Protective Effect of Nifedipine on Myocardial Stunning in Isolated Rabbit Hearts: Role of High Energy Phosphates Stores

1996 ◽  
Vol 104 (3) ◽  
pp. 265-271 ◽  
Author(s):  
A. E. Moreyra ◽  
M. Carriquiriborde ◽  
S. M. Mosca
1999 ◽  
Vol 91 (5) ◽  
pp. 1349-1349 ◽  
Author(s):  
Sanjiv Mathur ◽  
Parviz Farhangkhgoee ◽  
Morris Karmazyn

Background Sodium ion-hydrogen ion (Na(+)-H(+)) exchange inhibitors are effective cardioprotective agents. The N(+)-H(+) exchange inhibitor HOE 642 (cariporide) has undergone clinical trials in acute coronary syndromes, including bypass surgery. Propofol and sevoflurane are also cardioprotective via unknown mechanisms. The authors investigated the interaction between propofol and HOE 642 in the ischemic reperfused rat heart and studied the role of adenosine triphosphate-sensitive potassium (K(ATP)) channels in the myocardial protection associated with propofol and sevoflurane. Methods Isolated rat hearts were perfused by the Langendorff method at a constant flow rate, and left ventricular function and coronary pressures were assessed using standard methods. Energy metabolites were also determined. To assess the role of K(ATP) channels, hearts were pretreated with the K(ATP) blocker glyburide (10 microM). Hearts were then exposed to either control buffer or buffer containing HOE 642 (5 microM), propofol (35 microM), sevoflurane (2.15 vol%), the K(ATP) opener pinacidil (1 microM), or the combination of propofol and HOE 642. Each heart was then subjected to 1 h of global ischemia followed by 1 h of reperfusion. Results Hearts treated with propofol, sevoflurane, pinacidil, or HOE 642 showed significantly higher recovery of left ventricular developed pressure and reduced end-diastolic pressures compared with controls. The combination of propofol and HOE 642 provided superior protection toward the end of the reperfusion period. Propofol, sevoflurane, and HOE 642 also attenuated the onset and magnitude of ischemic contracture and preserved high-energy phosphates (HEPs) compared with controls. Glyburide attenuated the cardioprotective effects of sevoflurane and abolished the protection observed with pinacidil. In contrast, glyburide had no effect on the cardioprotection associated with propofol treatment. Conclusion HOE 642, propofol, and sevoflurane provide cardioprotection via different mechanisms. These distinct mechanisms may allow for the additive and superior protection observed with the combination of these anesthetics and HOE 642.


1993 ◽  
Vol 264 (6) ◽  
pp. H1896-H1906 ◽  
Author(s):  
M. Nishida ◽  
S. Borzak ◽  
B. Kraemer ◽  
J. P. Navas ◽  
R. A. Kelly ◽  
...  

We examined the relationship between transsarcolemmal cation gradients and hypercontracture of cardiac myocytes in ischemia and reperfusion using adult rat ventricular myocytes superfused with buffer mimicking normal or ischemic extracellular fluid. Contractile performance of electrically stimulated cells was recorded by an optical video system simultaneously with measurements of intracellular Ca2+ concentration ([Ca2+]i) using fura-2 or intracellular pH (pHi) using 2',7'-bis(2-carboxyethyl)-5(6)-carboxyfluorescein. While cells were exposed to simulated ischemia buffer, the transsarcolemmal H+ gradient was abolished, [Ca2+]i transient stopped, and twitch contraction of myocytes ceased. Upon reperfusion with normal buffer, H+ gradient was quickly restored, Ca2+ transients restarted with transient increase in systolic Ca2+, and twitch contraction restarted with development of hypercontracture, which continued after [Ca2+]i returned to preischemic level even in the presence of near-normal concentrations of high-energy phosphates. When the transsarcolemmal proton, Na+, and Ca2+ gradients were altered so that Na+ entry via Na(+)-H+ exchange and Ca2+ entry via Ca(2+)-Na+ exchange were made less favorable, the transient systolic overshoot of Ca2+ at reperfusion and development of hypercontracture was largely avoided. These results suggest that Na+ and then Ca2+ entry via the Na(+)-H+ and Na(+)-Ca2+ exchangers, respectively, probably contribute to the increase in [Ca2+]i and hypercontracture of myocytes at time of reperfusion in this model.


1992 ◽  
Vol 262 (6) ◽  
pp. H1818-H1822 ◽  
Author(s):  
G. Suleymanlar ◽  
H. Z. Zhou ◽  
M. McCormack ◽  
N. Elkins ◽  
R. Kucera ◽  
...  

