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Table 3 Functional effects of targeting granules released by neutrophil degranulation in ischemic heart disease

From: Neutrophil degranulation and myocardial infarction

Intervention

Research object

Age

Models

Drug dosage

Administration method

experimental period

Major outcome

Reference

PF-1355 (an oral MPO inhibitor)

Female C57BL/6J mice

8–12 weeks

MI

50 mg/kg of PF-1355 dissolved in vehicle excipient containing 40 mM Tris, 0.5% hydroxypropylmethylcellulose acetate succinate (HPMCAS) and 10% hydroxypropyl methylcellulose (HPMC), pH 10,

Twice daily by oral gavage

7 days

Decreased inflammation cells infiltration and attenuated left ventricular dilation

20

PF-1355 (an oral MPO inhibitor)

Female C57BL/6J mice

8–12 weeks

MI

50 mg/kg of PF-1355 dissolved in vehicle excipient containing 40 mM Tris, 0.5% hydroxypropylmethylcellulose acetate succinate (HPMCAS) and 10% hydroxypropyl methylcellulose (HPMC), pH 10

Twice daily by oral gavage

21 days of constant treatment

Both the cardiac function and remodeling were significantly improved

20

Pharmacological blockade of NE

Male C57BL/6 wild-type animal

Unknown

I/R

Unknown

Unknown

Unknown

Does not impact neutrophil transendothelial migration; Suppressed the increase in size of matrix protein low expression regions in the cremaster muscle I/R injury model

61

Sivelestat (an NE inhibitor)

C57BL/6J mice

Male approximately 10–12 weeks weighed at least 25 g

MI

100 mg/kg/day

Once daily by intraperitoneally injected

7 day

Improved survival and preserved cardiac function post-MI

62

Recombinant elafin (an endogenous neutrophil elastase inhibitor)

Patients

Perioperatively in patient

Patient undergoing coronary artery bypass surgery

200 mg intravenous bolus administered

EMPIRE Eudra CT 2010-019527-58

Unknown

Promising results (protective)

63

Sivelestat sodium hydrate (a selective NE inhibitor)

Swine

20–35 kg

Ligation of the left anterior descending coronary artery for 12-min, followed by 90-min reperfusion

6 and 60 mg/ml

Infused intracoronally

Starting just after reperfusion until the end of experiment

Attenuates myocardial contractile dysfunction due to myocardial stunning, thereby suppressing the production of interleukin-6 in activated neutrophils

64

Sivelestat (a NE inhibitor)

Adult male Wistar rats

Adult (240–300 g body weight)

I/R

Sivelestat was dissolved in KHB (10 μg/mL) to obtain a final concentration of 19 μmol/L

Infusion

10 min before ischemia and for the first 10 min of reperfusion

Attenuates myocardial injury after cardioplegic arrest

65

SSR69071 (an elastase inhibitor)

Male New Zealand white rabbits

Weighing 2–3 kg

Coronary artery occlusion for 30 min followed by reperfusion for 120 min

1 and 3 mg/kg

Intravenous intravenously

15 min before coronary ligation or 25 min after coronary ligation (5 min before reperfusion)

Reduces myocardial infarct size

66

The mCRAMP peptide

Male C57BL/6 mice

8–10 weeks

Ligation of the left anterior descending artery for 30 min followed by cardiac reperfusion for 24 h

4 mg/kg/day

Intraperitoneally injected

Three consecutive days

Inhibited cardiomyocyte apoptosis

97

The cathelicidin related antimicrobial peptide (CRAMP)

C57 BL/6 mice

Unknown

MI

10 μg/10 μL

Inject

5 weeks after treatment

Enhanced functional recovery, smaller scar size and higher capillary density

101

Neuregulin-1

Male Sprague Dawley rats

7–8 weeks old with average body weight 298.56 ± 38.73 g

AMI

10 μg/kg

Inject via the tail vein 2 h after the operation

Continued once daily for 7 days

Attenuates MI-induced dysfunctional cardiac electrical conduction

124

Apigenin

Male Wistar rats,

Weighing 220–250 g

AMI

10 mg/kg, 20 mg/kg and 40 mg/kg, respectively

Inject

Once a day

Ameliorates acute myocardial infarction of rats via inhibiting MMP-9 and inflammatory reactions

125

Trimetazidine

Male C57Bl/6 mice

Aged 8–12 weeks, weighing 22–25 g

MI

20 mg/kg/day

Intraperitoneal injection

7 days

Suppressed oxidative stress, inhibited MMP-2 and MMP-9, prevents cardiac rupture in mice with MI

126

Icariin

Male Sprague–Dawley rats

Age, 7–8 weeks

Weight, 220–250 g

MI

At dosages of 3, 6, 12, and 20 mg/kg per day dissolved in the same amount of saline

Inject

28 days after surgery

Attenuated myocardial apoptosis following MI by inhibiting apoptosis and CD147/MMP-9 pathway

127

Arginase inhibitor N-omega-hydroxy-nor-L-arginine (nor-NOHA)

Male Sprague – Dawley rats

270– 400 g

30 min of coronary artery ligation, followed by 2 h of reperfusion

100 mg/kg

Intravenous as bolus injections

15 min before the onset of ischemia

Protects from MI. Increase tenfold of the citrulline/ornithine ratio and decrease the infarct size

133

Arginase inhibitor N(ω) -hydroxy-nor-l-arginine (nor-NOHA;

Male Wistar rats (Charles River, Germany)

Weight 300–350 g

30-min coronary artery ligation and reperfusion up to 8 days,

100 mg/kg

Intravenously

15 min before ischemia

Prevent the development of microvascular dysfunction and myocardial injury following I/R

134

Nrginase inhibitor (nor-NOHA

Female farm pigs

27–38 kg

Coronary artery occlusion for 40 min followed by 4 h reperfusion

2 mg/min

Systemic intravenous infusion

Started at 30 min of ischemia and continued up to 5 min after start of reperfusion

Local arginase inhibition during early reperfusion reduces infarct size

135

  1. MPO: Myeloperoxidase; MI: myocardial infarction; NGAL: neutrophil gelatinase-associated lipocalin; IR: Ischemia–reperfusion; MMP: matrix metalloproteinases proteins; CRAMP: Cathelicidin; NE: neutrophil elastase. Nor-NOHA: N-hydroxy-nor-L-arginine