Abstract-Cytochrome P450s (CYP) and their arachidonic acid (AA) metabolites have important roles in regulating vascular tone, but their function and specific pathways involved in modulating myocardial ischemia-reperfusion injury have not been clearly established. Thus, we characterized the effects of several selective CYP-hydroxylase inhibitors and a CYP-hydroxylase metabolite of AA, 20-hydroxyeicosatetraenoic acid (20-HETE), on the extent of ischemiareperfusion injury in canine hearts. During 60 minutes of ischemia and particularly after 3 hours of reperfusion, 20-HETE was produced at high concentrations. A nonspecific CYP inhibitor, miconazole, and 2 specific CYPhydroxylase inhibitors, 17-octadecanoic acid (17-ODYA) and N-methylsulfonyl-12,12-dibromododec-11-enamide (DDMS), markedly inhibited 20-HETE production during ischemia-reperfusion and produced a profound reduction in myocardial infarct size (expressed as a percent of the area at risk Key Words: arachidonic acid metabolites Ⅲ cytochrome p450 Ⅲ 20-HETE Ⅲ ischemia Ⅲ reperfusion I t has long been recognized that ischemia-reperfusion of the canine heart results in an accumulation of unesterified arachidonic acid (AA). 1,2 AA can be metabolized by cytochrome P450 (CYP) expoxygenases to 4 regioisomeric epoxyeicosatrienoic acids (5,6-EET, 8,9-EET, 11,12-EET, and 14,15-EET) and by CYP-hydroxylases to 20-hydroxyeicosatetraenoic acid (20-HETE). 3-6 Subsequently, EETs can be further metabolized to their corresponding dihydroxyeicosatrienoic acids (DHETs) by epoxide hydrolases. 7,8 Although EETs relax many blood vessels, including coronary, cerebral, renal, and pial arteries, and hyperpolarize vascular smooth muscle cells possibly by activation of calcium activated potassium (Kca) channels, 9 DHETs produce relaxation only in some vessels. 10,11 However, 20-HETE is a potent vasoconstrictor 12 that activates L-type Ca 2ϩ channels leading to vasoconstriction of renal afferent arterioles. 13,14 As noted, roles of these eicosanoids in the regulation of peripheral vascular tone have been extensively investigated. However, their functions during ischemia and after reperfusion in the heart and coronary circulation, as well as mechanisms responsible for their vascular and myocardial properties are not well-understood. It is known that CYP metabolites are involved in AA-induced relaxation of canine coronary arteries. 15 Both EETs and DHETs have been shown to be potent vasodilators in the canine coronary microcirculation. 16 The production of EETs and DHETs was increased in stenosed canine coronary arteries. 17 Recently, nonspecific CYP inhibitors such as chloramphenicol, cimetidine, and sulfaphenazole have been reported to reduce ischemia-reperfusion injury, as measured by recovery of contractile function and reduction of infarct size, in rat and rabbit hearts. 18 However, because the drugs used to inhibit CYP were not selective inhibitors, it was difficult to determine the precise pathway or metabolite responsible.Previously, we found that high plasma concentrations of CYP ...