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Cholestatic liver disease modulates susceptibility to ischemia/reperfusion-induced arrhythmia, but not necrosis and hemodynamic instability: The role of endogenous opioid peptides

Acute cholestasis is associated with cardiovascular complications, which mainly manifest during stressful conditions. The goal of this study is to evaluate susceptibility of 7-day bile duct-ligated rats to ischemia/reperfusion-induced injury. Sham-operated and cholestatic rats, treated with daily no...

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Published in:Journal of hepatology 2005-09, Vol.43 (3), p.491-498
Main Authors: Hajrasouliha, Amir Reza, Tavakoli, Sina, Jabehdar-Maralani, Pejman, Ebrahimi, Farzad, Shafaroodi, Hamed, Mirkhani, Seyyed Hamid, Amanpour, Saied, Dehpour, Ahmad Reza
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description Acute cholestasis is associated with cardiovascular complications, which mainly manifest during stressful conditions. The goal of this study is to evaluate susceptibility of 7-day bile duct-ligated rats to ischemia/reperfusion-induced injury. Sham-operated and cholestatic rats, treated with daily normal saline, L-NAME (a non-selective NO synthase inhibitor) naltrexone, or both L-NAME and naltrexone were subjected to 30 min of ischemia followed by 2 h of reperfusion. Cholestatic rats demonstrated significant bradycardia, hypotension ( P
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The goal of this study is to evaluate susceptibility of 7-day bile duct-ligated rats to ischemia/reperfusion-induced injury. Sham-operated and cholestatic rats, treated with daily normal saline, L-NAME (a non-selective NO synthase inhibitor) naltrexone, or both L-NAME and naltrexone were subjected to 30 min of ischemia followed by 2 h of reperfusion. Cholestatic rats demonstrated significant bradycardia, hypotension ( P<0.01), and QT prolongation ( P<0.001). The incidence of premature ventricular contractions ( P<0.01), incidence and duration of ventricular tachycardia ( P<0.05), but not ventricular fibrillation, were significantly lower in cholestatic rats. There was no significant difference in hemodynamic instability and infarct size between the groups. L-NAME corrected QT prolongation in cholestatic rats ( P<0.05), with no effect on heart rate, blood pressure and arrhythmia. Naltrexone restored normal heart rate ( P<0.05), blood pressure ( P<0.05) and susceptibility to arrhythmia ( P<0.05) in cholestatic animals, with no significant effect on QT interval. L-NAME and naltrexone co-administration corrected bradycardia ( P<0.05), hypotension ( P<0.05), QT prolongation ( P<0.05) and abolished resistance of cholestatic rats against arrhythmia ( P<0.05). 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The goal of this study is to evaluate susceptibility of 7-day bile duct-ligated rats to ischemia/reperfusion-induced injury. Sham-operated and cholestatic rats, treated with daily normal saline, L-NAME (a non-selective NO synthase inhibitor) naltrexone, or both L-NAME and naltrexone were subjected to 30 min of ischemia followed by 2 h of reperfusion. Cholestatic rats demonstrated significant bradycardia, hypotension ( P<0.01), and QT prolongation ( P<0.001). The incidence of premature ventricular contractions ( P<0.01), incidence and duration of ventricular tachycardia ( P<0.05), but not ventricular fibrillation, were significantly lower in cholestatic rats. There was no significant difference in hemodynamic instability and infarct size between the groups. L-NAME corrected QT prolongation in cholestatic rats ( P<0.05), with no effect on heart rate, blood pressure and arrhythmia. Naltrexone restored normal heart rate ( P<0.05), blood pressure ( P<0.05) and susceptibility to arrhythmia ( P<0.05) in cholestatic animals, with no significant effect on QT interval. L-NAME and naltrexone co-administration corrected bradycardia ( P<0.05), hypotension ( P<0.05), QT prolongation ( P<0.05) and abolished resistance of cholestatic rats against arrhythmia ( P<0.05). This study suggests that short-term cholestasis is associated with resistance against ischemia/reperfusion-induced arrhythmia, which depends on availability of endogenous opioids.]]></description><subject>Animals</subject><subject>Arrhythmia</subject><subject>Arrhythmias, Cardiac - etiology</subject><subject>Arrhythmias, Cardiac - physiopathology</subject><subject>Bile duct-ligation</subject><subject>Biological and medical sciences</subject><subject>Blood Pressure</subject><subject>Cardiac dysrhythmias</subject><subject>Cardiology. Vascular system</subject><subject>Cholestasis</subject><subject>Cholestasis, Intrahepatic - pathology</subject><subject>Cholestasis, Intrahepatic - physiopathology</subject><subject>Electrocardiography</subject><subject>Endogenous opioid peptides</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Heart</subject><subject>Heart Rate</subject><subject>Hemodynamics</subject><subject>Ischemia/reperfusion</subject><subject>Liver. Biliary tract. Portal circulation. Exocrine pancreas</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Myocardial Infarction - pathology</subject><subject>Myocardial Infarction - physiopathology</subject><subject>Naltrexone - pharmacology</subject><subject>Necrosis</subject><subject>NG-Nitroarginine Methyl Ester - pharmacology</subject><subject>Nitric oxide (NO)</subject><subject>Other diseases. 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identifier ISSN: 0168-8278
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subjects Animals
Arrhythmia
Arrhythmias, Cardiac - etiology
Arrhythmias, Cardiac - physiopathology
Bile duct-ligation
Biological and medical sciences
Blood Pressure
Cardiac dysrhythmias
Cardiology. Vascular system
Cholestasis
Cholestasis, Intrahepatic - pathology
Cholestasis, Intrahepatic - physiopathology
Electrocardiography
Endogenous opioid peptides
Gastroenterology. Liver. Pancreas. Abdomen
Heart
Heart Rate
Hemodynamics
Ischemia/reperfusion
Liver. Biliary tract. Portal circulation. Exocrine pancreas
Male
Medical sciences
Myocardial Infarction - pathology
Myocardial Infarction - physiopathology
Naltrexone - pharmacology
Necrosis
NG-Nitroarginine Methyl Ester - pharmacology
Nitric oxide (NO)
Other diseases. Semiology
Rat
Rats
Rats, Sprague-Dawley
Reperfusion Injury - physiopathology
title Cholestatic liver disease modulates susceptibility to ischemia/reperfusion-induced arrhythmia, but not necrosis and hemodynamic instability: The role of endogenous opioid peptides
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