Articles |
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-
) and hydroxyl
(
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 (
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
OH, and not
O2-
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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