1999
DOI: 10.1161/01.cir.99.8.1062
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Nonanticoagulant Heparin Prevents Coronary Endothelial Dysfunction After Brief Ischemia-Reperfusion Injury in the Dog

Abstract: These results suggest that heparin preserves coronary endothelial function after brief IR injury by a mechanism independent of its anticoagulant activity and that the effect of heparin may be mediated in part by activation of the NO-cGMP pathway.

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Cited by 29 publications
(17 citation statements)
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References 46 publications
(61 reference statements)
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“…This study also examined the regula-tion of these chemokines in atheroma-associated cells by NO, another agent implicated in the pathogenesis of atherosclerosis. Normal vascular ECs secrete NO in response to shear stress, whereas ECs overlying atherosclerotic plaques produce less NO (41). In addition to its vascular relaxing effects, NO plays important immunoregulatory functions, such as inhibiting nuclear factor-κB (NF-κB) activation.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…This study also examined the regula-tion of these chemokines in atheroma-associated cells by NO, another agent implicated in the pathogenesis of atherosclerosis. Normal vascular ECs secrete NO in response to shear stress, whereas ECs overlying atherosclerotic plaques produce less NO (41). In addition to its vascular relaxing effects, NO plays important immunoregulatory functions, such as inhibiting nuclear factor-κB (NF-κB) activation.…”
Section: Discussionmentioning
confidence: 99%
“…Because IFN-γ appears to have a proatherogenic effect, we have hypothesized that the IFN-γ-inducible chemokines IP-10, Mig, and I-TAC play an important role in atherosclerosis. Moreover, we investigated whether CD40 ligand (CD154), a molecule recently implicated in atherosclerosis (38,39), and nitric oxide (NO), which has an antiatherogenic effect (40,41), would regulate IP-10, Mig, and I-TAC expression.…”
Section: Introductionmentioning
confidence: 99%
“…Inhibition of L-selectin or P-selectin with mAbs or sLex-related compounds attenuates neutrophil accumulation in reperfused organ, reduces the area at risk of infarction or acute organ dysfunction, and results in better recovery. Some heparin preparations can preserve myocardial contractility after ischemia/reperfusion injury or reduce brain injury (83)(84)(85)(86). The anti-L-selectin and anti-P-selectin activity of heparin could constitute a major mechanism by which heparin derivatives may prevent reperfusion injury.…”
Section: Discussionmentioning
confidence: 99%
“…Thrombosis leads to further endothelial dysfunction and reduced tissue perfusion. Although anticoagulants such as heparin have been shown to be protective in IRI, the mechanism of protection relates to complement inhibition, the prevention of endothelial cell dysfunction and the release of vasoactive mediators from the endothelium, rather than direct anticoagulant effects (Kouretas, Kim et al 1999). Kidney IRI was attenuated by soluble thrombomodulin treatment either before or after ischaemia.…”
Section: Coagulationmentioning
confidence: 99%