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Circulation Research. 1996;79:381-387

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(Circulation Research. 1996;79:381-387.)
© 1996 American Heart Association, Inc.


Articles

Role of Endothelium-Derived Nitric Oxide in the Modulation of Canine Myocardial Mitochondrial Respiration In Vitro

Implications for the Development of Heart Failure

Yi-Wu Xie, Weiqun Shen, Gong Zhao, Xiaobin Xu, Michael S. Wolin, Thomas H. Hintze

the Department of Physiology, New York Medical College, Valhalla.

Correspondence to Thomas H. Hintze, PhD, Professor of Physiology, New York Medical College, Valhalla, NY 10595.


*    Abstract
up arrowTop
*Abstract
down arrowIntroduction
down arrowMaterials and Methods
down arrowResults
down arrowDiscussion
down arrowReferences
 
The mechanism responsible for the regulation of cardiac function by endogenous nitric oxide (NO) remains unclear. In this investigation, O2 consumption by freshly isolated myocardial muscle segments from the left ventricular free wall of canine hearts was quantified by a Clark-type O2 electrode at 37°C. S-nitroso-N-acetylpenicillamine (SNAP, 9±3% to 50±8%), bradykinin (BK, 14±3% to 30±5%), or carbachol (CCh, 15±4% to 29±4%) significantly attenuated tissue O2 consumption at doses of 10-7 to 10-4 mol/L (mean±SE, P<.05). The effects of BK and CCh, but not SNAP, were blocked by 10-4 mol/L NG-nitro-L-arginine, consistent with both BK and CCh stimulating NO biosynthesis and with SNAP decomposing to release NO, respectively. Similar doses of 8-Br-cGMP caused a respiratory inhibition, but to a lesser extent (9±2% to 14±6%). A mitochondrial uncoupler, 2,4-dinitrophenol (at 1 mmol/L), blocked the effects of 8-Br-cGMP, but not those of SNAP, BK, or CCh, suggesting that the major site of action of NO is on mitochondrial electron transport. Myocardial muscle from dogs with pacing-induced heart failure had a basal O2 consumption rate of 251±21 nmol·min-1·g-1, which was 54% higher than the rate seen in muscle from normal healthy canine hearts. The inhibitory effects of BK and CCh on O2 consumption were not observed in failing cardiac tissue, but SNAP showed an unaltered inhibitory effect. Therefore, our results indicate that NO released from microvascular endothelium by BK, stimulation of muscarinic receptors, and perhaps flow velocity may play an important physiological role in the control of cardiac mitochondrial respiration, and the loss of this regulatory function may contribute to the development of heart failure.


Key Words: bradykinin • cGMP • oxygen consumption • microvascular endothelium • cardiac dysfunction


*    Introduction
up arrowTop
up arrowAbstract
*Introduction
down arrowMaterials and Methods
down arrowResults
down arrowDiscussion
down arrowReferences
 
Coronary blood vessels in the microcirculation are adjacent to myocardial muscle cells, where the distance between myocytes and the nearest capillary is on average <8 µm.1 2 This short diffusing distance suggests that vasoactive factors released from microvascular endothelium may affect the adjacent myocardium. Among these vasoactive substances is NO, whose well-known physiological functions include regulation of vascular tone, neuronal communication, and host defense. The short half-life of NO may limit its function; nevertheless, it is very lipophilic and thereby readily diffuses into intracellular target sites. In fact, the predicted mean diffusion distance of NO under physiological conditions is 200 to 600 µm,3 suggesting that endothelium-derived NO from the microcirculation could affect nearby tissue function, particularly in cardiac muscle, where the ratio of microvessels to myofibrils is {approx}1:1.4

We have previously demonstrated that canine coronary microvessels are capable of generating NO when stimulated with acetylcholine or BK.5 Studies with isolated perfused hearts recently showed that 5-hydroxytryptamine stimulated NO release from the coronary microvasculature.6 These studies suggest that NO biosynthesis is present in the microvascular endothelium as well as in large vessels.

Metal-containing proteins, particularly iron-containing proteins such as heme proteins and those with iron-sulfur complexes, serve as a major intracellular target for NO. Typical examples of heme proteins are guanylate cyclase and hemoglobin; those proteins with iron-sulfur clusters include mitochondrial aconitase and complexes I and II in the electron transport chain. The interactions of NO with these iron-containing proteins can lead to either a stimulation or an inhibition of the proteins' normal function.

