Document Detail

Reduced cardiac output is associated with decreased mitochondrial efficiency in the non-ischemic ventricular wall of the acute myocardial-infarcted dog.
MedLine Citation:
PMID:  16541128     Owner:  NLM     Status:  MEDLINE    
Cardiogenic shock is the leading cause of death among patients hospitalized with acute myocardial infarction (MI). Understanding the mechanisms for acute pump failure is therefore important. The aim of this study is to examine in an acute MI dog model whether mitochondrial bio-energetic function within non-ischemic wall regions are associated with pump failure. Anterior MI was produced in dogs via ligation of left anterior descending (LAD) coronary artery, that resulted in an infract size of about 30% of the left ventricular wall. Measurements of hemodynamic status, mitochondrial function, free radical production and mitochondrial uncoupling protein 3 (UCP3) expression were determined over 24 h period. Hemodynamic measurements revealed a > 50% reduction in cardiac output at 24 h post infarction when compared to baseline. Biopsy samples were obtained from the posterior non-ischemic wall during acute infarction. ADP/O ratios for isolated mitochondria from non-ischemic myocardium at 6 h and 24 h were decreased when compared to the ADP/O ratios within the same samples with and without palmitic acid (PA). GTP inhibition of (PA)-stimulated state 4 respiration in isolated mitochondria from the non-ischemic wall increased by 7% and 33% at 6 h and 24 h post-infarction respectively when compared to sham and pre-infarction samples. This would suggest that the mitochondria are uncoupled and this is supported by an associated increase in UCP3 expression observed on western blots from these same biopsy samples. Blood samples from the coronary sinus measured by electron paramagnetic resonance (EPR) methods showed an increase in reactive oxygen species (ROS) over baseline at 6 h and 24 h post-infarction. In conclusion, mitochondrial bio-energetic ADP/O ratios as a result of acute infarction are abnormal within the non-ischemic wall. Mitochondria appear to be energetically uncoupled and this is associated with declining pump function. Free radical production may be associated with the induction of uncoupling proteins in the mitochondria.
Zakaria A Almsherqi; Craig S McLachlan; Malgorzata B Slocinska; Francis E Sluse; Rachel Navet; Nikolai Kocherginsky; Iouri Kostetski; Dong-Yun Shi; Shan-Lin Liu; Peter Mossop; Yuru Deng
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Cell research     Volume:  16     ISSN:  1001-0602     ISO Abbreviation:  Cell Res.     Publication Date:  2006 Mar 
Date Detail:
Created Date:  2006-03-16     Completed Date:  2006-06-23     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9425763     Medline TA:  Cell Res     Country:  China    
Other Details:
Languages:  eng     Pagination:  297-305     Citation Subset:  IM    
Department of Physiology, National University of Singapore, Block MD9, 2 Medical Drive, Singapore 117597, Singapore.
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MeSH Terms
Adenosine Diphosphate / metabolism
Cardiac Output / physiology*
Carrier Proteins / metabolism
Heart Ventricles / physiopathology*
Ion Channels
Mitochondria, Heart / physiology*
Mitochondrial Proteins
Myocardial Infarction / physiopathology*
Myocardial Ischemia / metabolism
Reactive Oxygen Species / blood
Reg. No./Substance:
0/Carrier Proteins; 0/Ion Channels; 0/Mitochondrial Proteins; 0/Reactive Oxygen Species; 0/mitochondrial uncoupling protein 3; 58-64-0/Adenosine Diphosphate

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