1. The effectiveness of prolonged hypothermic preservation of isolated rat hearts using oxygen, medical nitrous oxide and carbon monoxide gas mixtures.
- Author
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Gagarinskiy EL, Sharapov MG, Goncharov RG, Gurin AE, Ugraitskaya SV, and Fesenko EE
- Subjects
- Animals, Rats, Male, Rats, Wistar, Myocardium metabolism, Hypothermia, Induced, Nitrous Oxide, Oxygen metabolism, Carbon Monoxide pharmacology, Heart drug effects, Heart physiology, Organ Preservation methods
- Abstract
The possibility of using an oxygen-nitrous oxide mixture for prolonged hypothermic preservation of rat heart for 24 h was investigated. A comparative analysis of restoration of functional activity of hearts in the groups of 24-h preservation at +4 °C with different gases (O
2 , N2 ) and gas mixtures (CO + O2 , N2 O + O2 , N2 +O2 , N2 O + N2 ) was carried out. It was shown that the presence of oxygen in the gas mixture was the key factor for heart preservation. No stable heart preservation was observed in oxygen-free mixtures. At the same time, preservation in pure oxygen showed a significantly lower level of cardiac recovery compared to preservation in gas mixtures O2 +CO (6.5 atm.) and O2 +N2 O (6.5 atm.). LVDP (left ventricular developed pressure) values were 30 ± 19 mmHg and 46 ± 9 mmHg, respectively, with no significant differences found. The decrease in LDVP after 24 h of storage was 26-40 % of the intact control. The results obtained indicate the presence of pronounced synergistic effects of both gases during 24-h heart preservation, which is confirmed by data of marker genes Nfe2l2, Nox1, Prdx1, Hif1a, Nos2, Slc2a4, Ucp-1, Jun, Casp3 expression analysis and myocardial infarction damage level data. The more frequent occurrence of arrhythmias was observed in the oxygen-nitrous oxide group compared with the CO group, and the mechanism of this phenomenon is unclear. Nevertheless, the already medically approved N2 O + O2 gas mixture could serve as a balanced choice for future improvements, offering a shorter duration of cardiac preservation compared to the CO + O2 mixture, while ensuring safety in its use., Competing Interests: Declaration of competing interest The authors declare no conflict of interest., (Copyright © 2025 Elsevier Inc. All rights reserved.)- Published
- 2025
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