The Effect of Caffeine on Ischemic Preconditioning
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Purpose
Ischaemic preconditioning (IP) describes the phenomenon that brief periods of ischaemia render the (myocardial) muscle more resistant to a subsequent more prolonged period of ischaemia and reperfusion. Animal studies have provided evidence that adenosine receptor stimulation is an important mediator of IP. As caffeine is an effective adenosine receptor antagonist already at concentrations reached after regular coffee consumption, we aimed to assess whether caffeine impairs IP in humans in vivo. We used a novel and well-validated model to study IP in humans: 99m-Tc-annexin A5 scintigraphy in forearm skeletal muscle.
24 healthy volunteers were randomly assigned to either caffeine (4 mg/kg/iv in 10 minutes) or saline before a protocol for IP.
| Condition | Intervention |
|---|---|
|
Caffeine Ischemic Preconditioning Ischemia-Reperfusion Injury |
Drug: caffeine Drug: Technetium-TC99m-labeled Annexin A5 Procedure: ten minutes forearm ischemia Procedure: ischemic forearm exercise |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Intervention Model: Parallel Assignment Masking: Double-Blind |
| Official Title: | Caffeine Reduces Acute Ischemic Preconditioning |
Eligibility| Ages Eligible for Study: | 18 Years to 50 Years |
| Genders Eligible for Study: | Male |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- healthy male volunteers
Exclusion Criteria:
-
Contacts and Locations| Netherlands | |
| Radboud University Nijmegen Medical Centre / Department of Pharmacology and Toxicology | |
| Nijmegen, Gelderland, Netherlands, 6500 HB | |
| Principal Investigator: | Gerard Rongen, MD, Phd | Radboud University Nijmegen Medical Centre / Department of pharmacology and Toxicology |
More Information
Publications:
| ClinicalTrials.gov Identifier: | NCT00184912 History of Changes |
| Other Study ID Numbers: | CAFIRI |
| Study First Received: | September 12, 2005 |
| Last Updated: | November 28, 2006 |
| Health Authority: | Netherlands: The Central Committee on Research Involving Human Subjects (CCMO) |
Additional relevant MeSH terms:
|
Ischemia Reperfusion Injury Pathologic Processes Vascular Diseases Cardiovascular Diseases Postoperative Complications Caffeine Annexin A5 Central Nervous System Stimulants Physiological Effects of Drugs |
Pharmacologic Actions Central Nervous System Agents Therapeutic Uses Phosphodiesterase Inhibitors Enzyme Inhibitors Molecular Mechanisms of Pharmacological Action Purinergic P1 Receptor Antagonists Purinergic Antagonists Purinergic Agents Neurotransmitter Agents |
ClinicalTrials.gov processed this record on May 21, 2013