Review Article

Role of Hydrogen Sulfide in Ischemia-Reperfusion Injury

Table 3

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

Experimental modelsEffectsProposed mechanismsReferences

Myocardial I/R in vivo (rat)NaHS (0.2 mg/kg, prior to R) protects against the effects of haemorrhage-induced I/RUpregulation 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 effectsCombination of antiapoptotic and anti-inflammatory effects[149]

Isolated perfused heart ex vivo (rat)NaHS (100 M, 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 M, at the onset of R) protects rat heart against I/R injuryMitochondrial KATP channel opening[151]

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

Isolated perfused heart ex vivo (rat)NaHS (10 M, 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 M, throughout the experiment) provides myocardial protectionPossibly 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 sizeDependent on H2S synthesis[155]

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

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

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

Isolated cardiac myocytes (rat)NaHS (100 M, prior to I) increases cell viability, percentage of rod-shaped cells, and myocyte contractilityKATP/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 injuryReduction of myocardial ROS production and the inhibition of inflammation, necrosis, and fibrogenesis[36]

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

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

Regional myocardial I/R in vivo (rat)NaHS (0.1–10 M, 10 min prior to I until 10 min into R) results in a concentration-dependent limitation of infarct sizeMitochondrial 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/RProtection against oxidative stress[163]

Primary cultured neonatal cardiomyocytes (rat)NaHS (1–100 M, 30 min prior to H) shows concentration-dependent inhibitory effects on cardiomyocyte apoptosis induced by H/RInduction 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 injuryActivation of nuclear factor erythroid-2-related factor-2 signaling in an Erk-dependent manner[165]

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

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

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

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

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

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

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

Isolated perfused heart ex vivo (rat)NaHS (50 M, prior or post to I) protects against cardiac I/R injuryPhosphorylation 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 sizeMitochondrial KATP channel opening[172]

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

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

Myocardial I/R in vivo (rat)NaHS (14 M/kg/d, 6 d prior to I) markedly reduces heart infarct size and has great improvement in blood pressureUpregulation 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 functionHigher 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.