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Erschienen in: Netherlands Heart Journal 5/2010

01.05.2010 | Original article

Apoptosis during CABG surgery with the use of cardiopulmonary bypass is prominent in ventricular but not in atrial myocardium

verfasst von: W. T. Ruifrok, B. D. Westenbrink, R. A. de Boer, I. J. den Hamer, M. E. Erasmus, H. E. Mungroop, A. H. Epema, A. A. Voors, D. J. van Veldhuisen, W. H. van Gilst

Erschienen in: Netherlands Heart Journal | Ausgabe 5/2010

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Extract

Coronary artery bypass grafting (CABG) surgery with cardiopulmonary bypass (CPB) and cardioplegic arrest is the most commonly used cardiac surgery procedure in the Western world.1 This procedure is associated with periods of oxygen deprivation and possibly a damaging effect to the Heart. Restoration of coronary blood flow after release of the aortic cross clamp leads to ischaemia-reperfusion injury. Subsequent production of reactive oxygen species results in cardiomyocyte death due to apoptosis.2-4 These changes may cause (transient) cardiac dysfunction,5,6 and therefore limiting the duration of cardioplegic arrest may reduce cell injury. …
Literatur
1.
Zurück zum Zitat Alexiou K, Kappert U, Staroske A, Joskowiak D, Wilbring M, Matschke K, et al. Coronary surgery for acute coronary syndrome: which determinants of outcome remain? Clin Res Cardiol. 2008;97:601-8. Alexiou K, Kappert U, Staroske A, Joskowiak D, Wilbring M, Matschke K, et al. Coronary surgery for acute coronary syndrome: which determinants of outcome remain? Clin Res Cardiol. 2008;97:601-8.
2.
Zurück zum Zitat Becker LB. New concepts in reactive oxygen species and cardiovascular reperfusion physiology. Cardiovasc Res 2004;61:461-70. Becker LB. New concepts in reactive oxygen species and cardiovascular reperfusion physiology. Cardiovasc Res 2004;61:461-70.
3.
Zurück zum Zitat Taniyama Y, Griendling KK. Reactive oxygen species in the vasculature: molecular and cellular mechanisms. Hypertension. 2003;42:1075-81. Taniyama Y, Griendling KK. Reactive oxygen species in the vasculature: molecular and cellular mechanisms. Hypertension. 2003;42:1075-81.
4.
Zurück zum Zitat Sugden PH, Clerk A. Oxidative stress and growth-regulating intracellular signaling pathways in cardiac myocytes. Antioxid Redox Signal. 2006;8:2111-24. Sugden PH, Clerk A. Oxidative stress and growth-regulating intracellular signaling pathways in cardiac myocytes. Antioxid Redox Signal. 2006;8:2111-24.
5.
Zurück zum Zitat Sabbah HN, Sharov VG, Goldstein S. Cell death, tissue hypoxia and the progression of heart failure. Heart Fail Rev. 2000;5:131-8. Sabbah HN, Sharov VG, Goldstein S. Cell death, tissue hypoxia and the progression of heart failure. Heart Fail Rev. 2000;5:131-8.
6.
Zurück zum Zitat Alexiou K, Kappert U, Staroske A, Joskowiak D, Wilbring M, Matschke K, et al. Coronary surgery for acute coronary syndrome: which determinants of outcome remain? Clin Res Cardiol. 2008;97:601-8. Alexiou K, Kappert U, Staroske A, Joskowiak D, Wilbring M, Matschke K, et al. Coronary surgery for acute coronary syndrome: which determinants of outcome remain? Clin Res Cardiol. 2008;97:601-8.
7.
