Antiarrhythmic Sotalol, Occlusion/Occlusion-like Syndrome in Rats, and Stable Gastric Pentadecapeptide BPC 157 Therapy

We focused on the first demonstration that antiarrhythmics, particularly class II and class III antiarrhythmic and beta-blocker sotalol can induce severe occlusion/occlusion-like syndrome in rats. In this syndrome, as in similar syndromes with permanent occlusion of major vessels, peripheral and cen...

Full description

Bibliographic Details
Main Authors: Ivica Premuzic Mestrovic, Ivan Maria Smoday, Luka Kalogjera, Ivan Krezic, Helena Zizek, Hrvoje Vranes, Vlasta Vukovic, Katarina Oroz, Ivan Skorak, Ivan Brizic, Klaudija Hriberski, Luka Novosel, Ivana Kavelj, Ivan Barisic, Lidija Beketic Oreskovic, Slavica Zubcic, Sanja Strbe, Tomislav Mestrovic, Predrag Pavic, Mario Staresinic, Anita Skrtic, Alenka Boban Blagaic, Sven Seiwerth, Predrag Sikiric
Format: Article
Language:English
Published: MDPI AG 2023-07-01
Series:Pharmaceuticals
Subjects:
Online Access:https://www.mdpi.com/1424-8247/16/7/977
_version_ 1797587851221663744
author Ivica Premuzic Mestrovic
Ivan Maria Smoday
Luka Kalogjera
Ivan Krezic
Helena Zizek
Hrvoje Vranes
Vlasta Vukovic
Katarina Oroz
Ivan Skorak
Ivan Brizic
Klaudija Hriberski
Luka Novosel
Ivana Kavelj
Ivan Barisic
Lidija Beketic Oreskovic
Slavica Zubcic
Sanja Strbe
Tomislav Mestrovic
Predrag Pavic
Mario Staresinic
Anita Skrtic
Alenka Boban Blagaic
Sven Seiwerth
Predrag Sikiric
author_facet Ivica Premuzic Mestrovic
Ivan Maria Smoday
Luka Kalogjera
Ivan Krezic
Helena Zizek
Hrvoje Vranes
Vlasta Vukovic
Katarina Oroz
Ivan Skorak
Ivan Brizic
Klaudija Hriberski
Luka Novosel
Ivana Kavelj
Ivan Barisic
Lidija Beketic Oreskovic
Slavica Zubcic
Sanja Strbe
Tomislav Mestrovic
Predrag Pavic
Mario Staresinic
Anita Skrtic
Alenka Boban Blagaic
Sven Seiwerth
Predrag Sikiric
author_sort Ivica Premuzic Mestrovic
collection DOAJ
description We focused on the first demonstration that antiarrhythmics, particularly class II and class III antiarrhythmic and beta-blocker sotalol can induce severe occlusion/occlusion-like syndrome in rats. In this syndrome, as in similar syndromes with permanent occlusion of major vessels, peripheral and central, and other similar noxious procedures that severely disable endothelium function, the stable gastric pentadecapeptide BPC 157-collateral pathways activation, was a resolving therapy. After a high dose of sotalol (80 mg/kg intragastrically) in 180 min study, there were cause-consequence lesions in the brain (swelling, intracerebral hemorrhage), congestion in the heart, lung, liver, kidney, and gastrointestinal tract, severe bradycardia, and intracranial (superior sagittal sinus), portal and caval hypertension, and aortal hypotension, and widespread thrombosis, peripherally and centrally. Major vessels failed (congested inferior caval and superior mesenteric vein, collapsed azygos vein). BPC 157 therapy (10 µg, 10 ng/kg given intragastrically at 5 min or 90 min sotalol-time) effectively counteracted sotalol-occlusion/occlusion-like syndrome. In particular, eliminated were heart dilatation, and myocardial congestion affecting coronary veins and arteries, as well as myocardial vessels; eliminated were portal and caval hypertension, lung parenchyma congestion, venous and arterial thrombosis, attenuated aortal hypotension, and centrally, attenuated intracranial (superior sagittal sinus) hypertension, brain lesions and pronounced intracerebral hemorrhage. Further, BPC 157 eliminated and/or markedly attenuated liver, kidney, and gastrointestinal tract congestion and major veins congestion. Therefore, azygos vein activation and direct blood delivery were essential for particular BPC 157 effects. Thus, preventing such and similar events, and responding adequately when that event is at risk, strongly advocates for further BPC 157 therapy.
