TY - JOUR
T1 - Role of δ-opioid receptor agonists on infarct size reduction in swine
AU - Sigg, Daniel C.
AU - Coles, James A.
AU - Oeltgen, Peter R.
AU - Iaizzo, Paul A.
PY - 2002
Y1 - 2002
N2 - Opioids are involved in cardiac ischemic preconditioning. Important species differences in cellular signaling mechanisms, antiarrhythmic, and antistunning effects have been described. The role of the δ-opioid receptor activation in swine remains unknown. Forty minutes before a 45-min occlusion and 180-min reperfusion of the left anterior descending coronary artery, open-chest, pentobarbital-anesthetized swine received either 1) saline (controls); 2) [D-Ala2,D-Leu5]enkephalin (DADLE); 3) [D-Pen2,5]enkephalin (DPDPE); 4) deltorphin-D, a novel δ2-opioid agonist; or 5) ischemic preconditioning (IP). Assessed were 1) infarct size to area at risk (IS, triphenyltetrazolium staining), 2) regional and global myocardial function (sonomicrometry, ventricular pressure catheters), and 3) arrhythmias (electrocardiogram analyses). It was found that DPDPE and deltorphin-D pretreatment reduced IS from 64.7 ± 5 to 36.5 ± 6% and 27.4 ± 11% (P < 0.01), respectively, whereas DADLE had no effect (66.8 ± 3%). Both IP and DADLE had a proarrhythmic effect (P < 0.01). However, no differences in global or regional myocardial function or arrhythmia scores were observed between groups. This suggests that δ-receptor-specific opioids provide cardioprotection in swine.
AB - Opioids are involved in cardiac ischemic preconditioning. Important species differences in cellular signaling mechanisms, antiarrhythmic, and antistunning effects have been described. The role of the δ-opioid receptor activation in swine remains unknown. Forty minutes before a 45-min occlusion and 180-min reperfusion of the left anterior descending coronary artery, open-chest, pentobarbital-anesthetized swine received either 1) saline (controls); 2) [D-Ala2,D-Leu5]enkephalin (DADLE); 3) [D-Pen2,5]enkephalin (DPDPE); 4) deltorphin-D, a novel δ2-opioid agonist; or 5) ischemic preconditioning (IP). Assessed were 1) infarct size to area at risk (IS, triphenyltetrazolium staining), 2) regional and global myocardial function (sonomicrometry, ventricular pressure catheters), and 3) arrhythmias (electrocardiogram analyses). It was found that DPDPE and deltorphin-D pretreatment reduced IS from 64.7 ± 5 to 36.5 ± 6% and 27.4 ± 11% (P < 0.01), respectively, whereas DADLE had no effect (66.8 ± 3%). Both IP and DADLE had a proarrhythmic effect (P < 0.01). However, no differences in global or regional myocardial function or arrhythmia scores were observed between groups. This suggests that δ-receptor-specific opioids provide cardioprotection in swine.
KW - Arrhythmia
KW - Cardioprotection
KW - Myocardial ischemia
KW - Regional myocardial function
KW - κ-opioid receptor
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U2 - 10.1152/ajpheart.01045.2001
DO - 10.1152/ajpheart.01045.2001
M3 - Article
C2 - 12003798
AN - SCOPUS:0036080273
SN - 0363-6135
VL - 282
SP - H1953-H1960
JO - American Journal of Physiology - Heart and Circulatory Physiology
JF - American Journal of Physiology - Heart and Circulatory Physiology
IS - 6 51-6
ER -