Zurück zum Zitat Morariu AM, Loef BG, Aarts LP, Rietman GW, Rakhorst G, van Oeveren W, et al. Dexamethasone: benefit and prejudice for patients undergoing on-pump coronary artery bypass grafting: a study on myocardial, pulmonary, renal, intestinal, and hepatic injury. Chest. 2005;128:2677-87. Morariu AM, Loef BG, Aarts LP, Rietman GW, Rakhorst G, van Oeveren W, et al. Dexamethasone: benefit and prejudice for patients undergoing on-pump coronary artery bypass grafting: a study on myocardial, pulmonary, renal, intestinal, and hepatic injury. Chest. 2005;128:2677-87.
8.
Zurück zum Zitat de Boer RA, van Veldhuisen DJ, van der Wijk J, Brouwer RM, de Jonge N, Cole GM, et al. Additional use of immunostaining for active caspase 3 and cleaved actin and PARP fragments to detect apoptosis in patients with chronic heart failure. J Card Fail. 2000;6:330-7. de Boer RA, van Veldhuisen DJ, van der Wijk J, Brouwer RM, de Jonge N, Cole GM, et al. Additional use of immunostaining for active caspase 3 and cleaved actin and PARP fragments to detect apoptosis in patients with chronic heart failure. J Card Fail. 2000;6:330-7.
9.
Zurück zum Zitat Beller CJ, Horvath E, Kosse J, Becker A, Radovits T, Krempien R, et al. Opposite effects of vascular irradiation on inflammatory response and apoptosis induction in the vessel wall layers via the peroxynitrite-poly(ADP-ribose) polymerase pathway. Clin Res Cardiol. 2007;96:8-16. Beller CJ, Horvath E, Kosse J, Becker A, Radovits T, Krempien R, et al. Opposite effects of vascular irradiation on inflammatory response and apoptosis induction in the vessel wall layers via the peroxynitrite-poly(ADP-ribose) polymerase pathway. Clin Res Cardiol. 2007;96:8-16.
10.
Zurück zum Zitat Fischer UM, Tossios P, Huebner A, Geissler HJ, Bloch W, Mehlhorn U. Myocardial apoptosis prevention by radical scavenging in patients undergoing cardiac surgery. J Thorac Cardiovasc Surg. 2004;128:103-8. Fischer UM, Tossios P, Huebner A, Geissler HJ, Bloch W, Mehlhorn U. Myocardial apoptosis prevention by radical scavenging in patients undergoing cardiac surgery. J Thorac Cardiovasc Surg. 2004;128:103-8.
11.
Zurück zum Zitat Tossios P, Bloch W, Huebner A, Raji MR, Dodos F, Klass O, et al. N-acetylcysteine prevents reactive oxygen species-mediated myocardial stress in patients undergoing cardiac surgery: results of a randomized, double-blind, placebo-controlled clinical trial. J Thorac Cardiovasc Surg. 2003;126:1513-20. Tossios P, Bloch W, Huebner A, Raji MR, Dodos F, Klass O, et al. N-acetylcysteine prevents reactive oxygen species-mediated myocardial stress in patients undergoing cardiac surgery: results of a randomized, double-blind, placebo-controlled clinical trial. J Thorac Cardiovasc Surg. 2003;126:1513-20.
12.
Zurück zum Zitat Mehlhorn U, Krahwinkel A, Geissler HJ, LaRosee K, Fischer UM, Klass O, et al. Nitrotyrosine and 8-isoprostane formation indicate free radical-mediated injury in hearts of patients subjected to cardioplegia. J Thorac Cardiovasc Surg. 2003;125:178-83. Mehlhorn U, Krahwinkel A, Geissler HJ, LaRosee K, Fischer UM, Klass O, et al. Nitrotyrosine and 8-isoprostane formation indicate free radical-mediated injury in hearts of patients subjected to cardioplegia. J Thorac Cardiovasc Surg. 2003;125:178-83.
13.
Zurück zum Zitat Gill C, Mestril R, Samali A. Losing heart: the role of apoptosis in heart disease--a novel therapeutic target? FASEB J.. 2002;16:135-46. Gill C, Mestril R, Samali A. Losing heart: the role of apoptosis in heart disease--a novel therapeutic target? FASEB J.. 2002;16:135-46.
14.
