Comparison of two sulfonylureas with high and low myocardial K(ATP) channel affinity on myocardial infarct size and metabolism in a rat model of type 2 diabetes

Steen Buus Kristiansen, B Løfgren, J.M. Nielsen, N B Støttrup, Esben Selmer Buhl, J E Nielsen-Kudsk, Torsten Toftegård Nielsen, Jørgen Rungby, A Flyvbjerg

26 Citationer (Scopus)

Abstract

AIMS/HYPOTHESIS: Sulfonylureas (SUs) may impair outcome in patients with acute coronary syndrome. Most experimental studies of the myocardial effects of SU treatment are performed in non-diabetic models. We compared the effect of two widely used SUs, glibenclamide (gb) and gliclazide (gc), with high and low myocardial K(ATP) channel affinity, respectively, at therapeutic concentrations on infarct size, left ventricular (LV) function and myocardial glycogen, lactate and alanine content before and after ischaemia/reperfusion (I/R). METHODS: Non-diabetic Wistar and diabetic Goto-Kakizaki rat hearts were investigated in a Langendorff preparation. Gb (0.1 μmol/l) and gc (1.0 μmol/l) were administrated throughout the study. Infarct size was evaluated after 120 min of reperfusion. Myocardial metabolite content was measured before and after ischaemia. RESULTS: Infarct size was smaller in diabetic hearts than in non-diabetic hearts (0.33 ± 0.03 vs 0.51 ± 0.05, p 
OriginalsprogEngelsk
TidsskriftDiabetologia
Vol/bind54
Udgave nummer2
Sider (fra-til)451-458
Antal sider8
ISSN0012-186X
DOI
StatusUdgivet - 2011

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