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Circulation Research. 2000;86:152-157

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(Circulation Research. 2000;86:152.)
© 2000 American Heart Association, Inc.


Integrative Physiology

Direct Evidence for Increased Hydroxyl Radicals Originating From Superoxide in the Failing Myocardium

Tomomi Ide, Hiroyuki Tsutsui, Shintaro Kinugawa, Nobuhiro Suematsu, Shunji Hayashidani, Kazuhiro Ichikawa, Hideo Utsumi, Youji Machida, Kensuke Egashira, Akira Takeshita

From Cardiovascular Medicine (T.I., H.T., S.K., N.S., S.H., Y.M., K.E., A.T.), Graduate School of Medical Sciences, and Department of Biophysics, Faculty of Pharmaceutical Sciences (K.I., H.U.), Kyushu University, Fukuoka, Japan.

Correspondence to Hiroyuki Tsutsui, Cardiovascular Medicine, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan. E-mail prehiro{at}cardiol.med.kyushu-u.ac.jp

Abstract—Experimental and clinical studies have suggested an increased production of reactive oxygen species (ROS) in the failing myocardium. The present study aimed to obtain direct evidence for increased ROS and to determine the contribution of superoxide anion (·O2-), H2O2, and hydroxy radical (·OH) in failing myocardial tissue. Heart failure was produced in adult mongrel dogs by rapid ventricular pacing at 240 bpm for 4 weeks. To assess the production of ROS directly, freeze-clamped myocardial tissue homogenates were reacted with the nitroxide radical, 4-hydroxy-2,2,6,6,-tetramethyl-piperidine-N-oxyl, and its spin signals were detected by electron spin resonance spectroscopy. The rate of electron spin resonance signal decay, proportional to ·OH level, was significantly increased in heart failure, which was inhibited by the addition of dimethylthiourea (·OH scavenger) into the reaction mixture. Increased ·OH in the failing heart was abolished to the same extent in the presence of desferrioxamine (iron chelator), catalase (H2O2 scavenger), and 4,5-dihydroxy-1,3-benzene disulfonic acid (Tiron; LaMotte) (·O2- scavenger), indicating that ·OH originated from H2O2 and ·O2-. Further, ·O2- produced in normal myocardium in the presence of antimycin A (mitochondrial complex III inhibitor) could reproduce the increase of H2O2 and ·OH seen in the failing tissue. There was a significant positive relation between myocardial ROS level and left ventricular contractile dysfunction. In conclusion, in the failing myocardium, ·OH was produced as a reactive product of ·O2- and H2O2, which might play an important role in left ventricular failure.


Key Words: antioxidant • free radicals • heart failure • myocardial contraction • myocardium




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Am. J. Physiol. Heart Circ. Physiol.Home page
K. Arimura, K. Egashira, R. Nakamura, T. Ide, H. Tsutsui, H. Shimokawa, and A. Takeshita
Increased inactivation of nitric oxide is involved in coronary endothelial dysfunction in heart failure
Am J Physiol Heart Circ Physiol, January 1, 2001; 280(1): H68 - H75.
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Cardiovasc ResHome page
H. Tsutsui, T. Ide, S. Hayashidani, N. Suematsu, H. Utsumi, R. Nakamura, K. Egashira, and A. Takeshita
Greater susceptibility of failing cardiac myocytes to oxygen free radical-mediated injury
Cardiovasc Res, January 1, 2001; 49(1): 103 - 109.
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CirculationHome page
G. S. Filippatos, B. D. Uhal, H. Tsutsui, T. Ide, S. Kinugawa, A. Takeshita, and H. Utsumi
Effects of Amiodarone on Heart Cells Response
Circulation, November 14, 2000; 102 (20): e170 - e170.
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Circ. Res.Home page
S. Kinugawa, H. Tsutsui, S. Hayashidani, T. Ide, N. Suematsu, S. Satoh, H. Utsumi, and A. Takeshita
Treatment With Dimethylthiourea Prevents Left Ventricular Remodeling and Failure After Experimental Myocardial Infarction in Mice : Role of Oxidative Stress
Circ. Res., September 1, 2000; 87(5): 392 - 398.
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Circ. Res.Home page
D. B. Sawyer and W. S. Colucci
Mitochondrial Oxidative Stress in Heart Failure : "Oxygen Wastage" Revisited
Circ. Res., February 4, 2000; 86(2): 119 - 120.
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Circ. Res.Home page
G. D. Thomas, W. Zhang, and R. G. Victor
Impaired Modulation of Sympathetic Vasoconstriction in Contracting Skeletal Muscle of Rats With Chronic Myocardial Infarctions : Role of Oxidative Stress
Circ. Res., April 27, 2001; 88(8): 816 - 823.
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Circ. Res.Home page
M. Akao, A. Ohler, B. O'Rourke, and E. Marban
Mitochondrial ATP-Sensitive Potassium Channels Inhibit Apoptosis Induced by Oxidative Stress in Cardiac Cells
Circ. Res., June 22, 2001; 88(12): 1267 - 1275.
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Circ. Res.Home page
D. Cesselli, I. Jakoniuk, L. Barlucchi, A. P. Beltrami, T. H. Hintze, B. Nadal-Ginard, J. Kajstura, A. Leri, and P. Anversa
Oxidative Stress-Mediated Cardiac Cell Death Is a Major Determinant of Ventricular Dysfunction and Failure in Dog Dilated Cardiomyopathy
Circ. Res., August 3, 2001; 89(3): 279 - 286.
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Circ. Res.Home page
D. R. Pimentel, J. K. Amin, L. Xiao, T. Miller, J. Viereck, J. Oliver-Krasinski, R. Baliga, J. Wang, D. A. Siwik, K. Singh, et al.
Reactive Oxygen Species Mediate Amplitude-Dependent Hypertrophic and Apoptotic Responses to Mechanical Stretch in Cardiac Myocytes
Circ. Res., August 31, 2001; 89(5): 453 - 460.
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