1. Early Administration of Glutamine Protects Cardiomyocytes from Post-Cardiac Arrest Acidosis
- Author
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Wen-Liang Chen, Cheng Hsu Chen, Yan-Ren Lin, Huai En Lu, Cheng Hao Wen, Han-Ping Wu, Chao Jui Li, Waradee Buddhakosai, and Shih Han Syu
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Resuscitation ,Article Subject ,Glutamine ,medicine.medical_treatment ,Induced Pluripotent Stem Cells ,Cell ,lcsh:Medicine ,030204 cardiovascular system & hematology ,General Biochemistry, Genetics and Molecular Biology ,Andrology ,03 medical and health sciences ,0302 clinical medicine ,medicine ,Animals ,Humans ,Myocyte ,Myocytes, Cardiac ,Rats, Wistar ,Adverse effect ,Saline ,Cells, Cultured ,Acidosis ,General Immunology and Microbiology ,business.industry ,lcsh:R ,030208 emergency & critical care medicine ,General Medicine ,Hydrogen-Ion Concentration ,Heart Arrest ,Rats ,Disease Models, Animal ,medicine.anatomical_structure ,Apoptosis ,medicine.symptom ,business ,Research Article - Abstract
Postcardiac arrest acidosis can decrease survival. Effective medications without adverse side effects are still not well characterized. We aimed to analyze whether early administration of glutamine could improve survival and protect cardiomyocytes from postcardiac arrest acidosis using animal and cell models. Forty Wistar rats with postcardiac arrest acidosis (blood pH < 7.2) were included. They were divided into study (500 mg/kg L-alanyl-L-glutamine,n=20) and control (normal saline,n=20) groups. Each of the rats received resuscitation. The outcomes were compared between the two groups. In addition, cardiomyocytes derived from human induced pluripotent stem cells were exposed to HBSS with different pH levels (7.3 or 6.5) or to culture medium (control). Apoptosis-related markers and beating function were analyzed. We found that the duration of survival was significantly longer in the study group (p<0.05). In addition, in pH 6.5 or pH 7.3 HBSS buffer, the expression levels of cell stress (p53) and apoptosis (caspase-3, Bcl-xL) markers were significantly lower in cardiomyocytes treated with 50 mM L-glutamine than those without L-glutamine (RT-PCR). L-glutamine also increased the beating function of cardiomyocytes, especially at the lower pH level (6.5). More importantly, glutamine decreased cardiomyocyte apoptosis and increased these cells’ beating function at a low pH level.
- Published
- 2016
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