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Updated: Jun 16, 2026

Model of Ischemia and Reperfusion Injury in Rabbits
Published on: November 3, 2023
Postischemic poly (ADP-ribose) polymerase (PARP) inhibition reduces ischemia reperfusion injury in a hind-limb
Robert S Crawford1, Hassan Albadawi, Marvin D Atkins
1Division of Vascular and Endovascular Surgery, Massachusetts General Hospital, Boston, MA 02114, USA.
Background:
Several experiments were designed to determine whether the systemic, postischemic administration of PJ34,which is a poly-adenosine diphosphate (ADP)-ribose polymerase inhibitor, decreased tissue injury and inflammation after hind-limb ischemia reperfusion (I/R).
Methods:
C57BL6 mouse limbs were subjected to 1.5 h ischemia followed by 24-h reperfusion. The treatment group (PJ) received intraperitoneal PJ34 (30 mg/kg) immediately before reperfusion, as well as 15 min and 2 h into reperfusion. The control group (CG) received lactated Ringer's alone at the same time intervals as PJ34 administration. The skeletal muscle levels of adenosine triphosphate (ATP), macrophage inflammatory protein-2 (MIP-2), keratinocyte derived chemokine (KC), and myeloperoxidase (MPO) were measured. Quantitative measurement of skeletal muscle tissue injury was assessed by microscopic analysis of fiber injury.
Results:
ATP levels were higher in limbs of PJ versus CG mice (absolute ATP: 4.7 +/- 0.35 vs 2.3 +/- 0.15-ng/mg tissue, P = .002). The levels of MIP-2, KC, and MPO were lower in PJ versus CG mice (MIP-2: 1.4 +/- 0.34 vs 3.67 +/- 0.67-pg/mg protein, P = .014; KC: 4.97 +/- 0.97 vs 12.65 +/- 3.05-pg/mg protein, P = .037; MPO: 46.27 +/- 10.53 vs 107.34 +/- 13.58-ng/mg protein, P = .008). Muscle fiber injury was markedly reduced in PJ versus CG mice (4.25 +/- 1.9% vs 22.68 +/- 3.0% total fibers, P = .0004).
Conclusion:
Systemic postischemic administration of PJ34 preserved skeletal muscle energy levels, decreased inflammatory markers, and preserved tissue viability post-I/R. These results support PARP inhibition as a viable treatment for skeletal muscle I/R in a clinically relevant post hoc scenario.
Insights
Poly (ADP-ribose) polymerase (PARP) inhibition with PJ34 postischemia significantly reduced skeletal muscle injury and inflammation. This study demonstrates that PJ34 preserves muscle energy and viability after hind-limb ischemia reperfusion (I/R).
Area of Science:
- Biomedical Science
- Pharmacology
- Surgical Research
Background:
- Hind-limb ischemia reperfusion (I/R) induces significant skeletal muscle injury and inflammation.
- Poly (ADP-ribose) polymerase (PARP) is implicated in the pathophysiology of I/R injury.
- Investigating therapeutic interventions for I/R is crucial for clinical outcomes.
Purpose of the Study:
- To evaluate the efficacy of systemic, postischemic administration of PJ34, a PARP inhibitor, in mitigating skeletal muscle injury and inflammation following I/R.
- To assess the impact of PJ34 on key biochemical markers and tissue viability in a mouse model of hind-limb I/R.
Main Methods:
- C57BL6 mice underwent 1.5 hours of hind-limb ischemia followed by 24 hours of reperfusion.
- The treatment group received intraperitoneal PJ34 (30 mg/kg) at reperfusion and at 2 and 4 hours into reperfusion.
- Control animals received lactated Ringer's solution. Skeletal muscle ATP, MIP-2, KC, MPO levels, and fiber injury were quantified.
Main Results:
- PJ34 treatment resulted in significantly higher skeletal muscle ATP levels compared to controls (4.7 vs 2.3 ng/mg tissue).
- Levels of inflammatory markers MIP-2, KC, and MPO were significantly reduced in the PJ34 group.
- Microscopic analysis revealed a marked reduction in muscle fiber injury in PJ34-treated mice (4.25% vs 22.68% of total fibers).
Conclusions:
- Systemic postischemic administration of PJ34 effectively preserves skeletal muscle energy levels and reduces inflammation post-I/R.
- PJ34 treatment significantly improves tissue viability and reduces cellular damage in a preclinical model of skeletal muscle I/R.
- These findings support PARP inhibition as a promising therapeutic strategy for managing skeletal muscle I/R injury in a clinical setting.

