AUTHOR(S) / AUTOR(I): Nevena Jeremic
, Jovana Novakovic
, Vladimir Jakovljevic 
Download Full Pdf 
DOI: https://doi.org/10.46793/SBT26.921J
ABSTRACT / SAŽETAK:
This study aimed to compare the cardioprotective effects of pantoprazole and lansoprazole with ischemic preconditioning in isolated rat hearts subjected to ischemia–reperfusion. Both proton pump inhibitors improved left ventricular contractility, with pantoprazole showing the most pronounced effect, while also affecting heart rate and coronary flow. These findings suggest that PPIs, particularly pantoprazole, may serve as effective pharmacological preconditioning agents, enhancing myocardial recovery after ischemic injury.
KEYWORDS / KLJUČNE REČI:
benzimidazole-derived proton pump inhibitors, pharmacological preconditioning, isolated rat heart, experimental study
ACKNOWLEDGEMENT / PROJEKAT:
The research presented in this article is part of doctoral dissertation and financially supported by Grant nº 175043 from the Ministry of Science and Technical Development of the Republic of Serbia.
REFERENCES / LITERATURA:
- Fede M.S., Daziani G., Tavoletta F., Montana A., Compagnucci P., Goteri G., Neri M., Busardò F.P. (2025). Myocardial ischemia/reperfusion injury: molecular insights, forensic perspectives, and therapeutic horizons. Cells. 14(19):1509.
- Jovanović A. (2025). Cardioprotective signaling: outline and future directions. Biomedicines. 13(12):2973.
- Zhao Z.Q., Vinten-Johansen J. (2002). Myocardial apoptosis and ischemic preconditioning. Cardiovasc Res. 55(3):438-455.
- Ruiz-Meana M., Inserte J., Consegal M., Rodríguez-Sinovas A. (2025). Involvement of connexin 43 in myocardial ischemia-reperfusion injury. Cell Tissue Res. 401(3):297-309.
- Andreadou I., Iliodromitis E.K., Koufaki M., Kremastinos D.T. (2008). Pharmacological pre- and post-conditioning agents: reperfusion-injury of the heart revisited. Mini Rev Med Chem. 8(9):952-959.
- Moffat M.P., Karmazyn M. (1993). Protective effects of the potent Na/H exchange inhibitor methylisobutyl amiloride against postischemic contractile dysfunction in rat and guinea-pig hearts. J Mol Cell Cardiol. 25:959-971.
- Nagashima R., Tsuda Y., Maruyama T., Kanaya S., Fujino T., Niho Y. (1999). Possible evidence for transmembrane K(+)-H+ exchange system in guinea pig myocardium. Jpn Heart J. 40:351-364.
- Bansal Y., Silakari O. (2012). The therapeutic journey of benzimidazoles: a review. Bioorg Med Chem. 20(21):6208-6236.
- Zhou G., Peng Y., Guo M., Qu C., Luo S., Jiang Y., Chen D., Wang X., Guo Y. (2022). Esomeprazole inhibits endoplasmic reticulum stress and ameliorates myocardial ischemia-reperfusion injury. Biochem Biophys Res Commun. 627:84-90.
- Bacaksiz A., Teker M.E., Buyukpinarbasili N., Inan O., Tasal A., Sonmez O., Erdogan E., Turfan M., Akdemir O.C., Ertas G. (2013). Does pantoprazole protect against reperfusion injury following myocardial ischemia in rats? Eur Rev Med Pharmacol Sci. 17(2):269-275.
- Gomes O.M., Magalhães M.M., Abrantes R.D. (2010). Myocardium functional recovery protection by omeprazole after ischemia-reperfusion in isolated rat hearts. Rev Bras Cir Cardiovasc. 25(3):388-392.
- Lazzerini P.E., Accioli R., Capecchi P.L., et al. (2025). Pro-arrhythmic potential of proton-pump inhibitors. Nat Rev Cardiol. 22:217-218.
- Eroglu T.E., Coronel R., Gislason G.H. (2024). Use of proton pump inhibitors is associated with increased risk of out-of-hospital cardiac arrest in the general population: a nested case-control study. Eur Heart J Cardiovasc Pharmacother. 10(5):413-419.
- Shin J.M., Sachs G. (2004). Differences in binding properties of two proton pump inhibitors on the gastric H+,K+-ATPase in vivo. Biochem Pharmacol. 68(11):2117-2127.
- Gomes O.M., Magalhães M.M., Abrantes R.D., Kallás E. (2011). Pantoprazole provides myocardial protection similar to ischemic preconditioning: experimental study of isolated hearts of rats. Rev Bras Cir Cardiovasc. 26(3):433-439.