Before the discovery of NO formation in endothelium, an undefined substance produced by activated macrophages was observed to suppress O2 consumption by bacteria and cultured mammalian cells.7 8 Recent studies suggest that this macrophage-related substance is NO.9 10 Thus, NO released under inflammatory conditions may be beneficial for host defense due to its ability to suppress bacterial respiration.

Recent in vivo studies with canine skeletal muscle, from our laboratory11 and others,12 have suggested that endogenous NO production may regulate tissue O2 consumption, in addition to its classic vasodilator action. Increasing evidence also indicates that NO plays an important role in the control of myocyte inotropic state.13 14 Therefore, the present investigation was carried out to determine whether endogenously generated NO could regulate O2 consumption of myocardial muscle under physiologically relevant conditions and whether this relationship between NO and muscle respiration would be altered after the development of heart failure.


*    Materials and Methods
up arrowTop
up arrowAbstract
up arrowIntroduction
*Materials and Methods
down arrowResults
down arrowDiscussion
down arrowReferences
 
The primary aim of this study was to assess the role of NO in the control of cellular respiration of isolated myocardial muscle from normal and failing canine hearts. Two groups of adult mongrel dogs, one normal (n=17) and one with pacing-induced heart failure (n=7), were used in the experiments.

Materials
BK, CCh, 8-Br-cGMP, DNP, atropine methyl bromide (atropine), and L-arginine were purchased from Sigma Chemical Company. L-NNA was obtained from Aldrich Chemical Company, and sodium cyanide from JT Baker Chemical Company. SNAP was synthesized as described15 and N-acetylpenacillamine (10-4 mol/L) was used as a control. DNP was dissolved in dimethyl sulfoxide. All other materials were dissolved in Krebs' solution containing (mmol/L) NaCl 118, KCl 4.7, CaCl2 1.5, NaHCO3 25, KH2PO4 1.2, MgSO4 1.1, and glucose 5.6, pH 7.4.

Animal Preparation
Heart failure was induced by chronic rapid LV pacing for 4 weeks in chronically instrumented conscious dogs, and hemodynamic data from these awake dogs were obtained using previously implanted catheters and transducers, as described in detail.5 All dogs were killed with pentobarbital sodium (25 mg/kg IV), and the heart was immediately removed and placed in cold buffer.

Preparation of Muscle Slices
Myocardial muscle was isolated from the left ventricle (free wall only) of hearts immediately after the dogs were killed. The muscle was freed of epicardium, endocardium, connective tissue, fat, and large arteries and was cut into 30- to 50-mg segments. Prior to studies of tissue respiration, these muscle segments were bathed at 37°C for 2 hours in Krebs' solution, in which 21% O2/5% CO2/75% N2 was continuously bubbled.

Respiration Measurements
O2 uptake by muscle slices was measured polarographically with a Yellow Springs Instrument Co apparatus consisting of a YSI model 5300 biological O2 monitor and a Clark-type O2 electrode (YSI 5331). O2 consumption studies were performed at 37°C in a stirred 1- to 10-mL bath (YSI 5301) containing 3 mL air-saturated Krebs' solution buffered with 10 mmol/L HEPES (pH 7.4). Tissue respiration was calculated as the rate of decrease in O2 concentration following the addition of muscle slices, assuming an initial O2 concentration of 224 nmol/mL,16 and was expressed as nanomoles O2 consumed per minute per gram tissue. O2 uptake by muscle slices was only monitored before one third of the O2 was consumed, and any spontaneous changes in the electrode recording in the absence of tissue were subtracted from each measured rate of tissue O2 consumption. The typical observation time for each dose of an agent was 5 minutes, and new muscle segments were used for each drug examined. Sodium cyanide (1 mmol/L) was added at the end of each respiration measurement to confirm that changes in O2 consumption were from mitochondrial sources.

Effects of Examined Agents on Tissue Respiration
SNAP, BK, CCh, or 8-Br-cGMP was added to the tissue bath in a cumulative concentration-dependent (10-7 to 10-4 mol/L) manner and their effects on muscle O2 consumption were recorded. The effects of SNAP, BK, and CCh were examined in the presence of 10-4 mol/L L-NNA; the effect of L-NNA alone on tissue respiration was also studied. The response to the highest dose of CCh was examined in the presence of 10-4 mol/L atropine. DNP (1 mmol/L) was added to the tissue bath in the presence or absence of individual doses of SNAP, CCh, BK, BK+L-NNA, or 8-Br-cGMP, and the change in O2 consumption was reported.

