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Circulation. 2001;103:2617-2623

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(Circulation. 2001;103:2617.)
© 2001 American Heart Association, Inc.


Basic Science Reports

Mitochondria as Targets for Nitric Oxide–Induced Protection During Simulated Ischemia and Reoxygenation in Isolated Neonatal Cardiomyocytes

Roby D. Rakhit, MD, MRCP; Mart H. Mojet, PhD; Michael S. Marber, PhD, FRCP; Michael R. Duchen, PhD, MRCP

From the Departments of Cardiology, Kings College London, St Thomas’ Hospital (R.D.R., M.S.M.), and Physiology, University College London (M.H.M., M.R.D.), UK. The first 2 authors contributed equally to this work.

Correspondence to Michael R. Duchen, Department of Physiology, University College London, Gower St, London, WC1E 6BT, UK. E-mail m.duchen{at}ucl.ac.uk

Background—As shown previously, exposure to NO donors initiates protective mechanisms in cardiomyocytes that persist after removal of the donor, a form of pharmacological preconditioning. Because NO also affects mitochondrial respiration, we studied the effect of NO on mitochondrial Ca2+ uptake.

Methods and Results—Neonatal rat ventricular myocytes in primary culture were exposed to 1 hour of simulated ischemia and 1 hour of reoxygenation (sI/R). Pretreatment with the NO donor S-nitroso-N-acetyl-penicillamine (SNAP) (1 mmol/L for 90 minutes), followed by washing and incubation for 10 to 30 minutes, reduced sI/R-induced cell death to 25.4% compared with control (propidium iodide exclusion assay, P<0.001). Short (10-second) exposures to SNAP reversibly suppressed mitochondrial respiration without a detectable change in mitochondrial potential. In contrast, treatment with SNAP for 90 minutes caused a modest but sustained mitochondrial depolarization, as judged by JC-1 fluorescence. SNAP pretreatment limited cellular Ca2+ overload during ischemia (fura-2 ratio rose to 226±40% versus 516±170% of baseline, n=5, P<0.05) and prevented loss of cell membrane integrity during reoxygenation. SNAP pretreatment also significantly reduced the ability of mitochondria to accumulate Ca2+ in the face of a similar cytosolic Ca2+ load (peak rhod-2 fluorescence 133±4% versus 166±7% of baseline at similar fluo-3 levels, P=0.0004, n=52 and 25, respectively).

Conclusions—Pretreatment with an NO donor induces a modest, sustained mitochondrial depolarization and protects cardiomyocytes from sI/R injury. The demonstrated reduction in mitochondrial Ca2+ uptake possibly reduces cytosolic Ca2+ overload, providing a likely mechanism for NO-induced protection.


Key Words: nitric oxide • cells • calcium • ischemia • reperfusion




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