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Query: UMLS:C0022116 (ischemia)
 91,303 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Ischaemia induced in Wistar rat hearts by ligation of the main coronary arteries, was studied by NADH-fluorescence photography. The coronary anatomy was examined by barium angiography and intravascular resin infusion and it was confirmed that the main arteries were the left and right coronaries and the septal artery. The septal artery branched from the right coronary orifice in 90% of hearts examined. The long-axial cross-sectional view of the heart showed the ischaemic area to be limited to the left ventricular free wall following ligation of the left coronary, to the right ventricular free wall following ligation of the right coronary artery and to the ventricular septum after ligation of the septal artery. When the left coronary artery was ligated at its origin, the ratio of ischaemic area to cross-sectional area increased from the base to the apex of the heart. The borders of the epicardial ischaemic area induced by left and right coronary ligation made contact without any overlapping or broad separation. This indicates that the area perfused by the left and right coronary arteries was contiguous but physically separated.
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PMID:The distribution of ischaemia in perfused Wistar rat hearts following coronary artery occlusion. 406 63

The unanesthetized gerbil model was used to study the interrelation between metabolic, electrical and ionic activities in the brain. A combined K+DC surface electrode with a fiber optic light guide was implanted above the parietal cortex and cemented to the skull. The subjects were exposed to various pathological and physiological conditions such as anoxia, hypoxia, spreading cortical depression, and ischemia. During anoxia a leakage of cellular K+e was detected simultaneously with an increased level of NADH. The recovery phase in a few animals was followed by a spreading depression phenomenon. Exposing the brain to spreading depression led to a typical oxidation cycle of NADH, and the shape of this cycle was affected by hypoxia. Unilateral carotid artery ligation induced localized ischemia that affected cellular and K+e responses to spreading depression. Bilateral carotid artery occlusion increased NADH concentration to its maximum level; as a result, K+e also accumulated. Complete restoration of NADH and K+e to normoxic levels occurred after a few minutes, depending on the duration of the occlusion.
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PMID:The interrelation between brain oxidative metabolism and extracellular potassium in the unanesthetized gerbil. 610 68

The distribution of coronary flow during high-flow hypoxia and ischemia has been assessed in the perfused rat heart. Surface and cross-section NADH fluorescence photography defined the pattern of oxygen delivery because regions of high NADH fluorescence denote areas of anoxia. Thioflavin S, a fluorescent dye that stains vascular endothelium, was added to the perfusate to label perfused vessels. The results indicate 1) that relatively large anoxic zones develop during high-flow hypoxia or ischemia, 2) that the pattern of oxygen delivery under hypoxic conditions is reproducible, and 3) that flow into these anaerobic areas is significantly decreased relative to control. The border zone between aerobic and anoxic tissue is shown to be sharply defined, indicating the absence of an appreciable volume of tissue that is partially anaerobic. The data may be relevant to human coronary artery disease, where coronary occlusion is usuallly not complete. They suggest that with reduced, but not insignificant, oxygen delivery into the domain of a coronary artery, the distribution of flow would be heterogeneous, making small areas of tissue severely ischemic while preserving flow and oxygen supply in the adjacent tissue.
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PMID:Heterogeneous coronary perfusion during myocardial hypoxia. 615 51

Effects of halothane on the force of myocardial contraction and energy demand-supply balance (NADH fluorescence) were studied in two rabbit heart preparations--the interventricular septum perfused through the septal artery at various flow levels, and a Langendorff whole-heart preparation with ischemia caused by graded reduction of perfusion pressure. The septum experiments showed that halothane [1.2% = 1.5 minimum alveolar concentration of anesthetic preventing movement response to a noxious stimulus (MAC)] increased NADH fluorescence (+9%, p less than 0.02) at a normal level of perfusion (3 ml/g/min) and, at the same time, decreased it (-6%, p less than 0.02) when myocardial energy balance deteriorated from severe hypoperfusion (0.2 ml/g/min). The inhibitory effect of halothane on developed systolic tension was less pronounced at the low (ischemic) level of myocardial perfusion as compared with the high level--leads to 24% (0.2 ml/g/min) vs. leads to 38% (3 ml/g/min), p less than 0.025. However, if control and halothane values of developed tension were compared at equi-NADH levels (the same state of energy balance), the depressive effect of halothane on the force of myocardial contraction was not less pronounced in severe energy imbalance. Similar results were obtained in the Langendorff preparation experiments. The results suggest that halothane partially restores energy balance in hypoperfused myocardium; however, at the normal level of perfusion, its effect is in an opposite direction. Halothane depresses contractility in the hypoperfused myocardium to a lesser degree than at the normal level of myocardial perfusion. This effect is probably determined by the interaction of two influences: direct depressive effect of the agent on contractile mechanisms, and indirect positive inotropic effect due to improvement in energy balance.
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PMID:Effect of halothane on contractile function of ischemic myocardium. 619 Nov 43

