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Development and translation of thiometallate sulfide donors using a porcine model of coronary occlusion and reperfusion

Johnson, Thomas W; Holt, James; Kleyman, Anna; Zhou, Shengyu; Sammut, Eva; Bruno, Vito Domenico; Gaupp, Charlotte; ... Dyson, Alex; + view all (2024) Development and translation of thiometallate sulfide donors using a porcine model of coronary occlusion and reperfusion. Redox Biology , 73 , Article 103167. 10.1016/j.redox.2024.103167. Green open access

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Abstract

Sulfide-releasing compounds reduce reperfusion injury by decreasing mitochondria-derived reactive oxygen species production. We previously characterised ammonium tetrathiomolybdate (ATTM), a clinically used copper chelator, as a sulfide donor in rodents. Here we assessed translation to large mammals prior to clinical testing. In healthy pigs an intravenous ATTM dose escalation revealed a reproducible pharmacokinetic/pharmacodynamic (PK/PD) relationship with minimal adverse clinical or biochemical events. In a myocardial infarction (1-h occlusion of the left anterior descending coronary artery)-reperfusion model, intravenous ATTM or saline was commenced just prior to reperfusion. ATTM protected the heart (24-h histological examination) in a drug-exposure-dependent manner (r2 = 0.58, p < 0.05). Blood troponin T levels were significantly (p < 0.05) lower in ATTM-treated animals while myocardial glutathione peroxidase activity, an antioxidant selenoprotein, was elevated (p < 0.05). Overall, our study represents a significant advance in the development of sulfides as therapeutics and underlines the potential of ATTM as a novel adjunct therapy for reperfusion injury. Mechanistically, our study suggests that modulating selenoprotein activity could represent an additional mode of action of sulfide-releasing drugs.

Type: Article
Title: Development and translation of thiometallate sulfide donors using a porcine model of coronary occlusion and reperfusion
Location: Netherlands
Open access status: An open access version is available from UCL Discovery
DOI: 10.1016/j.redox.2024.103167
Publisher version: http://dx.doi.org/10.1016/j.redox.2024.103167
Language: English
Additional information: Crown Copyright © 2024 Published by Elsevier B.V. This is an open access article under the CC BY-NC license (http://creativecommons.org/licenses/bync/4.0/).
Keywords: Mitochondria; Ischaemia; Reperfusion injury; Reactive oxygen species; Selenoprotein; Tetrathiomolybdate; Gasotransmitter
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Medicine
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Medicine > Experimental and Translational Medicine
URI: https://discovery-pp.ucl.ac.uk/id/eprint/10191937
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