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Journal of Zhejiang University SCIENCE B 2008 Vol.9 No.2 P.100~108

http://doi.org/10.1631/jzus.B0710586


Postconditioning of sevoflurane and propofol is associated with mitochondrial permeability transition pore


Author(s):  Wei HE, Feng-jiang ZHANG, Shao-ping WANG, Gang CHEN, Cong-cong CHEN, Min YAN

Affiliation(s):  Department of Anesthesiology, the Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310009, China; more

Corresponding email(s):   yanminnina@hotmail.com

Key Words:  Sevoflurane, Propofol, Postconditioning, Reperfusion injury, Mitochondrial permeability transition pore (MPTP)


Wei HE, Feng-jiang ZHANG, Shao-ping WANG, Gang CHEN, Cong-cong CHEN, Min YAN. Postconditioning of sevoflurane and propofol is associated with mitochondrial permeability transition pore[J]. Journal of Zhejiang University Science B, 2008, 9(2): 100~108.

@article{title="Postconditioning of sevoflurane and propofol is associated with mitochondrial permeability transition pore",
author="Wei HE, Feng-jiang ZHANG, Shao-ping WANG, Gang CHEN, Cong-cong CHEN, Min YAN",
journal="Journal of Zhejiang University Science B",
volume="9",
number="2",
pages="100~108",
year="2008",
publisher="Zhejiang University Press & Springer",
doi="10.1631/jzus.B0710586"
}

%0 Journal Article
%T Postconditioning of sevoflurane and propofol is associated with mitochondrial permeability transition pore
%A Wei HE
%A Feng-jiang ZHANG
%A Shao-ping WANG
%A Gang CHEN
%A Cong-cong CHEN
%A Min YAN
%J Journal of Zhejiang University SCIENCE B
%V 9
%N 2
%P 100~108
%@ 1673-1581
%D 2008
%I Zhejiang University Press & Springer
%DOI 10.1631/jzus.B0710586

TY - JOUR
T1 - Postconditioning of sevoflurane and propofol is associated with mitochondrial permeability transition pore
A1 - Wei HE
A1 - Feng-jiang ZHANG
A1 - Shao-ping WANG
A1 - Gang CHEN
A1 - Cong-cong CHEN
A1 - Min YAN
J0 - Journal of Zhejiang University Science B
VL - 9
IS - 2
SP - 100
EP - 108
%@ 1673-1581
Y1 - 2008
PB - Zhejiang University Press & Springer
ER -
DOI - 10.1631/jzus.B0710586


Abstract: 
Background: sevoflurane and propofol are effective cardioprotective anaesthetic agents, though the cardioprotection of propofol has not been shown in humans. Their roles and underlying mechanisms in anesthetic postconditioning are unclear. mitochondrial permeability transition pore (MPTP) opening is a major cause of ischemia-reperfusion injury. Here we investigated sevoflurane- and propofol-induced postconditioning and their relationship with MPTP. Methods: Isolated perfused rat hearts were exposed to 40 min of ischemia followed by 1 h of reperfusion. During the first 15 min of reperfusion, hearts were treated with either control buffer (CTRL group) or buffer containing 20 µmol/L atractyloside (ATR group), 3% (v/v) sevoflurane (SPC group), 50 µmol/L propofol (PPC group), or the combination of atractyloside with respective anesthetics (SPC+ATR and PPC+ATR groups). Infarct size was determined by dividing the total necrotic area of the left ventricle by the total left ventricular slice area (percent necrotic area). Results: Hearts treated with sevoflurane or propofol showed significantly better recovery of coronary flow, end-diastolic pressures, left ventricular developed pressure and derivatives compared with controls. sevoflurane resulted in more protective alteration of hemodynamics at most time point of reperfusion than propofol. These improvements were paralleled with the reduction of lactate dehydrogenase release and the decrease of infarct size (SPC vs CTRL: (17.48±2.70)% vs (48.47±6.03)%, P<0.05; PPC vs CTRL: (35.60±2.10)% vs (48.47±6.03)%, P<0.05). SPC group had less infarct size than PPC group (SPC vs PPC: (17.48±2.70)% vs (35.60±2.10)%, P<0.05). Atractyloside coadministration attenuated or completely blocked the cardioprotective effect of postconditioning of sevoflurane and propofol. Conclusion: postconditioning of sevoflurane and propofol has cardioprotective effect against ischemia-reperfusion injury of heart, which is associated with inhibition of MPTP opening. Compared to propofol, sevoflurane provides superior protection of functional recovery and infarct size.

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