Article ID Journal Published Year Pages File Type
4262716 Transplantation Proceedings 2007 6 Pages PDF
Abstract

ObjectiveThe aim of this study was to observe the preservative effect of hydrogen sulfide (H2S) on donor rat hearts.Materials and MethodsThe hearts of 24 Sprague-Dawley rats were perfused on a Langendorff perfusion column for 30 minutes. We calculated and recorded the left ventricular-developed pressure (LVDP), and positive and negative derivatives of left ventricular systolic pressure (LVSP; +dP/dt and −dP/dt). Hearts were then arrested and stored for 6 hours at 4°C: group 1, Krebs-Henseleit (KH) solution; group 2, KH solution with 1 μmol/L NaHS; group 3, KH solution with 1 μmol/L NaHS and 10 μmol/L glibenclamide; group 4, St. Thomas II solution. Hearts were transferred back to the Langendorff column. After stabilizing for 30 minutes, LV performance was assessed as before. The donor hearts were kept for pathological study including myocardial water ratio, ATP content, and myocyte apoptosis index.ResultsThe recovery rates of +dp/dtmax, −dp/dtmax, and LVDP of groups 2 and 4 were much better than those of groups 1 and 3. The hearts contracted immediately after reperfusion in group 4. Ventricular fibrillation was seen before contraction in the other 3 groups, with the longest duration in group. No significant difference in myocardial water ratio was found. The ATP content was the highest in group 2. Apoptosis was observed in the 4 groups with the lowest apoptosis index in group 2.ConclusionsH2S has a protective effect on rat donor hearts at the concentration of 1 μmol/L. The protective effect is better than that of St. Thomas II solution. The protective effect of H2S can be blocked by glibenclamide.

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