1 This study was carried out to investigate novel cardioprotective e ects of urea and the underlying mechanisms. The cardiac functions under oxidative stress were evaluated using Langendor perfused isolated heart. 2 Isolated dog®sh shark hearts tolerated the oxidative stress generated by electrolysis (10 mA, 1 min) of the perfusion solution (n=4), and also showed normal cardiac functions during postischaemia reperfusion (n=4). The high concentration of urea (350 mM) in the heart perfusate was indispensable for maintaining the normal cardiac functions of the shark heart. 3 Urea at 3 ± 300 mM (n=4 for each group) protected the isolated rat heart against both electrolysis-induced heart damage and post-ischaemia reperfusion-induced cardiac injury. 4 A concentration-dependent scavenging e ect of urea (3 ± 300 mM, n=4 for each group) against electrolysis-induced reactive oxygen species was also demonstrated in vitro. 5 Urea derivatives as hydroxyurea, dimethylurea, and thiourea had antioxidant cardioprotective e ect against the electrolysis-induced cardiac dysfunction of rat heart, but were not as e ective as urea in suppressing the post-ischaemia reperfusion injury. 6 Our results suggest that urea and its derivatives are potential antioxidant cardioprotective agents against oxidative stress-induced myocardium damage including the post-ischaemia reperfusioninduced injury.
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