissue contents of malondialdehyde, oxidized glutathione, and total glutathione using the spectrophotometric assay method. The tissue activities of catalase, Superoxide dismutase, and glutathione peroxidase increased significantly after myocardial reperfusion ( p < 0.05) when compared with the tissue activities of the control group (myocardial tissue taken immediately after aortic crossclamping). The tissue content of malondialdehyde increased significantly after reperfusion ( p < 0.05), but the tissue activity of lactate dehydrogenase and the ratio of oxidized glutathione to total glutathione showed an insignificant difference after reperfusion. These data suggest that peroxidation of the cardiac lipids was triggered by the reperfusion of the hypoxic heart, but the myocardial cellular damage was not significant enough to decrease the myocardial lactate dehydrogenase and total glutathione levels. These results also suggest that oxygen free radicals may play an important role in in-vivo myocardial reperfusion stress, but endogenous self-defensive enzyme systems to protect the cell against the cytotoxic oxygen metabolites also were triggered, and the resulting myocardiat cellular damage was insignificant.
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Oxygen free radicals and their metabolites have been implicated as possible elements in myocardial ischemia-reperfusion injury. In this study in cyanotic patients undergoing open heart operation for tetralogy of Fallot, the myocardial tissue activities of catalase, superoxide dismutase, glutathione peroxidase, and lactate dehydrogenase were determined together with the tissue contents of malondialdehyde, oxidized glutathione, and total glutathione using the spectrophotometric assay method. The tissue activities of catalase, Superoxide dismutase, and glutathione peroxidase increased significantly after myocardial reperfusion ( p &lt; 0.05) when compared with the tissue activities of the control group (myocardial tissue taken immediately after aortic crossclamping). The tissue content of malondialdehyde increased significantly after reperfusion ( p &lt; 0.05), but the tissue activity of lactate dehydrogenase and the ratio of oxidized glutathione to total glutathione showed an insignificant difference after reperfusion. These data suggest that peroxidation of the cardiac lipids was triggered by the reperfusion of the hypoxic heart, but the myocardial cellular damage was not significant enough to decrease the myocardial lactate dehydrogenase and total glutathione levels. 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The tissue content of malondialdehyde increased significantly after reperfusion ( p &lt; 0.05), but the tissue activity of lactate dehydrogenase and the ratio of oxidized glutathione to total glutathione showed an insignificant difference after reperfusion. These data suggest that peroxidation of the cardiac lipids was triggered by the reperfusion of the hypoxic heart, but the myocardial cellular damage was not significant enough to decrease the myocardial lactate dehydrogenase and total glutathione levels. 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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection
subjects Catalase - metabolism
Child, Preschool
Female
Free Radical Scavengers
Glutathione - metabolism
Glutathione Peroxidase - metabolism
Humans
L-Lactate Dehydrogenase - metabolism
Male
Malondialdehyde - metabolism
Myocardial Reperfusion Injury - enzymology
Myocardial Reperfusion Injury - etiology
Myocardial Reperfusion Injury - prevention & control
Myocardium - enzymology
Reactive Oxygen Species
Superoxide Dismutase - metabolism
Tetralogy of Fallot - surgery
title Changes in the antioxidative defensive system during open heart operations in humans
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