1994
DOI: 10.1152/ajpheart.1994.266.5.h1746
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Protective effects of N-acetyl-L-cysteine in endotoxemia

Abstract: Because oxygen free radicals have been implicated in the endothelial cell damage and in the myocardial depression occurring during severe sepsis, we investigated whether N-acetyl-L-cysteine (NAC) could influence the oxygen extraction capabilities during an acute reduction in blood flow induced by cardiac tamponade after endotoxin challenge. Sixteen anesthetized, saline-infused, and ventilated dogs received Escherichia coli endotoxin (2 mg/kg) 30 min before tamponade was induced by repeated bolus injections of … Show more

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Cited by 69 publications
(68 citation statements)
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“…NAC is a membrane-permeable low molecular weight thiol which is thought to have antioxidant properties and to scavenge oxygen-free radicals (Villa & Ghezzi, 1995). Some of the effects of NAC could therefore be related to a potentiation of the effect of NO, by destruction of oxygen-free radicals which are involved in NO breakdown (Zhang et al, 1994). The effects of NAC could also be due to its reaction with NO to form nitrosothiol intermediates which are potent activators of guanyly cyclase (Ignarro et al, 1981).…”
Section: Discussionmentioning
confidence: 99%
“…NAC is a membrane-permeable low molecular weight thiol which is thought to have antioxidant properties and to scavenge oxygen-free radicals (Villa & Ghezzi, 1995). Some of the effects of NAC could therefore be related to a potentiation of the effect of NO, by destruction of oxygen-free radicals which are involved in NO breakdown (Zhang et al, 1994). The effects of NAC could also be due to its reaction with NO to form nitrosothiol intermediates which are potent activators of guanyly cyclase (Ignarro et al, 1981).…”
Section: Discussionmentioning
confidence: 99%
“…Transcriptional regulation is a priority candidate to serum deprivation-induced gene expression. ROS activate NF-κB (Toledano and Leonard, 1991;Baeuerle and Henkel, 1994;Zhang et al, 1994;Flohe et al, 1997;Asehnoune et al, 2004). ROS and other free radicals can also activate AP-1 and NF-κB transcription coordinately (Dhar et al, 2002).…”
Section: Discussionmentioning
confidence: 99%
“…This is thought to play an important role in the development of MOF in critically ill patients [2][3][4]22]. NAC decreases the neutrophil-aggregating activity, enhances nitric oxide release by the endothelium, and has important antioxidant properties [5]. Thus, in theory, NAC may improve O 2 extraction and tissue oxygenation.…”
Section: Discussionmentioning
confidence: 99%
“…A defect in peripheral tissue O 2 extraction can cause covert tissue hypoxia and seems important in the pathogenesis of MOF [2][3][4]. Studies in experimental animals suggest that N-acetylcysteine (NAC) can improve O 2 extraction and tissue oxygenation [5]. In humans, NAC appears to enhance tissue O 2 extraction in patients with fulminant hepatic failure due to acetaminophen overdose [6], but not in patients with sepsis [7].…”
mentioning
confidence: 99%