first_indexed 2024-03-11T00:44:42Z
format Article
id doaj.art-3c0644d161834aa3a22be0fc3f0a6174
institution Directory Open Access Journal
issn 1424-8247
language English
last_indexed 2024-03-11T00:44:42Z
publishDate 2023-07-01
publisher MDPI AG
record_format Article
series Pharmaceuticals
spelling doaj.art-3c0644d161834aa3a22be0fc3f0a61742023-11-18T20:52:38ZengMDPI AGPharmaceuticals1424-82472023-07-0116797710.3390/ph16070977Antiarrhythmic Sotalol, Occlusion/Occlusion-like Syndrome in Rats, and Stable Gastric Pentadecapeptide BPC 157 TherapyIvica Premuzic Mestrovic0Ivan Maria Smoday1Luka Kalogjera2Ivan Krezic3Helena Zizek4Hrvoje Vranes5Vlasta Vukovic6Katarina Oroz7Ivan Skorak8Ivan Brizic9Klaudija Hriberski10Luka Novosel11Ivana Kavelj12Ivan Barisic13Lidija Beketic Oreskovic14Slavica Zubcic15Sanja Strbe16Tomislav Mestrovic17Predrag Pavic18Mario Staresinic19Anita Skrtic20Alenka Boban Blagaic21Sven Seiwerth22Predrag Sikiric23Department of Pharmacology, School of Medicine University of Zagreb, 10000 Zagreb, CroatiaDepartment of Pharmacology, School of Medicine University of Zagreb, 10000 Zagreb, CroatiaDepartment of Pharmacology, School of Medicine University of Zagreb, 10000 Zagreb, CroatiaDepartment of Pharmacology, School of Medicine University of Zagreb, 10000 Zagreb, CroatiaDepartment of Pharmacology, School of Medicine University of Zagreb, 10000 Zagreb, CroatiaDepartment of Pharmacology, School of Medicine University of Zagreb, 10000 Zagreb, CroatiaDepartment of Pharmacology, School of Medicine University of Zagreb, 10000 Zagreb, CroatiaDepartment of Pharmacology, School of Medicine University of Zagreb, 10000 Zagreb, CroatiaDepartment of Pharmacology, School of Medicine University of Zagreb, 10000 Zagreb, CroatiaDepartment of Pharmacology, School of Medicine University of Zagreb, 10000 Zagreb, CroatiaDepartment of Pharmacology, School of Medicine University of Zagreb, 10000 Zagreb, CroatiaDepartment of Pharmacology, School of Medicine University of Zagreb, 10000 Zagreb, CroatiaDepartment of Pharmacology, School of Medicine University of Zagreb, 10000 Zagreb, CroatiaDepartment of Pharmacology, School of Medicine University of Zagreb, 10000 Zagreb, CroatiaDepartment of Pharmacology, School of Medicine University of Zagreb, 10000 Zagreb, CroatiaDepartment of Pharmacology, School of Medicine University of Zagreb, 10000 Zagreb, CroatiaDepartment of Pharmacology, School of Medicine University of Zagreb, 10000 Zagreb, CroatiaDepartment of Surgery, School of Medicine University of Zagreb, 10000 Zagreb, CroatiaDepartment of Surgery, School of Medicine University of Zagreb, 10000 Zagreb, CroatiaDepartment of Surgery, School of Medicine University of Zagreb, 10000 Zagreb, CroatiaDepartment of Pathology, School of Medicine University of Zagreb, 10000 Zagreb, CroatiaDepartment of Pharmacology, School of Medicine University of Zagreb, 10000 Zagreb, CroatiaDepartment of Pathology, School of Medicine University of Zagreb, 10000 Zagreb, CroatiaDepartment of Pharmacology, School of Medicine University of Zagreb, 10000 Zagreb, CroatiaWe focused on the first demonstration that antiarrhythmics, particularly class II and class III antiarrhythmic and beta-blocker sotalol can induce