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Circulation Research. 1996;78:564-572

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(Circulation Research. 1996;78:564-572.)
© 1996 American Heart Association, Inc.


Articles

Mechanism of Hydrogen Peroxide and Hydroxyl Free Radical–Induced Intracellular Acidification in Cultured Rat Cardiac Myoblasts

Mei-Lin Wu, Ke-Li Tsai, Seu-Mei Wang, Jiahn-Chun Wu, Bor-Sen Wang, Yuan-Teh Lee

From the Departments of Physiology (M.-L.W., K.-L.T.) and Anatomy (S.-M.W., J.-C.W.), the Institute of Toxicology (B.-S.W.), and the Department of Internal Medicine (Y.-T.L.), Center for Cardiovascular Research, College of Medicine, National Taiwan University, Taipei, ROC.

Correspondence to Dr Yuan-Teh Lee, Department of Internal Medicine, Medical College, National Taiwan University Hospital, 7, Chung-Shan South Rd, Taipei, Taiwan, ROC.

Abstract After a transient ischemic attack of the cardiac vascular system, reactive oxygen-derived free radicals, including the superoxide (O2-{bullet}) and hydroxyl ({bullet}OH) radicals can be easily produced during reperfusion. These free radicals have been suggested to be responsible for reperfusion-induced cardiac stunning and reperfusion-induced arrhythmia. Hydrogen peroxide (H2O2) is often used as an experimental source of oxygen-derived free radicals. Using freshly dissociated single rat cardiac myocytes and the rat cardiac myoblast cell line, H9c2, we have shown, for the first time, that an intriguing pHi acidification ({approx}0.24 pH unit) is induced by the addition of 100 µmol/L H2O2 and that this dose is without effect on the intracellular free Ca2+ levels or viability of the cells. Using H9c2 as a model cardiac cell, we have shown that it is the intracellular production of {bullet}OH, and not O2-{bullet} or H2O2, that results in this acidification. We have excluded any involvement of (1) the three known cardiac pHi regulators (the Na+-H+ exchanger, the Cl--HCO3 exchanger, and the Na+-HCO3 cotransporter), (2) a rise in intracellular Ca2+ levels, and (3) inhibition of oxidative phosphorylation. However, we have found that H2O2-induced acidosis is due to inhibition of the glycolytic pathway, with hydrolysis of intracellular ATP and the resultant intracellular acidification. In cardiac muscle and in skinned cardiac muscle fiber, it has been shown that a small intracellular acidification may severely inhibit contractility. Therefore, the sustained pHi decrease caused by hydroxyl radicals may contribute, in some part, to the well-documented impairment of cardiac mechanical function (ie, reperfusion cardiac stunning) seen during reperfusion ischemia.


Key Words: cardiac myocytes • hydroxyl free radical • reperfusion cardiac stunning • intracellular acidosis • rat H9c2 cardiac cell line




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