Antilipoperoxydant Effect of Trimetazidine in Post Ischaemic Acute Renal Failure in the Rat

  • Philippe Catroux
  • Jean Cambar
  • Nabil Benchekroun
  • Jacques Robert
  • Pascale Clauser
  • Catherine Harpey
Part of the Advances in Experimental Medicine and Biology book series (AEMB, volume 264)


Trimetazidine (TMZ) is an antianginal drug largely used in clinical ischaemic disorders. Whereas classical antianginal drugs act by correcting the imbalance between myocardial vascular supply and demand for oxygen, TMZ has been reported to exert a direct cytoprotective effect inside the real ischaemic area7,11. Several mechanisms of action seem to be involved. These include more particularly the reduction of the ischaemia induced intracellular acidosis and a more rapid recovery of phosphorylation processes during the early phase of blood reperfusion6,12,23. It has also been reported that TMZ exerts a potent antioxidant activity, which could explain its cardioprotective role during ischaemic and reperfusion phases10,15. Oxygen free radicals are now well known to contribute to kidney damages induced by a temporary warm or cold ischaemia13,21. Inhibitors of xanthine oxidase by preventing superoxyde radical production, superoxydismutases by removing superoxyde radicals and scavengers of hydroxyl radicals reduce renal injury following ischaemiareperfusion9,13,14. Moreover, several studies indirectly evidenced the production of free radicals following reflow in both warm and cold ischaemia by the presence of lipid peroxidation by products6,18,19,20.


Oxygen Free Radical Diene Conjugate Cold Ischaemia Intracellular Acidosis Antianginal Drug 
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Copyright information

© Plenum Press, New York 1990

Authors and Affiliations

  • Philippe Catroux
    • 1
  • Jean Cambar
    • 1
  • Nabil Benchekroun
    • 2
  • Jacques Robert
    • 2
  • Pascale Clauser
    • 3
  • Catherine Harpey
    • 3
  1. 1.Faculté de Pharmacie de BordeauxG.E.P.P.R.France
  2. 2.Laboratoire de BiochimieFaculté Médecine de BordeauxFrance
  3. 3.IRIS Neuilly sur SeineFrance

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