Abstract
1. Cloricromene is a non-anticoagulant coumarin derivative with anti-platelet and anti-leukocyte properties, which has beneficial effects in various models of ischaemia and shock. 2. We have assessed the effects of cloricromene on (a) ex vivo platelet aggregation, and (b) infarct size using a model of myocardial ischaemia in the anaesthetized rabbit. 3. Cloricromene (1-1000 micrograms kg-1 min-1 for 15 min) induced a dose-dependent inhibition of ex vivo platelet aggregation, causing only a minimal increase in heart rate and no change in mean arterial blood pressure. The inhibitory activity was considerably stronger when platelet aggregation was induced by collagen than by ADP. 4. Cloricromene inhibited ex vivo platelet aggregation in rabbits pretreated with indomethacin (5 mg kg-1) and this inhibition persisted for 30-60 min. 5. The model of myocardial ischaemia involved 1 h occlusion of the first antero-lateral branch of the left coronary artery followed by 2 h of reperfusion. Infusion of cloricromene (30 or 300 micrograms kg-1 min-1), ibuprofen (80 micrograms kg-1 min-1) or vehicle began 15 min prior to occlusion, and continued throughout the experiment. 6. While area at risk was similar for all groups studied, cloricromene (30 or 300 micrograms kg-1 min-1) or ibuprofen caused a reduction in infarct size, and decreased myeloperoxidase activity in the tissue of the infarcted myocardium. 7. Cloricromene at 300 micrograms kg-1 min-1 also reduced the occlusion-induced elevation of the ST-segment of the rabbit electrocardiogram, and inhibited platelet aggregation ex vivo.(ABSTRACT TRUNCATED AT 250 WORDS)
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- Aporti F., Finesso M., Granata L. Effects of 8-monochloro-3-beta-diethylaminoethyl-4-methyl-7-ethoxycarbonylmethoxy coumarin (AD6) on the coronary circulation in the dog. Pharmacol Res Commun. 1978 May;10(5):469–477. doi: 10.1016/s0031-6989(78)80037-x. [DOI] [PubMed] [Google Scholar]
- Baller D., Bretschneider H. J., Hellige G. A critical look at currently used indirect indices of myocardial oxygen consumption. Basic Res Cardiol. 1981 Mar-Apr;76(2):163–181. doi: 10.1007/BF01907955. [DOI] [PubMed] [Google Scholar]
- Bertocchi F., Breviario F., Proserpio P., Wang J. M., Ghezzi P., Travagli R. A., Prosdocimi M., Dejana E. In vitro inhibition of human polymorphonuclear cell function by cloricromene. Naunyn Schmiedebergs Arch Pharmacol. 1989 Jun;339(6):697–703. doi: 10.1007/BF00168664. [DOI] [PubMed] [Google Scholar]
- Chiariello M., Golino P., Cappelli-Bigazzi M., Ambrosio G., Tritto I., Salvatore M. Reduction in infarct size by the prostacyclin analogue iloprost (ZK 36374) after experimental coronary artery occlusion-reperfusion. Am Heart J. 1988 Mar;115(3):499–504. doi: 10.1016/0002-8703(88)90796-x. [DOI] [PubMed] [Google Scholar]
- Cirillo R., Salvatico E., Aliev G., Prosdocimi M. Effect of cloricromene during ischemia and reperfusion of rabbit hindlimb: evidence for an involvement of leukocytes in reperfusion-mediated tissue and vascular injury. J Cardiovasc Pharmacol. 1992 Dec;20(6):969–975. doi: 10.1097/00005344-199212000-00018. [DOI] [PubMed] [Google Scholar]
- Dejana E., de Castellarnau C., Balconi G., Rotilio D., Pietra A., de Gaetano G. AD 6, a coronary dilating agent, stimulates PGI2 production in rat aorta ex vivo and in human endothelial cells in culture. Pharmacol Res Commun. 1982 Sep;14(8):719–724. doi: 10.1016/s0031-6989(82)80077-5. [DOI] [PubMed] [Google Scholar]
- Dinerman J. L., Mehta J. L. Endothelial, platelet and leukocyte interactions in ischemic heart disease: insights into potential mechanisms and their clinical relevance. J Am Coll Cardiol. 1990 Jul;16(1):207–222. doi: 10.1016/0735-1097(90)90481-4. [DOI] [PubMed] [Google Scholar]
- Downey J. M., Miura T., Eddy L. J., Chambers D. E., Mellert T., Hearse D. J., Yellon D. M. Xanthine oxidase is not a source of free radicals in the ischemic rabbit heart. J Mol Cell Cardiol. 1987 Nov;19(11):1053–1060. doi: 10.1016/s0022-2828(87)80350-4. [DOI] [PubMed] [Google Scholar]
- Flores N. A., Davies R. L., Penny W. J., Sheridan D. J. Coronary microangiography in the guinea pig, rabbit and ferret. Int J Cardiol. 1984 Oct;6(4):459–471. doi: 10.1016/0167-5273(84)90326-7. [DOI] [PubMed] [Google Scholar]
- Forman M. B., Virmani R., Puett D. W. Mechanisms and therapy of myocardial reperfusion injury. Circulation. 1990 Mar;81(3 Suppl):IV69–IV78. [PubMed] [Google Scholar]