severe occlusion/occlusion-like syndrome in rats. In this syndrome, as in similar syndromes with permanent occlusion of major vessels, peripheral and central, and other similar noxious procedures that severely disable endothelium function, the stable gastric pentadecapeptide BPC 157-collateral pathways activation, was a resolving therapy. After a high dose of sotalol (80 mg/kg intragastrically) in 180 min study, there were cause-consequence lesions in the brain (swelling, intracerebral hemorrhage), congestion in the heart, lung, liver, kidney, and gastrointestinal tract, severe bradycardia, and intracranial (superior sagittal sinus), portal and caval hypertension, and aortal hypotension, and widespread thrombosis, peripherally and centrally. Major vessels failed (congested inferior caval and superior mesenteric vein, collapsed azygos vein). BPC 157 therapy (10 µg, 10 ng/kg given intragastrically at 5 min or 90 min sotalol-time) effectively counteracted sotalol-occlusion/occlusion-like syndrome. In particular, eliminated were heart dilatation, and myocardial congestion affecting coronary veins and arteries, as well as myocardial vessels; eliminated were portal and caval hypertension, lung parenchyma congestion, venous and arterial thrombosis, attenuated aortal hypotension, and centrally, attenuated intracranial (superior sagittal sinus) hypertension, brain lesions and pronounced intracerebral hemorrhage. Further, BPC 157 eliminated and/or markedly attenuated liver, kidney, and gastrointestinal tract congestion and major veins congestion. Therefore, azygos vein activation and direct blood delivery were essential for particular BPC 157 effects. Thus, preventing such and similar events, and responding adequately when that event is at risk, strongly advocates for further BPC 157 therapy.https://www.mdpi.com/1424-8247/16/7/977antiarrhythmic sotalolocclusion/occlusion-like syndromestable gastric pentadecapeptide BPC 157therapyrats
spellingShingle Ivica Premuzic Mestrovic
Ivan Maria Smoday
Luka Kalogjera
Ivan Krezic
Helena Zizek
Hrvoje Vranes
Vlasta Vukovic
Katarina Oroz
Ivan Skorak
Ivan Brizic
Klaudija Hriberski
Luka Novosel
Ivana Kavelj
Ivan Barisic
Lidija Beketic Oreskovic
Slavica Zubcic
Sanja Strbe
Tomislav Mestrovic
Predrag Pavic
Mario Staresinic
Anita Skrtic
Alenka Boban Blagaic
Sven Seiwerth
Predrag Sikiric
Antiarrhythmic Sotalol, Occlusion/Occlusion-like Syndrome in Rats, and Stable Gastric Pentadecapeptide BPC 157 Therapy
Pharmaceuticals
antiarrhythmic sotalol
occlusion/occlusion-like syndrome
stable gastric pentadecapeptide BPC 157
therapy
rats
title Antiarrhythmic Sotalol, Occlusion/Occlusion-like Syndrome in Rats, and Stable Gastric Pentadecapeptide BPC 157 Therapy
title_full Antiarrhythmic Sotalol, Occlusion/Occlusion-like Syndrome in Rats, and Stable Gastric Pentadecapeptide BPC 157 Therapy
title_fullStr Antiarrhythmic Sotalol, Occlusion/Occlusion-like Syndrome in Rats, and Stable Gastric Pentadecapeptide BPC 157 Therapy
title_full_unstemmed Antiarrhythmic Sotalol, Occlusion/Occlusion-like Syndrome in Rats, and Stable Gastric Pentadecapeptide BPC 157 Therapy
title_short Antiarrhythmic Sotalol, Occlusion/Occlusion-like Syndrome in Rats, and Stable Gastric Pentadecapeptide BPC 157 Therapy
