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Updated: Apr 16, 2026

Postconditioning with Lactate-enriched Blood for Cardioprotection in ST-segment Elevation Myocardial Infarction
Published on: May 28, 2019
Endogenous Cardioprotective Agents: Role in Pre and Postconditioning.
Claudia Penna, Riccarda Granata, Carlo Gabriele Tocchetti
1Department of Clinical and Biological Sciences, University of Torino, Orbassano (TO), Italy. pasquale.pagliaro@unito.it.
Cardioprotection strategies like conditioning protocols can mitigate heart damage from ischemia and reperfusion injury. These methods activate endogenous protective factors, offering potential for new heart attack therapies.
Area of Science:
- Cardiology
- Molecular Biology
- Biochemistry
Background:
- Cardiovascular diseases (CVD) are a leading cause of mortality globally.
- Acute myocardial ischemia and reperfusion injury are primary contributors to CVD.
- Cardioprotection strategies are crucial for mitigating heart damage.
Purpose of the Study:
- To review endogenous cardioprotective factors and pathways.
- To highlight mechanisms of action for various cardioprotective agents.
- To discuss the clinical translation of cardioprotection strategies.
Main Methods:
- Literature review of endogenous cardioprotective agents.
- Analysis of conditioning protocols (pre-, post-, and remote).
- Examination of factors like chromogranin A derivatives, ghrelin peptides, growth factors, cytokines, microvesicles, exosomes, and gasotransmitters.
Main Results:
- Conditioning protocols (pre-, post-, remote) induce endogenous cardioprotective responses.
- Various endogenous factors, including peptides, proteins, and gasotransmitters, mediate cardioprotection.
- Specific mechanisms involve cytoprotective pathways activated by these factors.
Conclusions:
- Endogenous cardioprotective strategies offer promising therapeutic avenues for myocardial infarction.
- Understanding these factors' mechanisms is key to developing novel cardioprotection therapies.
- Clinical translation of these findings could significantly advance cardiovascular medicine.
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