Changes in Cytosolic Ca2+ Concentration of Single Rabbit Coronary Artery Smooth Muscle Cell during Ischemic Cardioplegic Period.
	    		
		   		
		   			
		   		
	    	
    	 
    	10.4070/kcj.1996.26.2.561
   		
        
        	
        	
        	
        		- Author:
	        		
		        		
		        		
			        		Young Ho LEE
			        		
			        		;
		        		
		        		
		        		
			        		Gyu Bog CHOI
			        		
			        		;
		        		
		        		
		        		
			        		Soon Tae KIM
			        		
			        		;
		        		
		        		
		        		
			        		Bok Soon KANG
			        		
			        		
		        		
		        		
		        		
		        		
		        		
			        		
			        		
		        		
	        		
        		 
        	
        	
        	
        		- Publication Type:Original Article
 
        	
        	
        		- Keywords:
        			
	        			
	        				
	        				
			        		
				        		Cytosolic [Ca2+];
			        		
			        		
			        		
				        		Fura-2;
			        		
			        		
			        		
				        		Ischemic-cardioplegia;
			        		
			        		
			        		
				        		Smooth muscle
			        		
			        		
	        			
        			
        		
 
        	
            
            	- MeSH:
            	
	        			
	        				
	        				
				        		
					        		Caffeine;
				        		
			        		
				        		
					        		Cardioplegic Solutions;
				        		
			        		
				        		
					        		Coronary Occlusion;
				        		
			        		
				        		
					        		Coronary Vessels*;
				        		
			        		
				        		
					        		Cytosol*;
				        		
			        		
				        		
					        		Edema;
				        		
			        		
				        		
					        		Endothelial Cells;
				        		
			        		
				        		
					        		Fura-2;
				        		
			        		
				        		
					        		Ischemic Contracture;
				        		
			        		
				        		
					        		Muscle, Smooth*;
				        		
			        		
				        		
					        		Myocardium;
				        		
			        		
				        		
					        		Myocytes, Smooth Muscle*;
				        		
			        		
				        		
					        		Nickel;
				        		
			        		
				        		
					        		Nifedipine;
				        		
			        		
				        		
					        		No-Reflow Phenomenon;
				        		
			        		
				        		
					        		Reperfusion;
				        		
			        		
				        		
					        		Sarcoplasmic Reticulum
				        		
			        		
	        			
	        			
            	
            	
 
            
            
            	- From:Korean Circulation Journal
	            		
	            		 1996;26(2):561-577
	            	
            	
 
            
            
            	- CountryRepublic of Korea
 
            
            
            	- Language:Korean
 
            
            
            	- 
		        	Abstract:
			       	
			       		
				        
				        	BACKGROUND: No-reflow is a specific type of vascular damage occuring when removal of coronary occlusion dose not lead to restoration of coronary flow. There are three major explanations for the no-reflow phenomenon such as endothelial cell edema, microvascular plugging by platelets or thrombi and coronary occlusion by ischemic contracture of the myocardium. But detailed mechanisms of no-reflow phenomenon are not known. The objects of this study are to elucidate the possibility whether elevation of cytosolic Ca2+ concentration during ischemic cardioplegic period is mechanism of no-reflow phenomenon or not. METHODS: Changes in cytosolic Ca2+ concentration were measured under varying experimental condition. Free [Ca2+] in the cytosole [Ca2+]i of single rabbit coronary artery cells was measured with fluorescent Ca2+ indicator, Fura-2. RESULTS: Resting [Ca2+]i was 134.2+/-34 nM (n=43). When single cells were perfused with cardioplegic or ischemic cardioplegic solution, [Ca2+]i was significantly increased and degree of [Ca2+]i elevation was further augmented by ischemic cardioplegic solution. Pretreatment of sarcoplasmic reticulum emptying agent (20mM caffeine) had no effect on cardioplegia-induced [Ca2+]i change, but application of Ca2+ channel blocker (5x10-7M nifedipine) or an antagonist of Na+/Ca2+ exchange (5mM Ni2+ ) partially (nifedipine) or completely (nickel) inhibited the [Ca2+]i elevation. Pretreament of caffeine had no effect on ischemic cardioplegia-induced [Ca2+]i change, but application of nifedipine or nickel partially inhibited the [Ca2+]i elevation. Magnitude of ischemic cardioplegia-induced [Ca2+]i elevation was dependent on the Ca2+ concentration of perfusate from 0 to 2.5mM. When Ni2+ was added to reperfusion solution, recovery of ischemic cardioplegia-induced [Ca2+]i elevation was very rapid compared with control. CONCLUSIONS: From the above results, it may be speculated that ischemic cardioplegia-induced [Ca2+]i elevation may act as one of the mechanism of no-reflow phenomenon in rabbit coronary artery.