Studies were undertaken to determine the mechanisms leading to altered mitochondrial function in ischemic myocardium. A new procedure has been developed to routinely isolate 60-70% of the total mitochondrial protein from heart tissue. After 1 hour of ischemia, mitochondria exhibit decreases of more than 50% in phosphorylating respiration for both NADH- and succinate-linked substrates compared to controls. However, no significant decreases in the efficiency of mitochondrial ATP synthesis (ADP:0) or ATPase activity are observed. Rates of substrate-driven Ca2+ uptake exhibit decreases greater than that seen with phosphorylating respiration with incomplete uptake and premature release of Ca2+. Spectrophotometric measurements in ischemic heart reveal rapid oxidation or loss of mitochondrial NADH with marked "swelling" of the inner membrane compartment; both changes parallel the loss of Ca2+. Significant losses in intramitochondrial adenine nucleotides also are found. Mitochondrial retention of accumulated Ca2+ can be restored by addition of small amounts of exogenous adenine nucleotides (ATP or ADP) with concomitant attenuation of both NADH oxidation and "swelling." The data indicate that, following 1 hour of ischemia, the efficiency of mitochondrial ATP production is still relatively intact whereas both electron transport chain activity and calcium transport are severely compromised. These decreases appear to be related to selective membrane damage in the mitochondrial inner membrane.
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PMID:Mechanism(s) of altered mitochondrial calcium transport in acutely ischemic canine hearts. 625 87

Changes in the maximal rate of some cerebral enzymatic activities related to 400ene transduction and neurotransmission (lactate dehydrogenase; citrate synthase and malate dehydrogenase; total NADH-cytochrome c reductase and cytochrome oxidase; glutamate dehydrogenase; acetylcholine esterase) were assayed both in the crude or purified mitochondrial fraction and in the crude synaptosomal fraction from rat whole brain or cerebral cortex. The evaluations were performed in rats before and after a postdecapitative normothermic ischemia of 5, 10, 20 and 40 min duration. Modification observed in some of these activities wer discussed for comparison with other experimental results from different researchers. At present no definite conclusions can be drawn, but certainly the observed modifications in activity of enzymes are not passive but expression of deranged metabolism of ischemic neurons.
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PMID:Brain enzymes and ischemia. 626 30

We investigated if the loss of nicotinamide coenzymes in ischemic-infarcted myocardium may be responsible for the transition from reversibly ischemic to irreversibly infarcted cell damage. The LAD was occluded in 6 dogs for 4 h. Transmural needle biopsies were taken from he ischemic-infarcted region after 1/2, 1, 11/2, 2, and 4 h of ischemia and further divided into subepicardial and subendocardial halves. At each time interval the concentration of the nicotinamide coenzymes NAD, NADH, and NADPH were measured, and the degree of cellular injury was evaluated by electron microscopy. The glycohydrolase activity (EC 3.2.2.5), the enzyme which splits NAD, was determined in brain, myocardium, kidney, and skeletal muscle of 4 rats. Total NAD, the sum of NAD and NADH, started to decrease significantly in the ischemic subendocardium 1 h after onset of ischemia. Degradation of NADPH occurred later. Loss ot total NAD was about 60-70% when electron microscopy diagnosed irreversible cell injury. The glycohydrolase activity was the highest in brain followed by myocardium, kidney, and skeletal muscle, reflecting the different tolerances of these tissues towards ischemia. The key mechanism for ischemic injury seems to be the tissue acidosis which activates the glycohydrolase leading to a loss of the vital coenzymes.
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PMID:Loss of canine myocardial nicotinamide adenine dinucleotides determines the transition from reversible to irreversible ischemic damage of myocardial cells. 627 93

