Title: Sodium Proton Exchanger Inhibitor in Ischemia/Reperfusion Injury in the Heart Surgery: Controversy in Clinical Application
VOLUME: 4 ISSUE: 1
Author(s):Yasuyuki Shimada and Fumio Yamamoto
Affiliation:Department of Cardiovascular Surgery, Yuri-Kumiai General Hospital, 38, Ieno-ushiro,Aza, Kawaguchi, Yuri-Honjo, AKITA 015-8511 Japan.
Keywords:Na+/H+ exchanger, Review, Human, Surgery, Cariporide, Eniporide
Abstract: The Na+-HCO3 - symport plays as significant role as the Na+/H+ exchanger in ischemia/reperfusion injury. Under bicarbonate free conditions, however, the Na+-HCO3 - symport does not work, and so the protective efficacy of Na+/H+ exchanger inhibitors is overestimated. We discuss the reasons for the inconsistencies in studies of the Na+/H+ exchanger.