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  • Open Access

BAY 58-2667, an NO-independent guanylyl cyclase activator, pharmacologically post-conditions rabbit and rat hearts

  • 1Email author,
  • 2,
  • 1,
  • 1,
  • 2,
  • 1 and
  • 2
BMC Pharmacology20099(Suppl 1):P36

Published: 11 August 2009


  • KATP Channel
  • Ischemic Precondition
  • Guanylyl Cyclase
  • Soluble Guanylyl Cyclase
  • Isolate Rabbit Heart


BAY 58-2667 (cinaciguat) directly activates soluble guanylyl cyclase without tolerance in a NO-independent manner, and its hemodynamic effect is similar to that of nitroglycerin. We tested whether BAY 58-2667 could make both rabbit and rat hearts resistant to infarction when given at the end of an ischemic insult.

Methods and results

All hearts were exposed to 30-min regional ischemia followed by 120-(isolated hearts) or 180-(in situ hearts) min reperfusion. BAY 58-2667 (1–50 nM) infused for 60-min starting 5-min before reperfusion significantly reduced infarction from 33.0 ± 3.2% in control isolated rabbit hearts to 9.5–12.7% (p < 0.05). In a more clinically relevant in situ rabbit model infarct size was similarly reduced with a loading dose of 53.6 μg/kg followed by a 60-min infusion of 1.25 μg/kg/min (41.1 ± 3.1% infarction in control hearts to 16.0( ±)4.4% in treated hearts, p < 0.05). BAY 58-2667 similarly decreased infarction in the isolated rat heart, and protection was abolished by co-treatment with a protein kinase G (PKG) antagonist, or a mitochondrial KATP channel antagonist. Conversely, Nω-nitro-L-arginine-methyl-ester-hydrochloride, a NO-synthase inhibitor, failed to block BAY 58-2667's ability to decrease infarction, consistent with the latter's putative NO-independent activation of PKG. Finally, BAY 58-2667 increased myocardial cGMP content in reperfused hearts while cAMP was unchanged.


When applied at reperfusion BAY 58-2667 is an effective cardioprotective agent with a mechanism similar to that of ischemic preconditioning and, hence, should be a candidate for treatment of acute myocardial infarction in man.

Authors’ Affiliations

Department of Cardiology, Ernst-Moritz-Arndt University, Greifswald, Germany
Department of Physiology, University of South Alabama, Mobile, USA


© Krieg et al; licensee BioMed Central Ltd. 2009

This article is published under license to BioMed Central Ltd.