Statistical Analysis
All data are reported as mean±SE, and n in all instances is the number of different animals studied. Differences in the mean values were analyzed using unpaired and, where appropriate, paired Student's t tests. Significance was assumed at P<.05.


*    Results
up arrowTop
up arrowAbstract
up arrowIntroduction
up arrowMaterials and Methods
*Results
down arrowDiscussion
down arrowReferences
 
NO-Mediated Inhibition of O2 Consumption in Normal Myocardial Muscle
An actual recording of tissue O2 consumption is shown in Fig 1Down, and calculated O2 consumption is shown in Table 1Down. The NO-releasing agent SNAP15 significantly inhibited O2 consumption by myocardial muscle slices from normal dogs by 9±3% to 50±8% over the dose range 10-7 to 10-4 mol/L (Fig 2ADown). In contrast, SNAP had no effect on tissue O2 consumption (1.8±1.7%) even at 10-4 mol/L. BK, a stimulus of endogenous NO generation,17 18 also reduced muscle respiration by 14±3% to 30±5% over a similar dose range (Fig 2BDown). Similar doses of CCh (not shown), another probe to stimulate endogenous NO formation,17 18 significantly decreased tissue respiration by 15±4% to 29±4% (n=5, all P<.05 versus control). The inhibitory effect of the highest dose (10-4 mol/L) of CCh examined was abolished by pretreatment with 10-4 mol/L atropine, a specific antagonist of muscarinic cholinergic receptors (n=5, not shown). Pretreatment with L-NNA (10-4 mol/L), a specific NO synthase inhibitor, had no effect on the suppression of muscle respiration by SNAP (Fig 2ADown), but abolished the reduction of tissue respiration by BK (Fig 2BDown) and CCh (n=5, not shown). L-NNA itself did not alter muscle respiration at a dose of 10-4 mol/L (n=12). As shown in Fig 1Down, sodium cyanide blocked the decrease in bath O2 concentration, indicating that most of the O2 consumption was dependent on mitochondrial function.



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Figure 1. Actual recording of changes in bath O2 content over time. There was a significant increase in the slope after the addition of cardiac muscle (Muscle) and a reduction in the slope after the addition of SNAP. There was a further reduction in the slope after the addition of NaCN. The initial slope prior to the addition of muscle is due to O2 consumption by the electrode and was subtracted from all subsequent measurements.


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Table 1. Calculated Values of Oxygen Consumption in Tissue from Normal and Failing Hearts



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Figure 2. Effects of SNAP (A) and BK (B) on O2 consumption by normal myocardial muscle in the presence or absence of 10-4 mol/L L-NNA. All values are mean±SE. A, L-NNA did not alter SNAP-elicited respiratory inhibition ({circ}, control, n=9; {bullet}, L-NNA, n=5). B, L-NNA abolished BK-induced suppression of muscle respiration ({circ}, control, n=7; {bullet}, L-NNA, n=8; *P<.05, control vs L-NNA).

DNP-Elicited Elevation in O2 Uptake by Normal Myocardial Muscle
Muscle respiration was significantly increased (99±16%, P<.01) by 1 mmol/L DNP, a mitochondrial uncoupler between oxidative phosphorylation and electron transport (Fig 3Down). After muscle segments were pretreated with SNAP, CCh, or BK at a dose of 10-5 mol/L, the effect of DNP on tissue respiration was attenuated (Fig 3Down). Pretreatment with L-NNA attenuated the inhibitory effect of BK on DNP-induced increase in O2 consumption (Fig 3Down).



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Figure 3. Effects of DNP on O2 consumption by normal tissue. SNAP, BK, and CCh, but not BK+L-NNA or 8-Br-cGMP, suppressed DNP-induced elevation in O2 consumption by normal myocardial muscle. (All concentrations were 10-5 mol/L except DNP, which was 10-3 mol/L, and L-NNA, which was 10-4 mol/L.) All values are mean±SE; n=6 to 9. *P<.05 vs control.

