Abstract
Objectives: Hyperkalemia in cardioplegia impairs the function mediated by endothelium-derived hyperpolarizing factor. This study examined the effect and mechanism of magnesium ion on the relaxation mediated by endothelium-derived hyperpolarizing factor. Methods: In the isometric force study, porcine coronary microarteries in a myograph (diameter 200-450 μm) were incubated in Krebs solution (subgroups Ia, IIa, and IIIa), potassium ion (20 mmol/L, subgroups Ib, IIb, and IIIb), magnesium ion (16 mmol/L, subgroups Ic, IIc, and IIIc), or potassium ion plus magnesium ion (subgroups Id, IId, and IIId) for 1 hour at 37°C in group I or II, followed by washout for 45 minutes in group III (n = 8). Relaxation to bradykinin (groups I and III) or sodium nitroprusside (group II) in U46619-stimulated contraction was established. In the electrophysiologic study, the membrane potentials of single smooth muscle cells of arteries were measured by microelectrode after superfusion with the previously described solutions (subgroups IVa-IVc). Results: In group I, 20-mmol/L potassium ion greatly reduced the bradykinin-induced relaxation (35.0% ± 4.9% vs 86.0% ± 5.3%, P <.001), which was significantly restored by magnesium ion (51.9% ± 4.0%, P =.017). In groups II and III, the bradykinin- or nitroprusside-induced relaxation had no significant differences. In group IV, potassium ion depolarized the smooth muscle and decreased the bradykinin-induced hyperpolarization (−72.0 ± 1.5 vs −61.7 ± 0.7 mV, n = 7, P <.001), which was significantly restored by magnesium ion (−68.0 ± 2.5 mV vs −72.5 ± 1.5 mV, n = 6, P =.029). Conclusions: Magnesium ion, either alone or added to hyperkalemic solutions, preserves or helps to restore the endothelial function mediated by endothelium-derived hyperpolarizing factor. The mechanism is related to preservation of the membrane hyperpolarization and reversal of the potassium-induced membrane depolarization of the smooth muscle cell.J Thorac Cardiovasc Surg 2002;124:361-70
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