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Cardioprotective and antioxidant effects of apomorphine

Igor Khaliulin1, Joseph B Borman, Mordechai Chevion

  • 1The Joseph Lunenfeld Cardiac Surgery Research Center, Hadassah University Hospital, Jerusalem, Israel.

Free Radical Research
|August 13, 2003
PubMed

Insights

Apomorphine, a potent antioxidant, protects rat hearts from ischemic-reperfusion injury by chelating iron and copper ions. This antioxidant action improves cardiac function and recovery after ischemia.

Area of Science:

  • Cardiovascular Science
  • Pharmacology
  • Biochemistry

Background:

  • Myocardial ischemic-reperfusion injury is exacerbated by oxygen-derived free radicals.
  • Iron and copper ions are released during reperfusion and mediate free radical formation.
  • Apomorphine is a known antioxidant capable of crossing biological membranes.

Purpose of the Study:

  • To investigate the cardioprotective effects of apomorphine against myocardial ischemic-reperfusion injury in isolated rat hearts.
  • To determine if apomorphine's interaction with iron and copper ions contributes to its protective effects.
  • To assess apomorphine's ability to prevent copper-induced oxidative damage.

Main Methods:

  • Isolated rat heart model subjected to ischemia-reperfusion.
  • Administration of apomorphine before ischemia or at the onset of reperfusion.
  • Measurement of hemodynamic function (work index, heart rate, developed pressure).
  • Quantification of protein release and coronary flow recovery.
  • In vitro studies on apomorphine's interaction with iron and copper, and its effect on ascorbate oxidation.

Main Results:

  • Apomorphine administration significantly improved the recovery of hemodynamic function compared to controls.
  • Pre-ischemic apomorphine perfusion resulted in 69.2% work index recovery (vs. 43.4% in controls).
  • Reperfusion with apomorphine led to 76.3% work index recovery (vs. 30.4% in controls).
  • Apomorphine treatment decreased protein release and improved coronary flow recovery post-ischemia.
  • Apomorphine formed stable complexes with iron and copper and inhibited copper-induced ascorbate oxidation.

Conclusions:

  • Apomorphine exhibits significant cardioprotective effects against myocardial ischemic-reperfusion injury.
  • The cardioprotection is attributed to apomorphine's ability to chelate iron and copper ions.
  • Formation of redox-inactive chelates with transition metals likely plays a key role in apomorphine's post-ischemic benefits.

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