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L-Carnitine Pretreatment Protects Slow-Twitch Skeletal Muscles in a Rat Model of Ischemia-Reperfusion Injury

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Vascular and Endovascular Surgery

Published online on

Abstract

Ischemia–reperfusion (I/R) injury negatively affects the outcome of surgical interventions for amputated or severely traumatized extremities. This study aimed to evaluate the protective role of <sc>l</sc>-carnitine on the contractile properties of fast-twitch (extensor digitorum longus [EDL]) and slow-twitch (soleus [SOL]) skeletal muscles following I/R-induced injury in a rat model. Rats were divided into 4 groups (1) saline pretreatment, (2) <sc>l</sc>-carnitine pretreatment, (3) saline pretreatment and I/R, and (4) <sc>l</sc>-carnitine pretreatment and I/R. Twitch and tetanic contractions in the EDL and SOL muscles in each group were recorded. Additionally, a fatigue protocol was performed in these muscles. Twitch and tetanic contraction amplitudes were lower in the EDL and SOL muscles in which I/R was induced (P < .01). <sc>l</sc>-Carnitine pretreatment significantly increased tetanic contraction amplitude in the SOL muscles following I/R (P < .01) but not in the EDL muscles. <sc>l</sc>-Carnitine pretreatment did not alter the fatigue response in any of the muscles.