Effect of 8-Br-cGMP on O2 Consumption by Normal Myocardial Muscle
A stable cGMP analogue, 8-Br-cGMP, significantly reduced cardiac muscle respiration by 9±2% to 14±6% over the dose range 10-7 to 10-4 mol/L (n=6, P<.05), which was significantly less than the inhibitory effects of BK or CCh on O2 consumption. In addition, 8-Br-cGMP did not significantly alter DNP-elicited increases in muscle respiration, as seen with BK or CCh (Fig 3Up).

Induction of Heart Failure
Hemodynamic changes before and after chronic LV pacing for 4 weeks are summarized in Table 2Down. All values after heart failure (after 4-week pacing) were significantly different from those in the prepacing state. After the development of heart failure, LV end-diastolic pressure and heart rate increased by 391±130% and 48±11%, respectively, while LV systolic pressure, LV dP/dt, and mean arterial pressure decreased by 24±4%, 51±6%, and 19±3%, respectively. These characteristics, as well as the presence of ascites, edema, dyspnea, and protein wasting, indicate a severe form of heart failure. This model of heart failure resembles a dilated form of cardiac myopathy, as described.5 19 20


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Table 2. Hemodynamics Before and After Pacing-Induced Heart Failure

Respiration Studies in Failing Myocardial Muscle
The O2 consumption rate of failing myocardial muscle was 251±21 nmol·min-1·g-1, significantly higher than that of normal myocardial muscle, 162±12 nmol·min-1·g-1 (P<.01). The actual changes in O2 consumption after addition of NO-releasing agents are shown in Table 1Up.

Effect of SNAP on O2 consumption by failing muscle was very similar to that of normal muscle before or after L-NNA (Fig 4ADown). However, the responses of failing cardiac tissue to stimulation of endogenous NO synthesis with BK (Fig 4BDown) or CCh (n=5, not shown) were not observed. L-NNA alone did not alter failing muscle respiration at a dose of 10-4 mol/L (n=5).



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Figure 4. Different responses to SNAP and BK between normal and failing heart. SNAP caused a similar reduction in O2 consumption in normal ({circ}, n=9) and failing ({bullet}, n=5) myocardial muscle (A). BK suppressed O2 uptake in normal ({circ}, n=7) but not failing ({bullet}, n=5) myocardial muscle (B). All values are mean±SE. *P<.05, normal vs failing.

DNP-Elicited Elevation in O2 Uptake by Failing Myocardial Muscle
The effect of DNP on failing cardiac muscle respiration was very similar to that of normal muscle; the increase was 106±15% (Fig 5Down). SNAP attenuated the increased O2 consumption induced by DNP, but BK or CCh did not suppress DNP-elicited elevation in tissue respiration (Fig 5Down).



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Figure 5. Effects of DNP on O2 consumption by failing heart. SNAP, but not CCh, BK, or BK+L-NNA, attenuated DNP-elicited increase in O2 consumption by failing myocardial muscle. (All concentrations were 10-5 mol/L except DNP, which was 10-3 mol/L, and L-NNA, which was 10-4 mol/L.) All values are mean±SE; n=5 to 7. *P<.05 vs control.


*    Discussion
up arrowTop
up arrowAbstract
up arrowIntroduction
up arrowMaterials and Methods
up arrowResults
*Discussion
down arrowReferences
 
The major finding of the present study with normal myocardial muscle was that endogenous endothelium-derived NO could attenuate mitochondrial respiration of adjacent myocytes. SNAP, which spontaneously decomposes to release NO,15 significantly suppressed O2 consumption by myocardial muscle. Activation of endothelial BK2 receptors by BK and of endothelial cholinergic muscarinic type 2 receptors by CCh, two probes that stimulate endogenous NO synthesis in blood vessels,17 18 resulted in a significant inhibition of O2 uptake by myocardial muscle. These inhibitory effects of BK and CCh were completely reversed by L-NNA, a potent inhibitor of NO biosynthesis. These results demonstrate that NO, derived from either exogenous or endogenous sources, can modulate cellular respiration.

