Adrenomedullin attenuates aortic cross-clamping-induced myocardial injury in rats

Am J Surg. 2011 Feb;201(2):226-32. doi: 10.1016/j.amjsurg.2010.04.011. Epub 2010 Sep 22.

Abstract

Background: In this study we investigate the effects of adrenomedullin on myocardial injury after ischemia-reperfusion (I/R) after abdominal aortic surgery.

Methods: Thirty-two Wistar rats were randomized into 4 groups (n = 8) as follows: control group (sham laparotomy), the aortic I/R group, aortic I/R plus adrenomedullin group (underwent aortic I/R periods, and received a bolus intravenous injection of .05 μg/kg/min adrenomedullin), and the control plus adrenomedullin group.

Results: Biochemical analysis showed that aortic I/R significantly increased (P < .05) the plasma levels of troponin-I and tumor necrosis factor-α, and the myocardial tissue levels of malondialdehyde, superoxide dismutase, catalase, and angiotensin II, whereas aortic I/R plus adrenomedullin significantly decreased these same factors (P < .05). Aortic I/R significantly increased (P < .05) myocardial tissue levels of nitric oxide whereas aortic I/R plus adrenomedullin significantly increased the same factor (P < .05).

Conclusions: These results indicate that adrenomedullin has protective effects against myocardial injury induced by abdominal aortic I/R in rats.

MeSH terms

  • Adrenomedullin / blood
  • Adrenomedullin / metabolism*
  • Angiotensin II / metabolism
  • Animals
  • Aorta
  • Apoptosis
  • Biomarkers / metabolism
  • Caspase 3 / metabolism
  • Catalase / metabolism
  • Constriction
  • Endothelin-1 / metabolism
  • Immunohistochemistry
  • Inflammation / metabolism
  • Inflammation / prevention & control
  • Lipid Peroxidation
  • Male
  • Malondialdehyde / metabolism
  • Myocardial Reperfusion Injury / metabolism*
  • Myocardial Reperfusion Injury / pathology
  • Myocytes, Cardiac / metabolism*
  • Myocytes, Cardiac / pathology
  • Nitric Oxide / metabolism
  • Oxidative Stress
  • Random Allocation
  • Rats
  • Rats, Wistar
  • Superoxide Dismutase / metabolism
  • Troponin I / blood
  • Tumor Necrosis Factor-alpha / blood

Substances

  • Biomarkers
  • Endothelin-1
  • Troponin I
  • Tumor Necrosis Factor-alpha
  • Angiotensin II
  • Adrenomedullin
  • Nitric Oxide
  • Malondialdehyde
  • Catalase
  • Superoxide Dismutase
  • Caspase 3