2004
DOI: 10.1016/j.cardiores.2003.12.004
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Inhibition of Rho-kinase protects the heart against ischemia/reperfusion injury

Abstract: These results suggest that Rho-kinase plays a pivotal role in myocardial ischemia/reperfusion injury. The cardiac protection provided by treatment with a selective Rho-kinase inhibitor is likely via anti-apoptotic effect and attenuation of ischemia/reperfusion-induced inflammatory responses. The finding of this study suggest a novel therapeutic approach to the treatment of acute myocardial ischemia/reperfusion injury.

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Cited by 199 publications
(182 citation statements)
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References 36 publications
(39 reference statements)
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“…In particular, there is substantial evidence that Rho GTPases are involved in synaptic remodeling and maintenance (Govek et al, 2005), and relative changes in their active/inactive state are associated with dendritic plasticity (Nakayama et al, 2000;Pilpel et al, 2004). Moreover, inhibition of Rho GTPases or their effectors protects against ischemia/reperfusion injury in vivo in both brain (Laufs et al, 2000;Trapp et al, 2001) and other tissues (Bao et al, 2004). Based on these findings, we offer the speculation that modulation of Rho GTPase signaling cascades by Slit has the net effect of maintaining cellular integrity and functioning in ischemic brain secondary to its ability to prevent or reduce synaptic disruption and other changes in dendritic morphology crucial to neuronal viability (Hasbani et al, 2001;Park et al, 1996).…”
Section: Discussionmentioning
confidence: 99%
“…In particular, there is substantial evidence that Rho GTPases are involved in synaptic remodeling and maintenance (Govek et al, 2005), and relative changes in their active/inactive state are associated with dendritic plasticity (Nakayama et al, 2000;Pilpel et al, 2004). Moreover, inhibition of Rho GTPases or their effectors protects against ischemia/reperfusion injury in vivo in both brain (Laufs et al, 2000;Trapp et al, 2001) and other tissues (Bao et al, 2004). Based on these findings, we offer the speculation that modulation of Rho GTPase signaling cascades by Slit has the net effect of maintaining cellular integrity and functioning in ischemic brain secondary to its ability to prevent or reduce synaptic disruption and other changes in dendritic morphology crucial to neuronal viability (Hasbani et al, 2001;Park et al, 1996).…”
Section: Discussionmentioning
confidence: 99%
“…Ischemia-reperfusion injury increased RhoA expression and ROCK activity in ischemic myocardium and treatment with Y-27632 protects against ischemiareperfusion injury [96]. Y-27632 decreased infarct size and improved cardiac function by inhibiting myocardial apoptosis and inflammatory responses, in part by preventing Bcl-2 downregulation and blocking proinflammatory cytokine production.…”
Section: Rock In Heart Diseasesmentioning
confidence: 94%
“…ROCK is also activated in murine hearts following myocardial ischemia-reperfusion injury [96] and infarction [97]. Ischemia-reperfusion injury increased RhoA expression and ROCK activity in ischemic myocardium and treatment with Y-27632 protects against ischemiareperfusion injury [96].…”
Section: Rock In Heart Diseasesmentioning
confidence: 99%
“…ROCK mediates infiltration of leukocytes as well as production of TNFα and CXC chemokines and hepatocellular apoptosis in endotoxemic liver injury (challenged with lipopolysaccharide and D-galactosamine) [134]. The inhibition of ROCK by Y27632 during acute ischemia/reperfusion injury significantly reduces cardiomyocyte apoptosis, prevents down-regulation of Bcl-2 protein, and attenuates inflammatory responses [8]. ROCK inhibition by fasudil reduces endothelin-1-induced myocardial injury, such as multifocal myocardial necrosis with infiltration of neutrophils and macrophages in the rabbit [149].…”
Section: In Vivo Evidencementioning
confidence: 99%