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Circulation Research. 2003;93:292-301
doi: 10.1161/01.RES.0000087542.26971.D4
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(Circulation Research. 2003;93:292.)
© 2003 American Heart Association, Inc.


Reviews

Role of the Mitochondrial Permeability Transition in Myocardial Disease

James N. Weiss, Paavo Korge, Henry M. Honda, Peipei Ping

From the Cardiovascular Research Laboratory, Departments of Medicine (Cardiology) and Physiology, David Geffen School of Medicine at UCLA, Los Angeles, Calif.

Correspondence to James N. Weiss, MD, Division of Cardiology, 3641 MRL Building, David Geffen School of Medicine at UCLA, Los Angeles, CA 90095-1760. E-mail jweiss{at}mednet.ucla.edu

Mitochondria play a key role in determining cell fate during exposure to stress. Their role during ischemia/reperfusion is particularly critical because of the conditions that promote both apoptosis by the mitochondrial pathway and necrosis by irreversible damage to mitochondria in association with mitochondrial permeability transition (MPT). MPT is caused by the opening of permeability transition pores in the inner mitochondrial membrane, leading to matrix swelling, outer membrane rupture, release of apoptotic signaling molecules such as cytochrome c from the intermembrane space, and irreversible injury to the mitochondria. During ischemia (the MPT priming phase), factors such as intracellular Ca2+ accumulation, long-chain fatty acid accumulation, and reactive oxygen species progressively increase mitochondrial susceptibility to MPT, increasing the likelihood that MPT will occur on reperfusion (the MPT trigger phase). Because functional cardiac recovery ultimately depends on mitochondrial recovery, cardioprotection by ischemic and pharmacological preconditioning must ultimately involve the prevention of MPT. Investigations into this area are beginning to unravel some of the mechanistic links between cardioprotective signaling and mitochondria.


Key Words: mitochondria • programmed cell death • mitochondrial permeability transition • ischemia • reperfusion




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Cardiovasc ResHome page
Z. Xu, S.-S. Park, R. A. Mueller, R. C. Bagnell, C. Patterson, and P. G. Boysen
Adenosine produces nitric oxide and prevents mitochondrial oxidant damage in rat cardiomyocytes
Cardiovasc Res, March 1, 2005; 65(4): 803 - 812.
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Am. J. Physiol. Heart Circ. Physiol.Home page
G. Wang, D. A. Liem, T. M. Vondriska, H. M. Honda, P. Korge, D. M. Pantaleon, X. Qiao, Y. Wang, J. N. Weiss, and P. Ping
Nitric oxide donors protect murine myocardium against infarction via modulation of mitochondrial permeability transition
Am J Physiol Heart Circ Physiol, March 1, 2005; 288(3): H1290 - H1295.
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Am. J. Physiol. Heart Circ. Physiol.Home page
S. Barrere-Lemaire, N. Combes, C. Sportouch-Dukhan, S. Richard, J. Nargeot, and C. Piot
Morphine mimics the antiapoptotic effect of preconditioning via an Ins(1,4,5)P3 signaling pathway in rat ventricular myocytes
Am J Physiol Heart Circ Physiol, January 1, 2005; 288(1): H83 - H88.
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Am. J. Physiol. Heart Circ. Physiol.Home page
H. I. Gursahani and S. Schaefer
Acidification reduces mitochondrial calcium uptake in rat cardiac mitochondria
Am J Physiol Heart Circ Physiol, December 1, 2004; 287(6): H2659 - H2665.
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Circ. Res.Home page
M. S. McMurtry, S. Bonnet, X. Wu, J. R.B. Dyck, A. Haromy, K. Hashimoto, and E. D. Michelakis
Dichloroacetate Prevents and Reverses Pulmonary Hypertension by Inducing Pulmonary Artery Smooth Muscle Cell Apoptosis
Circ. Res., October 15, 2004; 95(8): 830 - 840.
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Eur Heart JHome page
M. Faadiel Essop and L. H. Opie
Metabolic therapy for heart failure
Eur. Heart J., October 2, 2004; 25(20): 1765 - 1768.
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Am. J. Physiol. Heart Circ. Physiol.Home page
K. R. Pitts and C. F. Toombs
Coverslip hypoxia: a novel method for studying cardiac myocyte hypoxia and ischemia in vitro
Am J Physiol Heart Circ Physiol, October 1, 2004; 287(4): H1801 - H1812.
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J. Am. Soc. Nephrol.Home page
T. Tanaka, M. Nangaku, T. Miyata, R. Inagi, T. Ohse, J. R. Ingelfinger, and T. Fujita
Blockade of Calcium Influx through L-Type Calcium Channels Attenuates Mitochondrial Injury and Apoptosis in Hypoxic Renal Tubular Cells
J. Am. Soc. Nephrol., September 1, 2004; 15(9): 2320 - 2333.
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Proc. Natl. Acad. Sci. USAHome page
H. Ardehali, Z. Chen, Y. Ko, R. Mejia-Alvarez, and E. Marban
Multiprotein complex containing succinate dehydrogenase confers mitochondrial ATP-sensitive K+ channel activity
PNAS, August 10, 2004; 101(32): 11880 - 11885.
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J. Biol. Chem.Home page
D. Tondera, A. Santel, R. Schwarzer, S. Dames, K. Giese, A. Klippel, and J. Kaufmann
Knockdown of MTP18, a Novel Phosphatidylinositol 3-Kinase-dependent Protein, Affects Mitochondrial Morphology and Induces Apoptosis
J. Biol. Chem., July 23, 2004; 279(30): 31544 - 31555.
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Am. J. Physiol. Heart Circ. Physiol.Home page
E. J. Lesnefsky, Q. Chen, T. J. Slabe, M. S. K. Stoll, P. E. Minkler, M. O. Hassan, B. Tandler, and C. L. Hoppel
Ischemia, rather than reperfusion, inhibits respiration through cytochrome oxidase in the isolated, perfused rabbit heart: role of cardiolipin
Am J Physiol Heart Circ Physiol, July 1, 2004; 287(1): H258 - H267.
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J. Pharmacol. Exp. Ther.Home page
D. A. Liem, C. C. Gho, B. C. Gho, S. Kazim, O. C. Manintveld, P. D. Verdouw, and D. J. Duncker
The Tyrosine Phosphatase Inhibitor Bis(Maltolato)Oxovanadium Attenuates Myocardial Reperfusion Injury by Opening ATP-Sensitive Potassium Channels
J. Pharmacol. Exp. Ther., June 1, 2004; 309(3): 1256 - 1262.
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Cardiovasc ResHome page
R. J Diaz and G. J Wilson
Modifying the first minute of reperfusion: potential for myocardial salvage
Cardiovasc Res, April 1, 2004; 62(1): 4 - 6.
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Circ. Res.Home page
E. Murphy
Primary and Secondary Signaling Pathways in Early Preconditioning That Converge on the Mitochondria to Produce Cardioprotection
Circ. Res., January 9, 2004; 94(1): 7 - 16.
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Circ. Res.Home page
R. A. Ahokas, K. J. Warrington, I. C. Gerling, Y. Sun, L. A. Wodi, P. A. Herring, L. Lu, S. K. Bhattacharya, A. E. Postlethwaite, and K. T. Weber
Aldosteronism and Peripheral Blood Mononuclear Cell Activation: A Neuroendocrine-Immune Interface
Circ. Res., November 14, 2003; 93 (10): e124 - e135.
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