Myocardial adaptation to ischemia by oxidative stress induced by endotoxin. Maulik, Nilanjana, Masazumi Watanabe, Daniel Engelman, Richard M. Engelman, Valerian E. Kagan, Elena Kisin, Vladimir Tyurin, Gerald A. Cordis, and Dipak K. Das. Cardiovascular Division, Department of Surgery, University of Connecticut School of Medicine, Farmington, CT; Department of Surgery, Baystate Medical Center, Springfield, MA; and Department of Environmental and Occupational Health, University of Pittsburg, Pittsburg, PA
APStracts 2:0205C, 1995.
While a large amount of oxidative stress is harmful to cells, a small amount of such stress can enhance the antioxidative defence system of the cells and protect them from subsequent stress-related injury. The present study examined whether a small amount of oxidative stress could provide adequate protection to the heart against ischemia/reperfusion injury, and if so, by which mechanism. Oxidative stress was induced by injecting a small amount of endotoxin (0.5 mg/kg) into the rat. Control experiments were performed by injecting the rats with the same amount of saline. After 24 hr, rats were sacrificed, hearts isolated, and the effects of ischemia/reperfusion was studied using an isolated working heart preparation. The development of oxidative stress was examined by assessing malonaldehyde production in the heart. The antioxidant defense system was studied by estimating antioxidant enzyme activities and ascorbate- as well as thiol- dependent antioxidant reserve. The results of our study indicated that endotoxin induced oxidative stress within one hour of treatment, the stress was reduced progressively and steadily up to 24 hr, at which point it was slightly lower than the baseline level. The antioxidant enzymes, Mn -SOD and Cu/Zn-SOD, and glutathione (GSH) reductase were reduced up to 2 hr, and then increased. Mn-SOD and Cu/Zn-SOD were enhanced significantly compared to baseline values while GSH reductase level remained the same as baseline level. Catalase increased progressively up to 24 hr, GSH-peroxidase did not change up to 4 hr, then increased steadily up to 24 hr. Both thiol- and ascorbate- dependent antioxidant reserve were enhanced, but the enhancement of the former was only transitory. After 24 hr, endotoxin provided adequate protection to the heart from the ischemic/reperfusion injury as evidenced by improved left ventricular functions and aortic flow. The results of this study suggest that the induction of oxidative stress by endotoxin induced adaptive modification to the antioxidants in the heart, resulting in the strengthening of the antioxidant defense system. Antioxidant reserve increased progressively reaching the maximal level after 24 hr when beneficial effects of oxidative stress adaptation was observed suggesting that oxidative stress adaptation may play a role in the reduction of myocardial ischemia reperfusion injury.

Received 2 December 1994; accepted in final form 14 March 1995.
APS Manuscript Number C705-4.
Article publication pending Am. J. Physiol. (Cell Physiology).
ISSN 1080-4757 Copyright 1995 The American Physiological Society.
Published in APStracts on 26 May 1995.