18 posts on melatonin back to February 2012 so you can see how incompetent your doctor and stroke hospital are:
- melatonin (18)
Melatonin protects against heart ischemia-reperfusion injury by inhibiting mitochondrial permeability transition pore opening
Abstract
Melatonin,
a well-known antioxidant, has been shown to protect against
ischemia-reperfusion myocardial damage. Mitochondrial permeability
transition pore (MPTP) opening is an important event in cardiomyocyte
cell death occurring during ischemia-reperfusion and therefore a
possible target for cardioprotection. In the present study, we tested
the hypothesis that melatonin could protect heart against
ischemia-reperfusion injury by inhibiting MPTP opening. Isolated
perfused rat hearts were subjected to global ischemia and reperfusion in
the presence or absence of melatonin in a Langerdoff apparatus.
Melatonin treatment significantly improves the functional recovery of
Langerdoff hearts on reperfusion, reduces the infarct size, and
decreases necrotic damage as shown by the reduced release of lactate
dehydrogenase. Mitochondria isolated from melatonin-treated hearts are
less sensitive than mitochondria from reperfused hearts to MPTP opening
as demonstrated by their higher resistance to Ca(2+). Similar results
were obtained following treatment of ischemic-reperfused rat heart with
cyclosporine A, a known inhibitor of MPTP opening. In addition,
melatonin prevents mitochondrial NAD(+) release and mitochondrial
cytochrome c release and, as previously shown, cardiolipin oxidation
associated with ischemia-reperfusion. Together, these results
demonstrate that melatonin protects heart from reperfusion injury by
inhibiting MPTP opening, probably via prevention of cardiolipin
peroxidation.
- PMID:
- 19684190
- DOI:
- 10.1152/ajpheart.00163.2009
- [Indexed for MEDLINE]
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