Abstract 5516: Cardioprotective Effects of Hydrogen Peroxide and Erythropoietin During Acute Coronary Occlusion in Canine Coronary Native Collateral Microvessels in vivo
Background: We have previously demonstrated that endothelium-derived hydrogen peroxide (H2O2) is an endothelium-derived hyperpolarizing factor (EDHF) in canine coronary autoregulation in vivo. The aim of this study was to examine the role of H2O2 during acute coronary occlusion with recombinant human erythropoietin (EPO) in the collateral vasodilatation of coronary microcirculation in vivo.
Methods and Results: Canine subepicardial native collateral coronary small arteries (CSA, ≥100 μm) and arterioles (CA, <100 μm) were observed by an intravital microscope under cyclooxygenase blockade. Experiments were performed after LAD occlusion (90 min) under the following 8 conditions (n=5, each); control, low-dose EPO (100 IU/kg, L-EPO), high-dose EPO (1000 IU/kg, H-EPO), H-EPO+catalase (a H2O2 decomposer), H-EPO+NO synthase inhibitor (L-NMMA), H-EPO+L-NMMA+catalase, H-EPO+L-NMMA+tetraethylammonium (TEA, a KCa channels blocker) and H-EPO+ wortmannin (PI3K inhibitor). Ischemia caused a significant collateral arteriolar vasodilatation of control, which was significantly inhibited by catalase. After H-EPO, the vasodilatation was significantly increased in both-sized arteries (CSA 6±1%, CA 22±4%) compared with control (CSA 1±1%, CA 16±3%) or L-EPO (CSA 2±1%, CA 18±3%) associated with increase in collateral blood flow (microsphere technique). H-EPO+catalase significantly decreased the vasodilatation in CA (12±2%). The vasodilatation was markedly attenuated after H-EPO+L-NMMA+catalase (CSA −4±1%, CA 6±1%), H-EPO+L-NMMA+TEA (CSA −5±1%, CA 6±1%) and H-EPO+ wortmannin (CSA −5±1%, CA 6±1%). In the control group, expression of Akt phosphorylation in the ischemic LAD area was significantly decreased compared with the H-EPO group. In H-EPO+L-NMMA+catalase or H-EPO+wortmannin group, expression of Akt phosphorylation was further decreased compared with H-EPO or L-NMMA+H-EPO group. Plasma 8-hydroxydeoxyguanosine from coronary sinus as a myocardial oxidative stress marker (HPLC-ECD method) significantly decreased in H-EPO compared with control.
Conclusions: H2O2 and EPO play an important collaborative role in native collateral vasodilatation in response to acute coronary occlusion in canine coronary microcirculation in vivo.