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European Journal of Heart Failure 2009 11(1):20-27; doi:10.1093/eurjhf/hfn003
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2009. For permissions please email: journals.permissions@oxfordjournals.org.

Effect of allopurinol on cardiomyocyte apoptosis in rats after myocardial infarction

Jun Xiao1, Qiang She1,*, Yang Wang2, Kailiang Luo1, Yuehui Yin1, Rong Hu1 and Kaishun Huang3

1 Department of Cardiology, The Second Affiliated Hospital of Chongqing University of Medical Sciences, Chongqing 400010, China
2 Teaching and Research Unit of Hygienic Toxicology of Chongqing University of Medical Sciences, Chongqing 400016, China
3 Department of Basic Institute of Chongqing University of Medical Sciences, Chongqing 400016, China

* Corresponding author. Tel: +86 23 63693753, Fax: +86 23 63847209, Email: qshe98{at}hotmail.com


   Abstract

Aims: This study was designed to explore the effect of the xanthine oxidase (XO) inhibitor allopurinol on cardiomyocyte apoptosis after myocardial infarction (MI) in a rat model.

Methods and results: MI was induced in rats by ligation of the anterior descending coronary artery. Survivors were randomly divided into three groups: sham operation group, MI group, and allopurinol group (50 mg kg–1 day–1). After 28 days, infarction size was measured. In non-infarcted zones (NIZ), apoptosis index (AI) was measured by TUNEL [terminal deoxynucleotidyl transferase (TdT)-mediated digoxigenin-conjugated dUTP nick-end labelling]; expression of Fas was detected by immunohistochemistry, and expression of XO and Caspase-3 by western blot. In addition, XO and O2, OH-scavenging activity of myocardial tissue in the NIZ were measured by colorimetry. Results suggest that AI and expression of Fas and Caspase-3 in the NIZ were significantly depressed in the allopurinol group, compared with MI group; moreover, activity of XO was significantly decreased while O2 and OH-scavenging activity were significantly increased in the allopurinol group. Ventricular remodelling was attenuated but there were no significant differences in infarct size or XO expression levels between the allopurinol and MI groups.

Conclusion: Our results suggest that allopurinol may inhibit cardiomyocyte apoptosis in the NIZ in rats. The potential mechanism could be related to its ability to reduce reactive oxygen species and to depress the expression of Fas and Caspase-3.

Key Words: Allopurinol • Xanthine oxidase • Reactive oxygen species • Apoptosis • Myocardial infarction

Received December 12, 2007; Revised August 7, 2008; Accepted August 28, 2008


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