Zurück zum Zitat Anselmi A, Abbate A, Girola F, Nasso G, Biondi-Zoccai GG, Possati G, et al. Myocardial ischemia, stunning, inflammation, and apoptosis during cardiac surgery: a review of evidence. Eur J Cardiothorac Surg. 2004;25:304-11. Anselmi A, Abbate A, Girola F, Nasso G, Biondi-Zoccai GG, Possati G, et al. Myocardial ischemia, stunning, inflammation, and apoptosis during cardiac surgery: a review of evidence. Eur J Cardiothorac Surg. 2004;25:304-11.
15.
Zurück zum Zitat Poulsen TD, Andersen LW, Steinbruchel D, Gotze JP, Jorgensen OS, Olsen NV. Two Large Preoperative Doses of Erythropoietin Do Not Reduce the Systemic Inflammatory Response to Cardiac Surgery. J Cardiothorac Vasc Anesth. 2008;23:316-23. Poulsen TD, Andersen LW, Steinbruchel D, Gotze JP, Jorgensen OS, Olsen NV. Two Large Preoperative Doses of Erythropoietin Do Not Reduce the Systemic Inflammatory Response to Cardiac Surgery. J Cardiothorac Vasc Anesth. 2008;23:316-23.
16.
Zurück zum Zitat Schmitt JP, Schroder J, Schunkert H, Birnbaum DE, Aebert H. Role of apoptosis in myocardial stunning after open heart surgery. Ann Thorac Surg. 2002;73:1229-35. Schmitt JP, Schroder J, Schunkert H, Birnbaum DE, Aebert H. Role of apoptosis in myocardial stunning after open heart surgery. Ann Thorac Surg. 2002;73:1229-35.
17.
Zurück zum Zitat Shalaby A, Rinne T, Jarvinen O, Saraste A, Laurikka J, Porkkala H, et al. Initial results of a clinical study: adenosine enhanced cardioprotection and its effect on cardiomyocytes apoptosis during coronary artery bypass grafting. Eur J Cardiothorac Surg. 2008;33:639-44. Shalaby A, Rinne T, Jarvinen O, Saraste A, Laurikka J, Porkkala H, et al. Initial results of a clinical study: adenosine enhanced cardioprotection and its effect on cardiomyocytes apoptosis during coronary artery bypass grafting. Eur J Cardiothorac Surg. 2008;33:639-44.
18.
Zurück zum Zitat Flesch M, Knipp S, Kessler G, Geissler HJ, Massoudy P, Wilhelm H, et al. ARTA: AT1-receptor blocker therapy in patients undergoing coronary artery bypass grafting. Clin Res Cardiol. 2009;98:33-43. Flesch M, Knipp S, Kessler G, Geissler HJ, Massoudy P, Wilhelm H, et al. ARTA: AT1-receptor blocker therapy in patients undergoing coronary artery bypass grafting. Clin Res Cardiol. 2009;98:33-43.
19.
Zurück zum Zitat Brines M, Cerami A. Emerging biological roles for erythropoietin in the nervous system. Nat Rev Neurosci. 2005;6:484-94. Brines M, Cerami A. Emerging biological roles for erythropoietin in the nervous system. Nat Rev Neurosci. 2005;6:484-94.
20.
Zurück zum Zitat Chong ZZ, Kang JQ, Maiese K. Hematopoietic factor erythropoietin fosters neuroprotection through novel signal transduction cascades. J Cereb Blood Flow Metab. 2002;22:503-14. Chong ZZ, Kang JQ, Maiese K. Hematopoietic factor erythropoietin fosters neuroprotection through novel signal transduction cascades. J Cereb Blood Flow Metab. 2002;22:503-14.
21.
Zurück zum Zitat Chong ZZ, Kang JQ, Maiese K. Angiogenesis and plasticity: role of erythropoietin in vascular systems. J Hematother Stem Cell Res. 2002;11:863-71. Chong ZZ, Kang JQ, Maiese K. Angiogenesis and plasticity: role of erythropoietin in vascular systems. J Hematother Stem Cell Res. 2002;11:863-71.
22.
Zurück zum Zitat Lipsic E, Schoemaker RG, van der Meer P, Voors AA, van Veldhuisen DJ, van Gilst WH. Protective effects of erythropoietin in cardiac ischemia: from bench to bedside. J Am Coll Cardiol. 2006;48:2161-7. Lipsic E, Schoemaker RG, van der Meer P, Voors AA, van Veldhuisen DJ, van Gilst WH. Protective effects of erythropoietin in cardiac ischemia: from bench to bedside. J Am Coll Cardiol. 2006;48:2161-7.
