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The Annals of Thoracic Surgery, Vol 54, 327-332, Copyright © 1992 by The Society of Thoracic Surgeons
K Takeuchi, S Suzuki, N Kako, M Kobayashi, S Takahashi, M Sawada, T Honma, S Iwabuchi, K Fukui and K Koyama
The mechanism by which prostacyclin acts to prevent in vivo reperfusion
injury is still uncertain. This study was therefore undertaken to assess
the effect of a stable prostacyclin analogue (OP 41483-alpha-CD [OP]) on
oxygen-derived free radicals after heart-lung transplantation. OP was
administered to the heart-lung graft through the pulmonary artery for 25
minutes encompassing the reperfusion process. Free radicals were directly
measured by electron spin resonance spectroscopy. The radical intensities
of pulmonary venous blood were significantly lower in the OP group than in
the control group, suggesting that fewer free radicals were generated in
the lungs of the OP group. The cardiac and respiratory function were better
in the OP group than in the control group. The lung is the primary source
of oxygen free radical attack, and the beneficial action of OP on free
radical generation is almost exclusively restricted to the lung and does
not apply to the heart. This result suggested that OP probably is effective
in inhibiting free radical generation from the endothelium.
ARTICLES
A prostacyclin analogue reduces free radical generation in heart-lung transplantation
Hirosaki University School of Medicine, Japan.
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