Abstract

During myocardial ischemia, ATP is broken down to the AMP-cata-bolites adenosine, inosine, (hypo)xanthine and uric acid. These apolar compounds can easily pass the cell membrane and enter the blood stream1. After reperfusion, energy charge and CrP are restored, but ATP levels remain low, because of purine loss2. To restore ATP levels, 3 main pathways exist: 1. adenosine phosphorylation, 2. inosine/hypoxanthine salvage, 3. de novo synthesis.

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