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      Cardioprotection stimulated by resveratrol and grape products prevents lethal cardiac arrhythmias in an animal model of ischemia and reperfusion

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          ABSTRACT

          Purpose

          To evaluate the preventive cardioprotective effects of resveratrol and grape products, such as grape juice and red wine, in animal model of cardiac ischemia and reperfusion.

          Methods

          Male Wistar rats orally pretreated for 21-days with resveratrol and grape products were anesthetized and placed on mechanical ventilation to surgically induce cardiac ischemia and reperfusion by obstruction (ischemia) followed by liberation (reperfusion) of blood circulation in left descending coronary artery. These rats were submitted to the electrocardiogram (ECG) analysis to evaluate the effects of pretreatment with resveratrol and grape products on the incidence of ventricular arrhythmias (VA), atrioventricular block (AVB) and lethality (LET) resulting from cardiac ischemia and reperfusion.

          Results

          It was observed that the incidence of AVB was significantly lower in rats pretreated with resveratrol (25%), grape juice (37.5%) or red wine (12.5%) than in rats treated with saline solution (80%) or ethanol (80%). Similarly, incidence of LET was also significantly lower in rats pretreated with resveratrol (25%), grape juice (25%) or red wine (0%) than in rats treated with saline solution (62.5%) or ethanol (75%).

          Conclusions

          These results indicate that the cardioprotective response stimulated by resveratrol and grape products prevents the lethal cardiac arrhythmias in animal model of ischemia and reperfusion, supporting the idea that this treatment can be beneficial for prevention of severe cardiac arrhythmias in patients with ischemic heart disease.

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          Most cited references66

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          Reducing the Global Burden of Cardiovascular Disease, Part 1: The Epidemiology and Risk Factors.

          Current global health policy goals include a 25% reduction in premature mortality from noncommunicable diseases by 2025. In this 2-part review, we provide an overview of the current epidemiological data on cardiovascular diseases (CVD), its risk factors, and describe strategies aimed at reducing its burden. In part 1, we examine the global epidemiology of cardiac conditions that have the greatest impact on CVD mortality; the predominant risk factors; and the impact of upstream, societal health determinants (eg, environmental factors, health policy, and health systems) on CVD. Although age-standardized mortality from CVD has decreased in many regions of the world, the absolute number of deaths continues to increase, with the majority now occurring in middle- and low-income countries. It is evident that multiple factors are causally related to CVD, including traditional individual level risk factors (mainly tobacco use, lipids, and elevated blood pressure) and societal level health determinants (eg, health systems, health policies, and barriers to CVD prevention and care). Both individual and societal risk factors vary considerably between different regions of the world and economic settings. However, reliable data to estimate CVD burden are lacking in many regions of the world, which hampers the establishment of nationwide prevention and management strategies. A 25% reduction in premature CVD mortality globally is feasible but will require better implementation of evidence-based policies (particularly tobacco control) and integrated health systems strategies that improve CVD prevention and management. In addition, there is a need for better health information to monitor progress and guide health policy decisions.
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            Calorie restriction-like effects of 30 days of resveratrol supplementation on energy metabolism and metabolic profile in obese humans.

            Resveratrol is a natural compound that affects energy metabolism and mitochondrial function and serves as a calorie restriction mimetic, at least in animal models of obesity. Here, we treated 11 healthy, obese men with placebo and 150 mg/day resveratrol (resVida) in a randomized double-blind crossover study for 30 days. Resveratrol significantly reduced sleeping and resting metabolic rate. In muscle, resveratrol activated AMPK, increased SIRT1 and PGC-1α protein levels, increased citrate synthase activity without change in mitochondrial content, and improved muscle mitochondrial respiration on a fatty acid-derived substrate. Furthermore, resveratrol elevated intramyocellular lipid levels and decreased intrahepatic lipid content, circulating glucose, triglycerides, alanine-aminotransferase, and inflammation markers. Systolic blood pressure dropped and HOMA index improved after resveratrol. In the postprandial state, adipose tissue lipolysis and plasma fatty acid and glycerol decreased. In conclusion, we demonstrate that 30 days of resveratrol supplementation induces metabolic changes in obese humans, mimicking the effects of calorie restriction. Copyright © 2011 Elsevier Inc. All rights reserved.
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              Calcium cycling and signaling in cardiac myocytes.