The effects of complete ischemia and of in vivo pharmacological treatment with trimetazidine were studied on some enzymatic activities related to energy transduction: lactate dehydrogenase for anaerobic glycolysis; citrate synthase and malate dehydrogenase for the Krebs' cycle; total NADH-cytochrome c reductase and cytochrome oxidase for the electron transport chain; glutamate dehydrogenase for amino acid metabolism and acetylcholine esterase for acetylcholine metabolism. These enzymatic activities were evaluated in brains of 10-day-old rats, at three different subcellular levels: homogenate in toto, purified mitochondrial fraction, crude, synaptosomal fraction. Complete normothermic post-decapitative ischemia of 30 min duration increased the activity of cytochrome oxidase in the homogenate in toto and increased the activities of citrate synthase and malate dehydrogenase in the purified mitochondrial fraction, the activities of the enzymes evaluated in the crude synaptosomal fraction being unaffected. The i.p. treatment with trimetazidine (at the dose level of 50 mg . kg-1) was without any significant effect on the tested enzymatic activities.
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PMID:Effects of ischemia and pharmacological treatment on subcellular fractions from neonatal rat brain. 628 22

The relationships among isometric tension development, the oxidation-reduction states of pyridine nucleotides and cytochrome c, and the oxygenation state of myoglobin have been assessed using the arterially perfused rabbit interventricular septum under different conditions of contraction rate, perfusate [Ca2+] and pH, catecholamine stress, and hypoxia. Hypoxia was produced either by decreasing oxygen availability with maintained flow (high-flow hypoxia) or by decreasing the flow rate (ischemia). Under normoxic conditions, increased work caused a fall of the cytosolic adenine nucleotide phosphorylation potential, delta G(ATP)c, an oxidation of the pyridine nucleotides, and a reduction of cytochrome c; the opposite occurred with decreased work. Thus, the redox potential span from NADH to cytochrome c, delta Eh, varied with the energy demand such that delta Eh and delta G(ATP)c changed in the same direction. Under hypoxic conditions, all respiratory components became more reduced, and myoglobin was partially deoxygenated. The percentage change of developed tension under hypoxic conditions was approximately proportional to the percentage change of oxidized cytochrome c. When high-flow hypoxia and ischemia were compared at the same rates of oxygen delivery, the developed tension at any level of cytochrome c reduction was always lower with ischemia than with high-flow hypoxia. This difference was attributed to the low intracellular pH of ischemic tissue. Myoglobin deoxygenation was linearly related to cytochrome c reduction under all conditions of hypoxia, indicating steep oxygen gradients. The results support the concept of heterogeneous oxygenation of the tissue with mixed populations of aerobic and anaerobic mitochondria in the hypoxic state. In the full aerobic state, the control of mitochondrial respiration in situ appears similar to that of isolated mitochondria.
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PMID:Mitochondrial function in normal and hypoxic states of the myocardium. 630 29

Effect of ischemia and cytochrome c on oxidation of pyruvate and malate as well as of 3-hydroxybutyrate, succinate and exogenous NADH was studied. Respiration of mitochondria at the state 3 was markedly decreased in presence of the mixtures free of cytochrome c and containing pyruvate and malate, 3-hydroxybutyrate and succinate. In the same mixtures, but containing cytochrome c, oxidation of NAD-dependent substrates was decreased less distinctly and oxidation of succinate was similar to the control values. The rate of rhothenone-sensitive oxidation of NADH as well as the activating effect of cytochrome c on oxidation of all the substrates studied, except of NADH, were increased in ischemia. The data obtained suggest that alterations in the mitochondria functional activity in ischemia occur due to an increase in penetration of pyridine nucleotides across the inner membrane and of cytochrome c across the outer layer. Heterogeneity of mitochondria is discussed.
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PMID:[Effect of ischemia on the functional activity and membrane permeability of heart mitochondria]. 633 Oct 1


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