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Circulation Research. 2000;86:119-120

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(Circulation Research. 2000;86:119.)
© 2000 American Heart Association, Inc.


Editorials

Mitochondrial Oxidative Stress in Heart Failure

"Oxygen Wastage" Revisited

Douglas B. Sawyer, Wilson S. Colucci

From the Myocardial Biology Unit and Cardiovascular Division, Boston University Medical Center, and Boston University School of Medicine, Boston, Mass.

Correspondence to Wilson S. Colucci, MD, Boston University Medical Center, 88 E Newton St, Boston, MA 02118. E-mail wilson.colucci@bmc.org


Key Words: myocardium • free radicals • antioxidant


*    Introduction
 
There is growing evidence that oxidative stress is increased in myocardial failure and may contribute to the structural and functional changes that lead to disease progression. The report by Ide et al,1 in this issue of Circulation Research, provides the first direct measurement of increased oxidative stress in the myocardium of an animal model of heart failure. In this same model, the authors previously used electroparamagnetic resonance (EPR) with the O2- spin trap 5,5'-dimethyl-1-pyrroline-N-oxide (DMPO) to show that formation of superoxide anion was increased 2.8-fold in submitochondrial particles from failing (vs nonfailing) myocardium.2 The increase in DMPO spin signal was seen with NADH, but not succinate, as a substrate, suggesting that O2- was being formed by electron leakage at the level of the NADH-ubiquinone-reductase complex, or complex I. This view was supported by the finding that complex I activity was {approx}50% lower in the failing myocardium, suggesting a functional blockade of the electron transport system. Because the isolation of submitochondrial particles removes competing antioxidant enzymes, the observed increase in DMPO spin signal was indicative of an increase in gross (but not net) O2- production and therefore was not necessarily indicative of oxidative stress per se. Oxidative stress was suggested, however, by the finding of increased lipid peroxidation products in the myocardium of the animals with heart failure.

In the present study, Ide et al1 extend their earlier observations by showing that the production of reactive oxygen species (ROS) is increased in the failing myocardium.2 By measuring the . . . [Full Text of this Article]




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