              Calcium (Ca) is a universal intracellular second messenger. In muscle, Ca is best known for its role in contractile activation. However, in recent years the critical role of Ca in other myocyte processes has become increasingly clear. This review focuses on Ca signaling in cardiac myocytes as pertaining to electrophysiology (including action potentials and arrhythmias), excitation-contraction coupling, modulation of contractile function, energy supply-demand balance (including mitochondrial function), cell death, and transcription regulation. Importantly, although such diverse Ca-dependent regulations occur simultaneously in a cell, the cell can distinguish distinct signals by local Ca or protein complexes and differential Ca signal integration.
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                Author and article information

                Journal
                Acta Cir Bras
                Acta Cir Bras
                acb
                Acta Cirúrgica Brasileira
                Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia
                0102-8650
                1678-2674
                07 May 2021
                2021
                : 36
                : 3
                : e360306
                Affiliations
                [1 ]PhD. Universidade Federal de São Paulo – Laboratory of Autonomic and Cardiovascular Pharmacology – São Paulo (SP), Brazil.
                [2 ]Bsc. Universidade Federal de São Paulo – Laboratory of Autonomic and Cardiovascular Pharmacology – São Paulo (SP), Brazil.
                [3 ]Graduate student. Faculdades Oswaldo Cruz – São Paulo (SP), Brazil.
                [4 ]Graduate student. Universidade Paulista – São Paulo (SP), Brazil.
                [5 ]PhD. Assistant Professor. União Metropolitana de Educação e Cultura – School of Medicine – Lauro de Freitas (BA), Brazil.
                [6 ]Associate Professor. Universidade Federal de São Paulo – Department of Neurology and Neurosurgery – São Paulo (SP), Brazil.
                [7 ]Associate Professor. Universidade Federal de São Paulo – Department of Surgery – São Paulo (SP), Brazil.
                [8 ]Associate Professor. Universidade Federal de São Paulo – Department of Pharmacology – São Paulo (SP), Brazil.
                Author notes
                [* ]Corresponding author: caricatineto@ 123456gmail.com | (55 11) 97627-4087

                Conflict of interest: Nothing to declare.

                Authors’ contribution: Conception and design of the study: Caricati-Neto A; Acquisition of data: Fernandes MPP and Silva MM; Interpretation of data: Scorza CA, Scorza FA and Taha MO; Acquisition and analysis of data: Araújo EA; Analysis and interpretation of data : Menezes-Rodrigues FS, Pires-Oliveira M and Caricati-Neto A; Technical procedures: Araújo EA, Fernandes MPP and Silva MM; Manuscript preparation: Menezes-Rodrigues FS; Manuscript writing: Caricati-Neto A; Critical revision: Scorza CA, Scorza FA and Taha MO; Final approval: Caricati-Neto A.

                Author information
                http://orcid.org/0000-0001-7913-0585
                http://orcid.org/0000-0002-6997-7587
                http://orcid.org/0000-0002-4905-3926
                http://orcid.org/0000-0002-4703-1280
                http://orcid.org/0000-0002-0606-8570
                http://orcid.org/0000-0002-5839-1265
                http://orcid.org/0000-0001-7810-4748
                http://orcid.org/0000-0002-0694-8674
                http://orcid.org/0000-0001-7323-1393
                http://orcid.org/0000-0001-8615-4315
                Article
                00205
                10.1590/ACB360306
                8112107
                33978062
                136c1ac6-b5c7-4022-9089-ec2658d2882e

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 06 November 2020
                : 08 January 2021
                : 07 February 2021
                Page count
                Figures: 4, Tables: 0, Equations: 0, References: 53
                Categories
                Original Article

                myocardial ischemia,reperfusion injury,atrioventricular block,wine,rats

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