Effect of hyperglycaemia and diabetes on acute myocardial ischaemia-reperfusion injury and cardioprotection by ischaemic conditioning protocols

Data de publicação: Data Ahead of Print:

Autores da FMUP

  • Inês Maria Falcão Sousa Pires Marques

    Autor

Participantes de fora da FMUP

  • Penna, C
  • Andreadou, I
  • Aragno, M
  • Beauloye, C
  • Bertrand, L
  • Lazou, A
  • Bell, R
  • Zuurbier, CJ
  • Pagliaro, P
  • Hausenloy, DJ

Unidades de investigação

Abstract

Diabetic patients are at increased risk of developing coronary artery disease and experience worse clinical outcomes following acute myocardial infarction. Novel therapeutic strategies are required to protect the myocardium against the effects of acute ischaemia-reperfusion injury (IRI). These include one or more brief cycles of non-lethal ischaemia and reperfusion prior to the ischaemic event (ischaemic preconditioning [IPC]) or at the onset of reperfusion (ischaemic postconditioning [IPost]) either to the heart or to extracardiac organs (remote ischaemic conditioning [RIC]). Studies suggest that the diabetic heart is resistant to cardioprotective strategies, although clinical evidence is lacking. We overview the available animal models of diabetes, investigating acute myocardial IRI and cardioprotection, experiments investigating the effects of hyperglycaemia on susceptibility to acute myocardial IRI, the response of the diabetic heart to cardioprotective strategies e.g. IPC, IPost and RIC. Finally we highlight the effects of anti-hyperglycaemic agents on susceptibility to acute myocardial IRI and cardioprotection.

Dados da publicação

ISSN/ISSNe:
1476-5381, 0007-1188

British Journal of Pharmacology  Wiley-Blackwell

Tipo:
Review
Páginas:
5312-5335
Link para outro recurso:
www.scopus.com

Citações Recebidas na Web of Science: 48

Citações Recebidas na Scopus: 70

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Keywords

  • PERCUTANEOUS CORONARY INTERVENTION; ARTERY-BYPASS SURGERY; HEART-FAILURE; INFARCT SIZE; MITOCHONDRIAL DYSFUNCTION; METABOLIC SYNDROME; CONCISE GUIDE; FATTY RATS; TYPE-2; PROTECTION

Financiamento

Proyectos asociados

Cardiac Remodelling and “Recovery” in Pregnancy as a Model to Understand the Mechanisms of CV Diseases.

Investigador Principal: Inês Maria Falcão Sousa Pires Marques

Estudo Observacional Académico (PERIMYR) . SP Cardiologia . 2019

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