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Volume 271,
Number 17,
Issue of April 26, 1996 pp. 10096-10102
©1996 by The American Society for Biochemistry and Molecular Biology, Inc.
Adenosine
Deaminase Inhibition Prevents Free Radical-mediated Injury in the
Postischemic Heart
(Received for publication, November 27, 1995; and in revised form, January 23, 1996)
Yong
Xia ,
Garabet
Khatchikian,
Jay L.
Zweier
In the presence of its substrates hypoxanthine and xanthine,
xanthine oxidase generates oxygen free radicals that cause postischemic
injury. Recently, it has been demonstrated that the burst of xanthine
oxidase-mediated free radical generation in the reperfused heart is
triggered by a large increase in substrate formation, which occurs
secondary to the degradation of adenine nucleotides during ischemia. It
is not known, however, whether blocking this substrate formation is
sufficient to prevent radical generation and functional injury.
Therefore, studies were performed in isolated rat hearts in which
xanthine oxidase substrate formation was blocked with the adenosine
deaminase inhibitor erythro-9-(2-hydroxy-3-nonyl)adenine (EHNA), and
measurements of contractile function and free radical generation were
performed. Chromatographic measurements of the intracellular adenine
nucleotide pool showed that preischemic administration of EHNA blocked
postischemic hypoxanthine, xanthine, and inosine formation. Electron
paramagnetic resonance spin trapping measurements of free radical
generation showed that inhibition of adenosine deaminase with EHNA
blocked free radical generation and that it also increased the recovery
of contractile function by more than 2-fold. Exogenous infusion of
hypoxanthine and xanthine totally reversed the protective effects of
EHNA. These results demonstrate that blockade of xanthine oxidase
substrate formation by adenosine deaminase inhibition can prevent free
radical generation and contractile dysfunction in the postischemic
heart.

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Copyright © 1996 by the American Society for Biochemistry and Molecular Biology.
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