L-NNA alone did not alter O2 consumption by isolated myocardial muscle. One interpretation is that shear stress and transmural pressure, the most important factors for NO synthesis in vivo,21 do not exist in this in vitro model. Alternatively, physiologically relevant levels of NO (ie, 1 to 10 nmol/L) in unstimulated blood vessels may not be sufficient to significantly modulate muscle respiration. However, NO released by stimuli would be much higher and thus could alter tissue respiration. It has been reported, for instance, that NO released from BK-stimulated aorta, as measured by an NO-electrode, increased up to 1300 nmol/L.22

BK2 receptors have not been identified on cardiac myocytes. Although there are muscarinic receptors on myocytes, it has not yet been established whether a constitutive NO synthase is present in these cells. Even though it has been reported that cytokines induced NO synthase gene expression in cardiac myocytes,23 24 it is unlikely that significant NO production by this inducible isoform is expressed under the conditions of the present study, since L-NNA did not directly alter O2 consumption. Alternatively, NO may be produced by the constitutive type III NO synthase in myocytes,25 26 and this NO would have effects on O2 consumption similar to those of endothelial NO. Moreover, NO released by physiological stimulators such as shear stress may have a tonic effect on tissue respiration that remains to be defined.

There is a well-established role for cGMP in many NO-mediated responses, especially cGMP-mediated vasodilation. cGMP exerts negative inotropic, chronotropic, and metabolic effects on cardiac myocytes.13 14 27 Increased myocardial cGMP levels have been shown to reduce myocardial O2 consumption.28 In our study, 8-Br-cGMP, a stable and tissue-permeable analogue of cGMP, had a much smaller inhibitory effect on cardiac muscle respiration than BK or CCh, suggesting that this respiratory inhibition by NO may not be secondary to cGMP-mediated signal transduction. Other studies29 30 have also shown that the effect of nitroprusside, an NO-releasing agent, on O2 consumption was not well correlated with increased cGMP levels.

In this study, application of DNP, an uncoupler of mitochondrial electron transport from oxidative phosphorylation, abolished the respiratory inhibition elicited by 8-Br-cGMP, but not that of SNAP, BK, or CCh in normal cardiac tissue. These effects of DNP suggest that the respiratory inhibition elicited by NO may be mainly due to a direct effect on the mitochondrial electron transport chain rather than an effect secondary to cGMP-mediated extramitochondrial responses. Nonetheless, cGMP-mediated cellular responses may contribute somewhat to this respiratory inhibition via a reduced ATP utilization by myocardial muscle. These results with DNP support our conclusion that NO has an important physiological role in modulating mitochondrial function in the heart. These results were consistent with studies on activated macrophages,7 8 in which NO inhibited mitochondrial aconitase, a key enzyme of the Krebs cycle, and NADH-ubiquinone oxidoreductase (complex I) and succinate-ubiquinone oxidoreductase (complex II) in the mitochondrial electron transport chain, and with other studies31 32 33 34 suggesting an action of NO on cytochrome c oxidase (complex IV), the terminal enzyme in the mitochondrial electron transport chain. The respiratory inhibition on cytochrome c oxidase occurred within the nanomolar range,34 suggesting that this is a very sensitive site for NO action on a mitochondrial enzyme. It is believed that NO reduces the activities of these mitochondrial enzymes via nitrosylation of the iron-sulfur centers of aconitase and complexes I and II35 and by interacting with the heme group of cytochrome c oxidase.31 32 33 34

Increasing evidence suggests that NO can alter myocyte shortening,13 14 and this has been interpreted to be a negative inotropic effect subsequent to increased cGMP levels. This inotropic function of NO may also partially come from a direct modulation of mitochondria by NO. If mitochondrial function is depressed by elevated NO levels, ATP synthesis needed for force development is very likely to be reduced, resulting in a negative inotropic effect. The effect of 8-Br-cGMP on O2 consumption indicates the presence of a separate mechanism, albeit small, through which cGMP (and NO) can control tissue respiration through a change in the energy consumption, in addition to direct action of NO on mitochondrial electron transport.

The inactivation of mitochondrial enzymes (ie, complexes I, II, and ATPase)36 and aconitase37 is also seen with peroxynitrite (ONOO-), a highly oxidizing free radical from the interaction of NO with superoxide anion (O2-). Since peroxynitrite is usually generated in pathological conditions and there are existing and highly efficient superoxide scavenging systems (ie, superoxide dismutase), NO-induced respiratory suppression in this study is unlikely to be due to the effect of peroxynitrite, although we did not directly address this question.