Isolated perfused rat hearts were used to study the effects of metabolic acidosis on energy metabolism. Hearts perfused with different substrates (glucose, pyruvate, and succinate) were subjected to metabolic acidosis. With all substrates, there were comparable decrements in oxygen consumption (approximately 35%), cardiac function (decrease in first derivative of pressure of 65%), and similar changes in high-energy phosphates (approximately 150% increases in inorganic phosphate and 25% decreases in phosphocreatine concentrations) with metabolic acidosis. To further investigate the metabolic effects of acidosis, isolated cardiac mitochondria were exposed to different incubation media pH conditions and given simple metabolites (glutamate/malate, succinate, or pyruvate) or fatty acids (octanoate). Reduction of incubation media pH to 6.0 did not significantly affect either coupled respiration rate or the respiratory control ratio (RCR) with any substrate. These data suggest that metabolic acidosis induces decreases in energy production in the isolated perfused heart by inhibiting mitochondrial substrate utilization and not by impairing glycolysis. However, this impairment of mitochondrial function is not a direct effect of acidosis itself but appears to occur secondarily to some other effects of acidosis which are, as yet, incompletely understood.


1992 ◽  
Vol 72 (5) ◽  
pp. 1895-1901 ◽  
Author(s):  
F. J. Hurtado ◽  
A. M. Gutierrez ◽  
N. Silva ◽  
E. Fernandez ◽  
A. E. Khan ◽  
...  

We compared the hemodynamic and metabolic alterations produced in rabbits by similar decreases in cardiac output created by inflating a balloon placed in the right ventricle (n = 6) with those produced by an intravenous bolus of Escherichia coli lipopolysaccharide (LPS; SEP group; n = 6). We measured O2 consumption (VO2), O2 transport (TO2), and O2 extraction ratio (ERO2) for the whole animal and also for the left hindlimb. Both groups experienced similar decreases in cardiac output, systemic TO2, and VO2 and similar increases in ERO2. For the hindlimb, TO2 was similar, but VO2 and ERO2 were lower for the SEP group 30 min after LPS administration (P less than 0.05); however, this difference disappeared during the remainder of the experiment. Arterial lactate concentration was greater (P less than 0.05) for the SEP group. There were no differences in skeletal muscle PO2, measured with a multiwire surface electrode, or in cardiac and skeletal muscle concentrations of high-energy phosphates. We hypothesize that a direct effect of LPS on cellular metabolism may have resulted in greater arterial lactate concentration for the SEP group.


1995 ◽  
Vol 29 (5) ◽  
pp. 658-663 ◽  
Author(s):  
P. Zhu ◽  
C. E Zaugg ◽  
D. Simper ◽  
P. Hornstein ◽  
P. R Allegrini ◽  
...  

Blood ◽  
2008 ◽  
Vol 112 (11) ◽  
pp. sci-28-sci-28
Author(s):  
Sonia Levi ◽  
Alessandro Campanella ◽  
Paolo Santambrogio ◽  
Anna Cozzi

Abstract Mitochondrial ferritin (FtMt) is an iron-sequestering protein that specifically localizes into mitochondria and whose physiological role is only partly characterized. It was first identified in humans and subsequently described in mice, Drosophila, and plant. FtMt is a 24-homo-polymeric shell protein, with structure and function similar to those of cytosolic H-ferritin. Different from cytosolic ferritins, FtMt does not show ubiquitous distribution, and its expression is not iron-dependent. Studies on mice revealed that the protein has a tight tissue-specific expression pattern; it is preferentially expressed in cells characterized by high-energy consumption, like spermatozoa, neurons, and cardiomyocytes, while it is not present in iron storage tissues. In humans, the protein is also highly expressed in sideroblasts of patients affected by sideroblastic anemia (SA), and data on patients with myelodysplastic syndromes has provided evidence that FtMt represents a specific marker of SA. In refractory anemia with ringed sideroblasts, FtMt expression occurred in CD34+ cells before any morphological sign of maturation and iron accumulation appeared. This argues for a complex mechanism of gene regulation that remains to be elucidated. Previous studies on HeLa and yeast cells showed that FtMt expression affected cellular iron homeostasis, driving iron into mitochondria and inducing cytosolic iron starvation; however, FtMt is also able to reduce mitochondrial iron accumulation and improve iron-sulphur cluster (Fe/S) enzymes activity. Thus, it remains to be established under which conditions the presence of FtMt could be either helpful or detrimental to the cells. To clarify the physiological role of human FtMt, we tested its properties on a HeLa-tTa inducible clone. Expression of FtMt in cells was associated with a protective effect against oxidative damage promoted by hydrogen peroxide or Antimycin A insults, and against oxidative stress occurring under increased mitochondrial respiratory metabolism. The FtMt expression reduced the Reactive Oxygen Species (ROS) level and preserved ATP production and mitochondrial Fe/S enzymes activity, with a consequent positive effect on cell viability. FtMt reduced cytosolic and mitochondrial labile iron pools during glycolytic cellular growth, where FtMt was slowly degraded. In cells grown in glucose-free media, FtMt was degraded faster, determining iron redistribution among cellular compartments, which promoted mitochondrial enzymes activity without affecting cytosolic iron status. However, even under enhanced respiratory condition, FtMt maintained ROS buffering properties, indicating that the primary function of FtMt consists of the control of ROS formation through the regulation of mitochondrial iron availability. This FtMt protective effect might be particularly important in iron-overloaded mitochondria, as in SA. We produced FtMt-lentivirus vectors to transduce human CD34+ cells, and preliminary results indicate that they can be effectively employed to clarify the role of FtMt in pathophysiology of SA.


