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. 2015 May 12;2015:186908. doi: 10.1155/2015/186908

Table 3.

Effects of H2S and its donors in myocardial I/R injury.

Experimental models Effects Proposed mechanisms References
Myocardial I/R in vivo (rat) NaHS (0.2 mg/kg, prior to R) protects against the effects of haemorrhage-induced I/R Upregulation of the protein kinase B/endothelial nitric oxide synthase pathway [148]

Regional myocardial I/R in vivo (rat) NaHS (3 mg/kg, 15 min prior to I) shows cardioprotective effects Combination of antiapoptotic and anti-inflammatory effects [149]

Isolated perfused heart ex vivo (rat) NaHS (100 μM, plus histidine buffer solution, prior to R) enhances cardiac performance Prevention of apoptosis and preservation of the phosphorylative system [150]

Isolated perfused heart ex vivo (rat) NaHS (0.1–100 μM, at the onset of R) protects rat heart against I/R injury Mitochondrial KATP channel opening [151]

Primary cultured neonatal cardiomyocytes (rat) NaHS (25–200 μM, 30 min prior to H) protects cardiomyocytes from oxidative stress Inhibition of mitochondrial complex IV and enhancement of SOD activity [152]

Isolated perfused heart ex vivo (rat) NaHS (10 μM, at the onset of R) protects isolated rat hearts from I/R injury Activation of the Janus kinase 2/signal transducer and activator of transcription 3 signaling pathway [153]

Isolated perfused heart ex vivo (rat) NaHS (40 μM, throughout the experiment) provides myocardial protection Possibly activation of the expression of heat shock protein 72 [154]

Isolated perfused heart ex vivo (rat) L-cysteine (0.1–10 mM, 10 min before I until 10 min after R) induces limitation of infarct size Dependent on H2S synthesis [155]

Myocardial I/R in vivo (rat) NaHS (14 μM/kg, 7 days before myocardial I/R) significantly reduces the myocardial infarct size Antiapoptotic, antioxidative, and anti-inflammatory activities [156]

Isolated perfused heart ex vivo (rat) NaHS (100 μM, prior to I) significantly decreases the duration and severity of I/R-induced arrhythmias Mitochondrial KATP channel opening [157]

Isolated perfused heart ex vivo (rat) NaHS (100 μM, prior to I) significantly decreases myocardial infarct size and improves heart contractile function Activation of KATP/PKC/ERK1/2 and PI3K/Akt pathways [158]

Isolated cardiac myocytes (rat) NaHS (100 μM, prior to I) increases cell viability, percentage of rod-shaped cells, and myocyte contractility KATP/PKC dependent induction of COX-2 expression and nitric oxide-induced COX-2 activation [159]

Myocardial I/R in vivo (mice) H2S (100 ppm, prior to I) has protective properties in I/R injury Reduction of myocardial ROS production and the inhibition of inflammation, necrosis, and fibrogenesis [36]

Regional myocardial I/R in vivo (pig) Na2S (100 μg/kg bolus + 1 mg/kg/hr infusion, 10 min prior to R) improves myocardial function and reduces infarct size Anti-inflammatory properties [160]

Regional myocardial I/R in vivo (pig) Na2S (100 μg/kg bolus + 1 mg/kg/hr infusion, throughout the experiment) reduces myocardial infarct size Antiapoptotic activities [161]

Regional myocardial I/R in vivo (rat) NaHS (0.1–10 μM, 10 min prior to I until 10 min into R) results in a concentration-dependent limitation of infarct size Mitochondrial KATP channel opening [162]

Myocardial I/R in vivo (rat) NaHS (0.2 mg/kg, prior to R) protects against the effects of haemorrhage-induced I/R Protection against oxidative stress [163]

Primary cultured neonatal cardiomyocytes (rat) NaHS (1–100 μM, 30 min prior to H) shows concentration-dependent inhibitory effects on cardiomyocyte apoptosis induced by H/R Induction of phosphorylation of GSK-3 and inhibition of mitochondrial permeability transition pore opening [164]

Myocardial I/R in vivo (mice) Na2S (0.1 mg/kg, 7 days prior to I) attenuates myocardial I/R injury Activation of nuclear factor erythroid-2-related factor-2 signaling in an Erk-dependent manner [165]

Myocardial I/R in vivo (rat) NaHS (14 μM/kg, 7 days prior to I) inhibits apoptosis of cardiomyocytes induced by myocardial I/R Enhancement of the phosphorylation of apoptosis repressor with caspase recruitment domain [166]

Myocardial I/R in vivo (mice) Na2S (10–500 μg/kg, prior to R) limits infarct size and preserves left ventricular function Inhibition of myocardial inflammation and preservation of both mitochondrial structure and function [167]

Myocardial I/R in vivo (mice) Na2S (100 μg/kg, 1 h prior to I) reduces myocardial infarct size miR-21-dependent attenuation of ischemic and inflammatory injury [168]

Myocardial I/R in vivo (mice) Na2S (100 μg/kg, 24 h prior to I) reduces myocardial infarct size Combination of antioxidant and antiapoptotic signaling [169]

Isolated perfused heart ex vivo (rabbit) Allitridum (60 μM, prior to I) reduces myocardial infarct size Activation of PKC [170]

Myocardial I/R in vivo (mice) DATS (200 μg/kg, prior to R) significantly reduces infarct size and increases myocardial contractile function Preservation of endogenous hydrogen sulfide and increase of nitric oxide bioavailability [32]

Myocardial I/R in vivo (mice) Na2S (100 μg/kg, prior to R) protects against the structural and functional deterioration of the left ventricle Protection against oxidative stress and mitochondrial dysfunction [15]

Isolated perfused heart ex vivo (rat) NaHS (50 μM, prior or post to I) protects against cardiac I/R injury Phosphorylation of mammalian target of rapamycin C2 [171]

Myocardial I/R in vivo (rat) NaHS (3 mg/kg, 15 min prior to I) significantly reduces myocardial infarct size Mitochondrial KATP channel opening [172]

Primary cultured neonatal cardiomyocytes (rat) NaHS (30 μM, 30 min prior to H) attenuates cardiomyocyte apoptosis and enhances cell viability Protection of cardiomyocytes against I/R-induced apoptosis by stimulating Bcl-2 [173]

Isolated perfused heart ex vivo (mice) Na2S (10 μM, 40 seconds after the start of R) markedly improves the recovery of myocardial function Nitric oxide synthase 3-dependent signaling pathway [174]

Myocardial I/R in vivo (rat) NaHS (14 μM/kg/d, 6 d prior to I) markedly reduces heart infarct size and has great improvement in blood pressure Upregulation of survivin [175]

Myocardial I/R in vivo (pig) NaHS (0.2 mg/kg, prior to R) markedly reduces myocardial infarct size and improves regional left ventricular function Higher expression of phospho-GSK-3β and lower expression of apoptosis-inducing factor [176]

H/R: hypoxia/reoxygenation; SOD: superoxide dismutase; PKC: protein kinase C; ERK1/2: extracellular signal regulated kinase 1/2; PI3K (PtdIns3K): phosphatidylinositol 3-kinase; Akt (PKB): protein kinase B; COX-2: cyclooxygenase-2; ROS: reactive oxygen species; GSK-3: glycogen synthase kinase-3.