- Galli C., Agradi E., Petroni A., Socini A. Effects of 8-monochloro-3-beta-diethylaminoethyl-4-methyl-7-ethoxy carboxyl methoxy coumarin (AD6) on aggregation, arachidonic acid metabolism and thromboxane B2 formation in human platelets. Pharmacol Res Commun. 1980 Apr;12(4):329–337. doi: 10.1016/s0031-6989(80)80089-0. [DOI] [PubMed] [Google Scholar]
- Kjekshus J. K., Maroko P. R., Sobel B. E. Distribution of myocardial injury and its relation to epicardial ST-segment changes after coronary artery occlusion in the dog. Cardiovasc Res. 1972 Sep;6(5):490–499. doi: 10.1093/cvr/6.5.490. [DOI] [PubMed] [Google Scholar]
- Krawisz J. E., Sharon P., Stenson W. F. Quantitative assay for acute intestinal inflammation based on myeloperoxidase activity. Assessment of inflammation in rat and hamster models. Gastroenterology. 1984 Dec;87(6):1344–1350. [PubMed] [Google Scholar]
- Laws K. H., Clanton J. A., Starnes V. A., Lupinetti F. M., Collins J. C., Oates J. A., Hammon J. W., Jr Kinetics and imaging of indium-11-labeled autologous platelets in experimental myocardial infarction. Circulation. 1983 Jan;67(1):110–116. doi: 10.1161/01.cir.67.1.110. [DOI] [PubMed] [Google Scholar]
- Lefer A. M., Johnson G., 3rd, Ma X. L., Tsao P. S., Thomas G. R. Cardioprotective and endothelial protective effects of [Ala-IL8]77 in a rabbit model of myocardial ischaemia and reperfusion. Br J Pharmacol. 1991 May;103(1):1153–1159. doi: 10.1111/j.1476-5381.1991.tb12316.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Lindner V., Heinle H. Binding properties of circulating Evans blue in rabbits as determined by disc electrophoresis. Atherosclerosis. 1982 Jun;43(2-3):417–422. doi: 10.1016/0021-9150(82)90040-5. [DOI] [PubMed] [Google Scholar]
- Milei J., Llesuy S., Ferreira R., Grana D., Prosdocimi M., Boveris A. Reduction of myocardial damage by cloricromene during ischemia-reperfusion in the rabbit. Cardioscience. 1992 Jun;3(2):97–105. [PubMed] [Google Scholar]
- Mullane K. M., Read N., Salmon J. A., Moncada S. Role of leukocytes in acute myocardial infarction in anesthetized dogs: relationship to myocardial salvage by anti-inflammatory drugs. J Pharmacol Exp Ther. 1984 Feb;228(2):510–522. [PubMed] [Google Scholar]
- NACHLAS M. M., SHNITKA T. K. Macroscopic identification of early myocardial infarcts by alterations in dehydrogenase activity. Am J Pathol. 1963 Apr;42:379–405. [PMC free article] [PubMed] [Google Scholar]
- Prosdocimi M., Finesso M., Tessari F., Gorio A., Languino L. R., de Gaetano G., Dejana E. Inhibition by AD6 (8-monochloro-3-beta-diethylaminoethyl-4-methyl-7-ethoxycarbonyl methoxy coumarin) of platelet aggregation in dog stenosed coronary artery. Thromb Res. 1985 Aug 15;39(4):399–409. doi: 10.1016/0049-3848(85)90163-x. [DOI] [PubMed] [Google Scholar]
- Prosdocimi M., Zatta A., Gorio A., Zanetti A., Dejana E. Action of AD6 (8-monochloro-3-beta-diethylaminoethyl-4-methyl-7-ethoxycarbonylmet hox y coumarin) on human platelets in vitro. Naunyn Schmiedebergs Arch Pharmacol. 1986 Mar;332(3):305–310. doi: 10.1007/BF00504872. [DOI] [PubMed] [Google Scholar]
- Romson J. L., Hook B. G., Rigot V. H., Schork M. A., Swanson D. P., Lucchesi B. R. The effect of ibuprofen on accumulation of indium-111-labeled platelets and leukocytes in experimental myocardial infarction. Circulation. 1982 Nov;66(5):1002–1011. doi: 10.1161/01.cir.66.5.1002. [DOI] [PubMed] [Google Scholar]
- Schmid-Schönbein G. W., Engler R. L. Granulocytes as active participants in acute myocardial ischemia and infarction. Am J Cardiovasc Pathol. 1987 Jan;1(1):15–30. [PubMed] [Google Scholar]
- Squadrito F., Altavilla D., Campo G. M., Calapai G., Ioculano M., Zingarelli B., Saitta A., Prosdocimi M., Caputi A. P. Cloricromene, a coumarine derivative, protects against lethal endotoxin shock in rats. Eur J Pharmacol. 1992 Jan 14;210(2):107–113. doi: 10.1016/0014-2999(92)90660-v. [DOI] [PubMed] [Google Scholar]
- Sturniolo R., Squadrito F., Altavilla D., Trimarchi G. R., Prosdocimi M., Caputi A. P. Cloricromene improves survival rate and peritoneal macrophage function in splanchnic artery occlusion shock in rats. Circ Shock. 1989 Jul;28(3):267–277. [PubMed] [Google Scholar]
- Sturniolo R., Squadrito F., Campo G. M., Vinci R., Calatroni A., Prosdocimi M., Caputi A. P. Protective effect of cloricromene, a coumarine derivative, in hypovolemic hemorrhagic shock in the rat. J Cardiovasc Pharmacol. 1991 Feb;17(2):261–266. doi: 10.1097/00005344-199102000-00012. [DOI] [PubMed] [Google Scholar]
- Thiemermann C., Thomas G. R., Vane J. R. Defibrotide reduces infarct size in a rabbit model of experimental myocardial ischaemia and reperfusion. Br J Pharmacol. 1989 Jun;97(2):401–408. doi: 10.1111/j.1476-5381.1989.tb11967.x. [DOI] [PMC free article] [PubMed] [Google Scholar]