Ethyl Pyruvate Has Anti-Inflammatory and Delayed Myocardial Protective Effects after Regional Ischemia/Reperfusion Injury.
	    		
		   		
		   			
		   		
	    	
    	 
    	10.3349/ymj.2010.51.6.838
   		
        
        	
        	
        	
        		- Author:
	        		
		        		
		        		
			        		In Seok JANG
			        		
			        		
			        		
			        			1
			        			
			        		
			        		
			        		
			        		
			        		;
		        		
		        		
		        		
			        		Mi Young PARK
			        		
			        		;
		        		
		        		
		        		
			        		Il Woo SHIN
			        		
			        		;
		        		
		        		
		        		
			        		Ju Tae SOHN
			        		
			        		;
		        		
		        		
		        		
			        		Heon Keun LEE
			        		
			        		;
		        		
		        		
		        		
			        		Young Kyun CHUNG
			        		
			        		
		        		
		        		
		        		
		        		
		        			
			        		
			        		Author Information
			        		
		        		
		        		
			        		
			        		
			        			1. Department of Cardiothoracic and Vascular Surgery, Institute of Health Sciences, Gyeongsang National University, Jinju, Korea.
			        		
		        		
	        		
        		 
        	
        	
        	
        		- Publication Type:Original Article ; Research Support, Non-U.S. Gov't
 
        	
        	
        		- Keywords:
        			
	        			
	        				
	        				
			        		
				        		Ethyl pyruvate;
			        		
			        		
			        		
				        		myocardium;
			        		
			        		
			        		
				        		reperfusion injury;
			        		
			        		
			        		
				        		inflammation
			        		
			        		
	        			
        			
        		
 
        	
            
            	- MeSH:
            	
	        			
	        				
	        				
				        		
					        		Animals;
				        		
			        		
				        		
					        		Anti-Inflammatory Agents/*pharmacology;
				        		
			        		
				        		
					        		Cell Nucleus/metabolism;
				        		
			        		
				        		
					        		Cytoplasm/metabolism;
				        		
			        		
				        		
					        		Heart/physiopathology;
				        		
			        		
				        		
					        		Inflammation;
				        		
			        		
				        		
					        		Male;
				        		
			        		
				        		
					        		Myocardial Infarction/prevention & control;
				        		
			        		
				        		
					        		Myocardium/*metabolism;
				        		
			        		
				        		
					        		NF-kappa B/metabolism;
				        		
			        		
				        		
					        		Peroxidase/metabolism;
				        		
			        		
				        		
					        		Pyruvates/*pharmacology;
				        		
			        		
				        		
					        		Rats;
				        		
			        		
				        		
					        		Rats, Sprague-Dawley;
				        		
			        		
				        		
					        		Reperfusion Injury/*drug therapy/*metabolism
				        		
			        		
	        			
	        			
            	
            	
 
            
            
            	- From:Yonsei Medical Journal
	            		
	            		 2010;51(6):838-844
	            	
            	
 
            
            
            	- CountryRepublic of Korea
 
            
            
            	- Language:English
 
            
            
            	- 
		        	Abstract:
			       	
			       		
				        
				        	PURPOSE: Ethyl pyruvate has anti-inflammatory properties and protects organs from ischemia/reperfusion (I/R)-induced tissue injury. The aim of this study was to determine whether ethyl pyruvate decreases the inflammatory response after regional I/R injury and whether ethyl pyruvate protects against delayed regional I/R injury in an in vivo rat heart model after a 24 hours reperfusion. MATERIALS AND METHODS: Rats were randomized to receive lactated Ringer's solution or ethyl pyruvate dissolved in Ringer's solution, which was given by intraperitoneal injection 1 hour prior to ischemia. Rats were subjected to 30 min of ischemia followed by reperfusion of the left coronary artery territory. After a 2 hours reperfusion, nuclear factor kappaB, myocardial myeloperoxidase activity, and inflammatory cytokine levels were determined. After the 24 hours reperfusion, the hemodynamic function and myocardial infarct size were evaluated. RESULTS: At 2 hours after I/R injury, ethyl pyruvate attenuated I/R-induced nuclear factor kappaB translocation and reduced myeloperoxidase activity in myocardium. The plasma circulating levels of inflammatory cytokines decreased significantly in the ethyl pyruvate-treated group. At 24 hours after I/R injury, ethyl pyruvate significantly improved cardiac function and reduced infarct size after regional I/R injury. CONCLUSION: Ethyl pyruvate has the ability to inhibit neutrophil activation, inflammatory cytokine release, and nuclear factor kappaB translocation. Ethyl pyruvate is associated with a delayed myocardial protective effect after regional I/R injury in an in vivo rat heart model.