1995
DOI: 10.1161/01.cir.92.3.492
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Adjunctive Selectin Blockade Successfully Reduces Infarct Size Beyond Thrombolysis in the Electrolytic Canine Coronary Artery Model

Abstract: Selectin blockade as an adjunct to rTPA-mediated thrombolysis significantly reduces infarct size and myocardial neutrophil infiltration well beyond thrombolysis alone in the electrolytic canine model. These data suggest that selectin blockade is extremely effective at reducing ischemia-reperfusion injury and myocardial infarct size in this model and that the neutrophil is a potent mediator of ischemia-reperfusion injury.

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Cited by 48 publications
(19 citation statements)
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“…A selectin inhibitor administered as an adjunct to thrombolytic therapy was reported to reduce infarct size in a canine model of coronary thrombosis. 40 Treatment with an anti-P-selectin antibody protected the feline heart in a model of myocardial ischemia and reperfusion injury. 41 Finally, 2 anti-P-selectin antibodies decreased vein wall inflammation and thrombus formation in a baboon model of deep vein thrombosis.…”
Section: Discussionmentioning
confidence: 99%
“…A selectin inhibitor administered as an adjunct to thrombolytic therapy was reported to reduce infarct size in a canine model of coronary thrombosis. 40 Treatment with an anti-P-selectin antibody protected the feline heart in a model of myocardial ischemia and reperfusion injury. 41 Finally, 2 anti-P-selectin antibodies decreased vein wall inflammation and thrombus formation in a baboon model of deep vein thrombosis.…”
Section: Discussionmentioning
confidence: 99%
“…24 -26 Analogues of this carbohydratebinding site, a sLe x oligosaccharide containing fucose and sialic acid moieties [NeuAC2,3Gal␤1,4(Fuc␣1,3)GlcNAc␤1,3Gal␤-O(CH2)5COOCH3] such as CY-1503, inhibit neutrophil adhesion to endothelial selectins in vitro 25,26 and in experimental models of myocardial ischemia and reperfusion in vivo. [27][28][29][30] Recently, it has been shown that a carbohydrate analogue of sLe x reduced cyclic flow variations in injured canine coronary arteries 31 and attenuated intimal hyperplasia after balloon arterial injury in rabbits. 32 However, none of those studies have examined platelet and neutrophil adhesion and interactions with the damaged denuded arteries, which may be the first target of sLe x analogues during the acute response to arterial injury.…”
mentioning
confidence: 99%
“…In addition, the adhesion of leukocytes to the region of thrombosis can cause further obstruction to blood flow in an already ischaemic region, resulting in further tissue damage [42]. Indeed, the antagonism of P-selectin in a dog model has been shown to reduce infarct size [43]. In addition, Pselectin antagonism can reduce neointimal formation postballoon angioplasty in animal models [44].…”
Section: P-selectin and Atherosclerosismentioning
confidence: 99%