Volume 2017, Issue 1 1284804
Research Article
Open Access

Probucol Protects Rats from Cardiac Dysfunction Induced by Oxidative Stress following Cardiopulmonary Resuscitation

Xu Xiao

Corresponding Author

Xu Xiao

Department of Emergency Medicine, Sichuan People’s Hospital, Chengdu 610061, China samsph.com

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Huiyuan Hou

Huiyuan Hou

Department of Ophthalmology and Shiley Eye Institute, University of California, San Diego, La Jolla, CA 92093, USA ucsd.edu

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Victor Lin

Victor Lin

Department of Ophthalmology and Shiley Eye Institute, University of California, San Diego, La Jolla, CA 92093, USA ucsd.edu

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Daisy Ho

Daisy Ho

Department of Ophthalmology and Shiley Eye Institute, University of California, San Diego, La Jolla, CA 92093, USA ucsd.edu

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Kyle Tran

Kyle Tran

Department of Ophthalmology and Shiley Eye Institute, University of California, San Diego, La Jolla, CA 92093, USA ucsd.edu

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Briana Che

Briana Che

Department of Ophthalmology and Shiley Eye Institute, University of California, San Diego, La Jolla, CA 92093, USA ucsd.edu

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Adam May

Adam May

Department of Ophthalmology and Shiley Eye Institute, University of California, San Diego, La Jolla, CA 92093, USA ucsd.edu

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Jiancheng Zhang

Jiancheng Zhang

Department of Emergency Medicine, Sichuan People’s Hospital, Chengdu 610061, China samsph.com

Department of Ophthalmology and Shiley Eye Institute, University of California, San Diego, La Jolla, CA 92093, USA ucsd.edu

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Zhigang Lu

Zhigang Lu

Department of Ophthalmology and Shiley Eye Institute, University of California, San Diego, La Jolla, CA 92093, USA ucsd.edu

Department of Neurology, First People’s Hospital of Jingmen, Jingmen, Hubei Province 448000, China

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Zhongping Lu

Zhongping Lu

Department of Ophthalmology, Huaxi Hospital, Chengdu 610061, China cd120.com

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Peter X. Shaw

Corresponding Author

Peter X. Shaw

Department of Ophthalmology and Shiley Eye Institute, University of California, San Diego, La Jolla, CA 92093, USA ucsd.edu

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First published: 30 October 2017
Citations: 9
Academic Editor: Fiona L. Wilkinson

Abstract

Objective. To investigate the protective effect of probucol on induced cardiac arrest (CA) rats and possible mechanisms. Methods. Sprague Dawley rats were orally administrated with probucol at different dosage or vehicle for 5 days and subjected to a CA model by electrical stimulation, followed by cardiopulmonary resuscitation (CPR). The return of spontaneous circulation (ROSC) rate, antioxidant enzyme activities, and lipid oxidation markers were measured in serum and myocardium. Hemodynamic parameters and myocardial functions of animals were analyzed. Expression of erythroid-derived 2-like 2 (NFE2L2) and Kelch-like ECH-associated protein 1 (KEAP1) in the myocardium were examined with immunohistochemistry. Results. Probucol treatment significantly increased the ROSC rate and survival time of CA-induced rats. After ROSC, levels of oxidation-specific markers were decreased, while activities of antioxidant enzymes were increased significantly in probucol treatment groups. The probucol treatment improves hemodynamic parameters and myocardial functions. These parameter changes were in a dose-dependent manner. In the probucol treatment groups, the expression of KEAP1 was downregulated, while that of NFE2L2 was upregulated significantly. Conclusion. In the CA-induced rat model, probucol dose dependently improved the ROSC rate, prolonged survival time, alleviated oxidative stress, and improved cardiac function. Such protective effects are possibly through regulations of the KEAP1-NFE2L2 system.

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