title_sort antiarrhythmic sotalol occlusion occlusion like syndrome in rats and stable gastric pentadecapeptide bpc 157 therapy
topic antiarrhythmic sotalol
occlusion/occlusion-like syndrome
stable gastric pentadecapeptide BPC 157
therapy
rats
url https://www.mdpi.com/1424-8247/16/7/977
work_keys_str_mv AT ivicapremuzicmestrovic antiarrhythmicsotalolocclusionocclusionlikesyndromeinratsandstablegastricpentadecapeptidebpc157therapy
AT ivanmariasmoday antiarrhythmicsotalolocclusionocclusionlikesyndromeinratsandstablegastricpentadecapeptidebpc157therapy
AT lukakalogjera antiarrhythmicsotalolocclusionocclusionlikesyndromeinratsandstablegastricpentadecapeptidebpc157therapy
AT ivankrezic antiarrhythmicsotalolocclusionocclusionlikesyndromeinratsandstablegastricpentadecapeptidebpc157therapy
AT helenazizek antiarrhythmicsotalolocclusionocclusionlikesyndromeinratsandstablegastricpentadecapeptidebpc157therapy
AT hrvojevranes antiarrhythmicsotalolocclusionocclusionlikesyndromeinratsandstablegastricpentadecapeptidebpc157therapy
AT vlastavukovic antiarrhythmicsotalolocclusionocclusionlikesyndromeinratsandstablegastricpentadecapeptidebpc157therapy
AT katarinaoroz antiarrhythmicsotalolocclusionocclusionlikesyndromeinratsandstablegastricpentadecapeptidebpc157therapy
AT ivanskorak antiarrhythmicsotalolocclusionocclusionlikesyndromeinratsandstablegastricpentadecapeptidebpc157therapy
AT ivanbrizic antiarrhythmicsotalolocclusionocclusionlikesyndromeinratsandstablegastricpentadecapeptidebpc157therapy
AT klaudijahriberski antiarrhythmicsotalolocclusionocclusionlikesyndromeinratsandstablegastricpentadecapeptidebpc157therapy
AT lukanovosel antiarrhythmicsotalolocclusionocclusionlikesyndromeinratsandstablegastricpentadecapeptidebpc157therapy
AT ivanakavelj antiarrhythmicsotalolocclusionocclusionlikesyndromeinratsandstablegastricpentadecapeptidebpc157therapy
AT ivanbarisic antiarrhythmicsotalolocclusionocclusionlikesyndromeinratsandstablegastricpentadecapeptidebpc157therapy
AT lidijabeketicoreskovic antiarrhythmicsotalolocclusionocclusionlikesyndromeinratsandstablegastricpentadecapeptidebpc157therapy
AT slavicazubcic antiarrhythmicsotalolocclusionocclusionlikesyndromeinratsandstablegastricpentadecapeptidebpc157therapy
AT sanjastrbe antiarrhythmicsotalolocclusionocclusionlikesyndromeinratsandstablegastricpentadecapeptidebpc157therapy
AT tomislavmestrovic antiarrhythmicsotalolocclusionocclusionlikesyndromeinratsandstablegastricpentadecapeptidebpc157therapy
AT predragpavic antiarrhythmicsotalolocclusionocclusionlikesyndromeinratsandstablegastricpentadecapeptidebpc157therapy
AT mariostaresinic antiarrhythmicsotalolocclusionocclusionlikesyndromeinratsandstablegastricpentadecapeptidebpc157therapy
AT anitaskrtic antiarrhythmicsotalolocclusionocclusionlikesyndromeinratsandstablegastricpentadecapeptidebpc157therapy
AT alenkabobanblagaic antiarrhythmicsotalolocclusionocclusionlikesyndromeinratsandstablegastricpentadecapeptidebpc157therapy
AT svenseiwerth antiarrhythmicsotalolocclusionocclusionlikesyndromeinratsandstablegastricpentadecapeptidebpc157therapy
AT predragsikiric antiarrhythmicsotalolocclusionocclusionlikesyndromeinratsandstablegastricpentadecapeptidebpc157therapy