Evidence map›Paper›PMID 22325325›Full record

ArticleThe Journal of thoracic and cardiovascular surgery2012

On-pump inhibition of es-ENT1 nucleoside transporter and adenosine deaminase during aortic crossclamping entraps intracellular adenosine and protects against reperfusion injury: role of adenosine A1 receptor.

Anwar Saad Abd-Elfattah, Mai Ding, Michael E Jessen, Andrew S Wechsler

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of thoracic and cardiovascular surgery, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.2field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 7 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Anwar Saad Abd-ElfattahDivision of Cardiothoracic Surgery, Department of Surgery, Virginia Commonwealth University Medical Center, Richmond, VA 23298-0068, USA. anwar@vcu.edu
Mai Ding
Michael E Jessen
Andrew S Wechsler
St. John Medical Center · USUniversity Medical Center · USVirginia Commonwealth University · US

Funding

CARDIOPROTECTION OF THE FAILING HEARTR01HL051090 · NHLBI · VIRGINIA COMMONWEALTH UNIVERSITY · PI ABD-ELFATTAH, ANWAR S · 1994 to 1997
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NHLBI NIH HHS R01 HL 05-1090NHLBI NIH HHS R01 HL051090
6 · The paper itself

Abstract

objectiveThe inhibition of adenosine deaminase with erythro-9 (2-hydroxy-3-nonyl)-adenine (EHNA) and the es-ENT1 transporter with p-nitro-benzylthioinosine (NBMPR), entraps myocardial intracellular adenosine during on-pump warm aortic crossclamping, leading to a complete recovery of cardiac function and adenosine triphosphate (ATP) during reperfusion. The differential role of entrapped intracellular and circulating adenosine in EHNA/NBMPR-mediated protection is unknown. Selective (8-cyclopentyl-1,3-dipropyl-xanthine) or nonselective [8-(p-sulfophenyl)theophyline] A1 receptor antagonists were used to block adenosine A1-receptor contribution in EHNA/NBMPR-mediated cardiac recovery.

methodsAnesthetized dogs (n = 45), instrumented to measure heart performance using sonomicrometry, were subjected to 30 minutes of warm aortic crossclamping and 60 minutes of reperfusion. Three boluses of the vehicle (series A) or 100 μM EHNA and 25 μM NBMPR (series B) were infused into the pump at baseline, before ischemia and before reperfusion. 8-Cyclopentyl-1,3-dipropyl-xanthine (10 μM) or 8-(p-sulfophenyl)theophyline (100 μM) was intra-aortically infused immediately after aortic crossclamping distal to the clamp in series A and series B. The ATP pool and nicotinamide adenine dinucleotide was determined using high-performance liquid chromatography.

resultsIschemia depleted ATP in all groups by 50%. The adenosine/inosine ratios were more than 10-fold greater in series B than in series A (P < .001). ATP and function recovered in the EHNA/NBMPR-treated group (P < .05 vs control group). 8-Cyclopentyl-1,3-dipropyl-xanthine and 8-(p-sulfophenyl)theophyline partially reduced cardiac function in series A and B to the same degree but did not abolish the EHNA/NBMPR-mediated protection in series B.

conclusionsIn addition to the cardioprotection mediated by activation of the adenosine receptors by extracellular adenosine, EHNA/NBMPR entrapment of intracellular adenosine provided a significant component of myocardial protection despite adenosine A1 receptor blockade.

Indexed as

AdenineAdenosine Deaminase InhibitorsAnimalsChromatography, High Pressure LiquidConstrictionDisease Models, AnimalDogsIschemic PreconditioningMyocardial IschemiaMyocardial Reperfusion InjuryMyocardial StunningNucleoside Transport ProteinsReceptor, Adenosine A1TheophyllineThioinosineXanthines1,3-dipropyl-8-cyclopentylxanthine4-nitrobenzylthioinosine8-(4-sulfophenyl)theophylline9-(2-hydroxy-3-nonyl)adenineAdenineAdenosine Deaminase InhibitorsNucleoside Transport ProteinsReceptor, Adenosine A1TheophyllineThioinosineXanthines

Identifiers

PMID22325325
PMCPMC3355204
OpenAlexW2080621962

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.