Ischemia reperfusion injury may be attenuated by HO-1 induction. Heme arginate showed protective effects during prolonged ischemia in animal studies. Functional blood oxygen level dependent (BOLD) magnetic resonance imaging (MRI) shall evaluate the effects of HO-1 induction during short-time ischemia in skeletal muscle of healthy subjects.
Ischemia reperfusion injury may be attenuated by HO-1 induction. Heme arginate showed protective effects during prolonged ischemia in animal studies. The investigators previous data confirmed strong HO-1 induction following heme arginate infusion in healthy humans. Therefore, the investigators next approach is to evaluate the direct effects of heme arginate on short time Ischemia-reperfusion (IR) injury in healthy humans. This will be done by the following surrogate markers of IR injury. Functional blood oxygen level dependent (BOLD) magnetic resonance imaging (MRI) can measure alterations in tissue oxygenation in a high spatial and temporal resolution. This non-invasive methods therefore represent a promising technique to evaluate the effects of HO-1 induction on energy metabolism and oxygen saturation during ischemic stress and short time reperfusion in skeletal muscle. As additional outcome, levels of myoglobin and creatine-kinase will be measured in plasma according to standard laboratory procedures.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
16
heme arginate 1 mg/kg body weight 24 hours prior to ischemia
NaCl isotonic
Medical University of Vienna, Department of Clinical Pharmacology
Vienna, Austria
BOLD MRI signal
functional MRI assessment of blood oxygen level dependent signal strength
Time frame: 2 minutes prior to ischemia till 25 minutes after ischemia
Serum markers of myocellular injury
(myoglobin, creatine-kinase)
Time frame: 24 hours after ischemia
Blood pressure
in mmHg
Time frame: 20 minutes prior to and 40 minutes after ischemia
Heart rate
in beats per minute
Time frame: prior to and after ischemia
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