23.
Zurück zum Zitat Lipsic E, van der Meer P, Voors AA, Westenbrink BD, van den Heuvel AF, de Boer HC, et al. A single bolus of a long-acting erythropoietin analogue darbepoetin alfa in patients with acute myocardial infarction: a randomized feasibility and safety study. Cardiovasc Drugs Ther. 2006;20:135-41. Lipsic E, van der Meer P, Voors AA, Westenbrink BD, van den Heuvel AF, de Boer HC, et al. A single bolus of a long-acting erythropoietin analogue darbepoetin alfa in patients with acute myocardial infarction: a randomized feasibility and safety study. Cardiovasc Drugs Ther. 2006;20:135-41.
24.
Zurück zum Zitat Haljan G, Maitland A, Buchan A, Arora RC, King M, Haigh J, et al. The Erythropoietin NeuroProtective Effect: Assessment in CABG Surgery (TENPEAKS). A Randomized, Double-Blind, Placebo Controlled, Proof-of-Concept Clinical Trial. Stroke. 2009, Epub ahead of print. Haljan G, Maitland A, Buchan A, Arora RC, King M, Haigh J, et al. The Erythropoietin NeuroProtective Effect: Assessment in CABG Surgery (TENPEAKS). A Randomized, Double-Blind, Placebo Controlled, Proof-of-Concept Clinical Trial. Stroke. 2009, Epub ahead of print.
25.
Zurück zum Zitat Chong ZZ, Kang JQ, Maiese K. Erythropoietin is a novel vascular protectant through activation of Akt1 and mitochondrial modulation of cysteine proteases. Circulation. 2002;106:2973-9. Chong ZZ, Kang JQ, Maiese K. Erythropoietin is a novel vascular protectant through activation of Akt1 and mitochondrial modulation of cysteine proteases. Circulation. 2002;106:2973-9.
26.
Zurück zum Zitat Tramontano AF, Muniyappa R, Black AD, Blendea MC, Cohen I, Deng L, et al. Erythropoietin protects cardiac myocytes from hypoxia-induced apoptosis through an Akt-dependent pathway. Biochem Biophys Res Commun. 2003;308:990-4. Tramontano AF, Muniyappa R, Black AD, Blendea MC, Cohen I, Deng L, et al. Erythropoietin protects cardiac myocytes from hypoxia-induced apoptosis through an Akt-dependent pathway. Biochem Biophys Res Commun. 2003;308:990-4.
27.
Zurück zum Zitat Hanlon PR, Fu P, Wright GL, Steenbergen C, Arcasoy MO, Murphy E. Mechanisms of erythropoietin-mediated cardioprotection during ischemia-reperfusion injury: role of protein kinase C and phosphatidylinositol 3-kinase signaling. FASEB J. 2005;19:1323-5. Hanlon PR, Fu P, Wright GL, Steenbergen C, Arcasoy MO, Murphy E. Mechanisms of erythropoietin-mediated cardioprotection during ischemia-reperfusion injury: role of protein kinase C and phosphatidylinositol 3-kinase signaling. FASEB J. 2005;19:1323-5.
28.
Zurück zum Zitat Bullard AJ, Govewalla P, Yellon DM. Erythropoietin protects the myocardium against reperfusion injury in vitro and in vivo. Basic Res Cardiol. 2005;100:397-403. Bullard AJ, Govewalla P, Yellon DM. Erythropoietin protects the myocardium against reperfusion injury in vitro and in vivo. Basic Res Cardiol. 2005;100:397-403.
Metadaten
Titel
Apoptosis during CABG surgery with the use of cardiopulmonary bypass is prominent in ventricular but not in atrial myocardium
verfasst von
W. T. Ruifrok
B. D. Westenbrink
R. A. de Boer
I. J. den Hamer
M. E. Erasmus
H. E. Mungroop
A. H. Epema
A. A. Voors
D. J. van Veldhuisen
W. H. van Gilst
Publikationsdatum
01.05.2010
Verlag
Bohn Stafleu van Loghum
Erschienen in
Netherlands Heart Journal / Ausgabe 5/2010
Print ISSN: 1568-5888
Elektronische ISSN: 1876-6250
DOI
https://doi.org/10.1007/BF03091769

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