Normothermic ischaemic cardiac arrest and reperfusion of the isolated working heart: Effect of chlorpromazine on functional, metabolic and morphological recovery

The effects of chlorpromazine, an inhibitor of both Ca 2+ flux and phospholipase activity, on myocardial ultrastructure, function and metabolism were assessed during normothermic ischaemic cardiac arrest and reperfusion of the isolated working rat heart. Normothermic ischaemic cardiac arrest produce...

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Published inJournal of molecular and cellular cardiology Vol. 15; no. 9; pp. 603 - 620
Main Authors Edoute, Y., van der Merwe, E.L., Sanan, D., Kotzé, J.C.N., van Niekerk, I., Lochner, A.
Format Journal Article
LanguageEnglish
Published England Elsevier Ltd 01.09.1983
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Abstract The effects of chlorpromazine, an inhibitor of both Ca 2+ flux and phospholipase activity, on myocardial ultrastructure, function and metabolism were assessed during normothermic ischaemic cardiac arrest and reperfusion of the isolated working rat heart. Normothermic ischaemic cardiac arrest produced significant changes in myocardial ultrastructure, high energy phosphate contents and mitochondrial oxidative phosphorylation within 20 min. Reperfusion of untreated hearts subjected to 20 and 25 min ischaemia failed to restore mitochondrial function, mechanical activity and ATP content to control, pre-ischaemic levels. Morphological signs of ischaemic injury regressed, especially in the subendocardial layer. Pretreatment of hearts with chlorpromazine did not prevent the ischaemia-induced changes in myocardial ultrastructure and mitochondrial function. However, during reperfusion the chlorpromazine-treated, totally ischaemic hearts (20 to 25 min) exhibited improved coronary flow rates, and ultrastructural and mechanical recovery. The mitochondrial oxidative phosphorylation process and tissue high energy phosphate contents were not affected by the drug.
AbstractList The effects of chlorpromazine, an inhibitor of both Ca2+ flux and phospholipase activity, on myocardial ultrastructure, function and metabolism were assessed during normothermic ischaemic cardiac arrest and reperfusion of the isolated working rat heart. Normothermic ischaemic cardiac arrest produced significant changes in myocardial ultrastructure, high energy phosphate contents and mitochondrial oxidative phosphorylation within 20 min. Reperfusion of untreated hearts subjected to 20 and 25 min ischaemia failed to restore mitochondrial function, mechanical activity and ATP content to control, pre-ischaemic levels. Morphological signs of ischaemic injury regressed, especially in the subendocardial layer. Pretreatment of hearts with chlorpromazine did not prevent the ischaemia-induced changes in myocardial ultrastructure and mitochondrial function. However, during reperfusion the chlorpromazine-treated, totally ischaemic heats (20 to 25 min) exhibited improved coronary flow rates, and ultrastructural and mechanical recovery. The mitochondrial oxidative phosphorylation process and tissue high energy phosphate contents were not affected by the drug.
The effects of chlorpromazine, an inhibitor of both Ca 2+ flux and phospholipase activity, on myocardial ultrastructure, function and metabolism were assessed during normothermic ischaemic cardiac arrest and reperfusion of the isolated working rat heart. Normothermic ischaemic cardiac arrest produced significant changes in myocardial ultrastructure, high energy phosphate contents and mitochondrial oxidative phosphorylation within 20 min. Reperfusion of untreated hearts subjected to 20 and 25 min ischaemia failed to restore mitochondrial function, mechanical activity and ATP content to control, pre-ischaemic levels. Morphological signs of ischaemic injury regressed, especially in the subendocardial layer. Pretreatment of hearts with chlorpromazine did not prevent the ischaemia-induced changes in myocardial ultrastructure and mitochondrial function. However, during reperfusion the chlorpromazine-treated, totally ischaemic hearts (20 to 25 min) exhibited improved coronary flow rates, and ultrastructural and mechanical recovery. The mitochondrial oxidative phosphorylation process and tissue high energy phosphate contents were not affected by the drug.
Author van der Merwe, E.L.
Sanan, D.
Lochner, A.
van Niekerk, I.
Kotzé, J.C.N.
Edoute, Y.
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Keywords Mitochondrial ultrastructure
Tissue high energy phosphates
Mitochondrial oxidative phosphorylation
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Snippet The effects of chlorpromazine, an inhibitor of both Ca 2+ flux and phospholipase activity, on myocardial ultrastructure, function and metabolism were assessed...
The effects of chlorpromazine, an inhibitor of both Ca2+ flux and phospholipase activity, on myocardial ultrastructure, function and metabolism were assessed...
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SubjectTerms Adenosine Triphosphate - metabolism
Animals
Chlorpromazine - pharmacology
Heart - drug effects
Heart - physiopathology
Heart Arrest, Induced - methods
Male
Mitochondria, Heart - metabolism
Mitochondrial oxidative phosphorylation
Mitochondrial ultrastructure
Myocardium - metabolism
Myocardium - ultrastructure
Oxidative Phosphorylation
Perfusion
Phosphocreatine - metabolism
Rats
Rats, Inbred Strains
Tissue high energy phosphates
Title Normothermic ischaemic cardiac arrest and reperfusion of the isolated working heart: Effect of chlorpromazine on functional, metabolic and morphological recovery
URI https://dx.doi.org/10.1016/0022-2828(83)90270-5
https://www.ncbi.nlm.nih.gov/pubmed/6631972
https://search.proquest.com/docview/80725124
Volume 15
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