Platelet Glycoprotein IIb/IIIa Inhibitor Tirofiban Ameliorates Cardiac Reperfusion Injury
There are many published articles on the effects of the antithrombolytic function of platelet glycoprotein IIb/IIIa inhibitors (GP IIb/IIIa inhibitors) in myocardial infarction. However, few studies have explored the effects and optimal concentration of tirofibans in diminishing the extent of myocar...
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Published in: | International Heart Journal Vol. 56; no. 3; pp. 335 - 340 |
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Abstract | There are many published articles on the effects of the antithrombolytic function of platelet glycoprotein IIb/IIIa inhibitors (GP IIb/IIIa inhibitors) in myocardial infarction. However, few studies have explored the effects and optimal concentration of tirofibans in diminishing the extent of myocardial reperfusion injury (RI). Rats received 120 minutes of coronary ligation and 180 minutes of reperfusion. The rats were then divided into 7 groups based on the concentration of tirofiban administered intravenously 30 minutes prior to coronary reperfusion to the end of reperfusion. The ratio of myocardial necrotic area to area at risk (AAR), and myocardial malondialdehyde (MDA) and plasma myeloperoxidase (MPO) activities were measured. The apoptotic index (AI) was the percentage of myocytes positive for terminal deoxynucleotidyl transferase-mediated dUTP-biotin nick-end labeling (TUNEL) out of all myocytes stained by 4’, 6-diamidino-2-phenylindole (DAPI). The ratio of myocardial necrotic area to AAR significantly decreased in all tirofiban subgroups. The MDA activity for tirofiban concentrations of 2 and 5 ug/kg/minute showed a slight reduction. MPO activity was significantly decreased at a tirofiban concentration of 2 ug/kg/minute. The AI was significantly decreased at a tirofiban concentration of ≥ 0.4 ug/kg/minute. The results indicate that a tirofiban can significantly ameliorate the cardiac RI and myocyte apoptosis in rats. |
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AbstractList | There are many published articles on the effects of the antithrombolytic function of platelet glycoprotein IIb/IIIa inhibitors (GP IIb/IIIa inhibitors) in myocardial infarction. However, few studies have explored the effects and optimal concentration of tirofibans in diminishing the extent of myocardial reperfusion injury (RI). Rats received 120 minutes of coronary ligation and 180 minutes of reperfusion. The rats were then divided into 7 groups based on the concentration of tirofiban administered intravenously 30 minutes prior to coronary reperfusion to the end of reperfusion. The ratio of myocardial necrotic area to area at risk (AAR), and myocardial malondialdehyde (MDA) and plasma myeloperoxidase (MPO) activities were measured. The apoptotic index (AI) was the percentage of myocytes positive for terminal deoxynucleotidyl transferase-mediated dUTP-biotin nick-end labeling (TUNEL) out of all myocytes stained by 4’, 6-diamidino-2-phenylindole (DAPI). The ratio of myocardial necrotic area to AAR significantly decreased in all tirofiban subgroups. The MDA activity for tirofiban concentrations of 2 and 5 ug/kg/minute showed a slight reduction. MPO activity was significantly decreased at a tirofiban concentration of 2 ug/kg/minute. The AI was significantly decreased at a tirofiban concentration of ≥ 0.4 ug/kg/minute. The results indicate that a tirofiban can significantly ameliorate the cardiac RI and myocyte apoptosis in rats. |
Author | Hsu, Jen-Te Chang, Shih-Tai Chu, Chi-Ming Chung, Chang-Min Pan, Kuo-Li Hsiao, Ju-Feng Yang, Teng-Yao |
Author_xml | – sequence: 1 fullname: Chang, Shih-Tai organization: Division of Cardiology, Chiayi Chang Gung Memorial Hospital, Chiayi School, Chang Gung Institute of Technology – sequence: 2 fullname: Chung, Chang-Min organization: Division of Cardiology, Chiayi Chang Gung Memorial Hospital, Chiayi School, Chang Gung Institute of Technology – sequence: 3 fullname: Chu, Chi-Ming organization: Section of Health Informatics, Institute of Public Health, National Defense Medical Center and University – sequence: 4 fullname: Yang, Teng-Yao organization: Division of Cardiology, Chiayi Chang Gung Memorial Hospital, Chiayi School, Chang Gung Institute of Technology – sequence: 5 fullname: Pan, Kuo-Li organization: Division of Cardiology, Chiayi Chang Gung Memorial Hospital, Chiayi School, Chang Gung Institute of Technology – sequence: 6 fullname: Hsu, Jen-Te organization: Division of Cardiology, Chiayi Chang Gung Memorial Hospital, Chiayi School, Chang Gung Institute of Technology – sequence: 7 fullname: Hsiao, Ju-Feng organization: Division of Cardiology, Chiayi Chang Gung Memorial Hospital, Chiayi School, Chang Gung Institute of Technology |
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SubjectTerms | Animals Apoptosis Coronary artery disease IIb/IIIa platelet inhibitor In Situ Nick-End Labeling Malondialdehyde - analysis Myocardial Reperfusion Injury - pathology Myocardial Reperfusion Injury - prevention & control Myocardium - chemistry Myocardium - pathology Peroxidase - blood Platelet Glycoprotein GPIIb-IIIa Complex - antagonists & inhibitors Rats Rats, Sprague-Dawley Tyrosine - administration & dosage Tyrosine - analogs & derivatives Tyrosine - pharmacology Tyrosine - therapeutic use |
Title | Platelet Glycoprotein IIb/IIIa Inhibitor Tirofiban Ameliorates Cardiac Reperfusion Injury |
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