1992 ◽  
Vol 263 (4) ◽  
pp. C803-C809 ◽  
Author(s):  
L. V. Thompson ◽  
R. H. Fitts

The purpose of this study was to determine the concentration of ATP, phosphocreatine (PC), Pi, lactate, and glycogen in single frog skeletal muscle fibers and assess their role in the etiology of muscle fatigue. The frog semitendinosus (ST) muscle was fatigued, quick frozen at selected time points of recovery, and freeze-dried, and single fibers were dissected, weighed, and assayed for ATP, PC, lactate, Pi, and glycogen. The fatigue protocol reduced peak tetanic force (Po) to 8.5% of initial, while ATP and PC decreased from 45.18 to 33.16 and 128.90 to 28.76 mmol/kg dry wt, respectively. Lactate and Pi increased from 29.36 to 100.84 and 33.04 to 142.50 mmol/kg dry wt, respectively. It is doubtful that the small decline in ATP limited cross-bridge force production. Although a significant correlation between the recovery of PC and Po was demonstrated (r = 0.994), the time period showing the fastest rate of force recovery coincided with little change in PC. A significant correlation was demonstrated between the recovery of both total and the H2PO4- form of Pi and Po. In conclusion, the results of this study are incompatible with the hypothesis that the high-energy phosphates (ATP and PC) mediate muscle fatigue. The large increase in Pi with stimulation and the high correlation between the recovery of both total and the H2PO4- form of Pi and Po support a role for Pi in the production of skeletal muscle fatigue.


1974 ◽  
Vol 20 (10) ◽  
pp. 1331-1336 ◽  
Author(s):  
J Henry Wilkinson ◽  
Jean M Robinson

Abstract Experiments have been performed to determine some of the factors affecting the release of intracellular enzymes, in the hope of improving our understanding of the mechanisms whereby tissue enzymes reach the circulation in disease processes. The discharge of intracellular enzymes into the medium during prolonged incubation of human leukocytes and rat lymphocytes has been shown to be inversely related to their ATP contents. Incorporation of ATP into the medium has a marked protective effect against enzyme loss. Other high-energy phosphates, such as uridine triphosphate and phosphoenolpyruvate, which can readily be converted into ATP, also exert a protective effect, but creatine phosphate, which cannot be so converted owing to the low activity of creatine kinase in the cells, exhibits no such action. Glucose and certain intermediates of the glycolytic pathway also reduce the leakage of intracellular enzymes, an effect which parallels their concentrations in the media. ATP also protects rat lymphocytes against enzyme loss provoked by high potassium concentrations. It is suggested that the integrity of the cell membrane, as assessed by its ability to prevent the leakage of enzymes, depends on the energy content of the cell, a decrease of which may be a common factor in clinical situations associated with elevated enzyme activities in the serum.


2001 ◽  
Vol 281 (3) ◽  
pp. E479-E488 ◽  
Author(s):  
Ken Okamoto ◽  
Weiyang Wang ◽  
Jan Rounds ◽  
Elizabeth A. Chambers ◽  
Danny O. Jacobs

Myocellular sodium homeostasis is commonly disrupted during critical illness for unknown reasons. Recent data suggest that changes in intracellular sodium content and the amount of ATP provided by glycolysis are closely related. The role of glycolysis and oxidative phosphorylation in providing fuel to the Na+-K+ pump was investigated in resting rat extensor digitorum longus muscles incubated at 30°C for 1 h. Oxidative inhibition with carbonyl cyanide m-chlorophenylhydrazone, known as CCCP (0.2 μM), or by hypooxygenation did not alter myocellular sodium or potassium content ([Na+]i, [K+]i, respectively), whereas treatment with iodoacetic acid (0.3 mM), which effectively blocked glycolysis, dramatically increased [Na+]i and the [Na+]i/[K+]i ratio. Experiments using ouabain and measurements of myocellular high-energy phosphates indicate that Na+-K+-ATPase activity is only impaired when glycolysis is inhibited. The data suggest that normal glycolysis is required to regulate intracellular sodium in fast-twitch skeletal muscles, because it is the predominant source of the fuel for the Na+-K+-ATPase.


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