The second major finding in the present study is that O2 consumption by myocardial muscle from failing hearts was not suppressed by stimulation of endogenous NO synthesis (by BK and CCh), and neither BK nor CCh attenuated DNP-induced increases in tissue respiration of the failing muscle, unlike that of normal myocardial muscle. Nonetheless, the effects of SNAP on O2 consumption by failing myocardial muscle were very similar to those of normal muscle. These results suggest that there may be some defect in NO biosynthesis in blood vessels after the development of heart failure. This theory is consistent with our previous studies on nitrite production by microvessels from failing hearts of dogs and humans5 and on the expression of endothelial NO synthase mRNA in blood vessels in dogs with heart failure38 and studies on coronary vasodilator response to acetylcholine injection in humans.39 All of these studies suggest that there is a defect in the ability of coronary blood vessels to produce NO after the development of heart failure.

Interestingly, the basal O2 consumption rate of failing myocardial muscle was found to be 54% higher than that of normal muscle in the present study, consistent with that seen in patients with heart failure, suggesting that the loss of NO production may contribute to the elevated O2 consumption rate. Because of an inability to alter basal O2 consumption in tissue from normal or failing hearts with L-NNA, the role of NO in this response is still open to question. However, since O2 consumption was increased in the failing hearts, it is unlikely that NO production is elevated, as would occur after cytokine activation. Therefore, these results suggest that endothelial dysfunction and the loss of NO biosynthesis correlate with the development of heart failure. We have recently speculated,40 on the basis of our own data5 and the data of others,41 that NO generation is elevated during the initial phases of the development of cardiac dysfunction, perhaps as a compensatory mechanism, and disappears after a prolonged period of heart failure. Most forms of heart failure are initially characterized by elevated coronary blood flow due to the increased metabolic demand on the heart caused by either a pressure or volume overload. This elevated coronary blood flow may initially be elicited by local accumulation of metabolites, such as adenosine, leading to increased shear stress and subsequently enhanced NO synthesis, which causes a further dilation. If NO disappears from the coronary circulation as part of the dysfunction leading to heart failure or as a consequence of the disease process, then an important vasodilator mechanism will be absent, and this may further exacerbate the cardiac and vascular dysfunction. The present study suggests that the loss of NO from blood vessels after heart failure will also result in uncoupling of the control of mitochondrial respiration by NO.

It is possible that a significant amount of NO can come from the myocytes, even though we have attributed NO production primarily to coronary microvessels. We have attempted to discern the contribution of the remaining myocytes after sieving microvessels from either normal or failing canine hearts. We have also tried to measure NO production in pieces of cardiac tissue containing both myocytes and blood vessels. In neither case were we able to measure a basal NO production or stimulated production that could be blocked by L-NNA. This may indicate that the myocytes are damaged during our isolation of blood vessels, that the myocytes produce relatively low amounts of NO, and that it is necessary to concentrate the microvessels to quantitate NO production. Be that as it may, because NO is a freely diffusible gas, altered NO production by myocytes would have qualitatively similar effects on mitochondrial function as long as the diffusion distance was not limiting. NO production would still have to decrease to be consistent with our data on basal O2 consumption in the failing heart.

The segments of cardiac tissue in which we measured O2 consumption totaled about 50 mg per incubate. This approach allowed for a maximum surface area for diffusion of O2. Whether the muscle cells were contracting or not is impossible to say, since we did not measure force generation. As a result, basal O2 consumption should have been very low. Experiments were also conducted in the presence of DNP, and it is doubtful that these tissue segments could contract, owing to the lack of available ATP. Nevertheless, our studies clearly indicate a new potential physiological mechanism of action of NO. Fibrous tissue is known to be present after pacing-induced heart failure, as we have recently reported.42 This could not account for the increase in O2 consumption, however, since the myocyte mass per gram of tissue should have fallen, even if there was myocyte hypertrophy. If anything, this would lead to an underestimation of the O2 consumption per myocyte in our studies.

In summary, the regulation of mitochondrial respiration in myocardial muscle by endothelial-derived NO or perhaps myocyte-derived NO may be an additional physiologically important function of this molecule. We have already shown increased NO production by canine coronary microvessels on acetylcholine or BK stimulation, using nitrite as a measurement of NO production.5 Similarly, measurement of coronary sinus nitrite sampling showed that 5-hydroxytryptamine stimulated NO release from coronary microvasculature in vivo.6 On the basis of these and our own studies, we suggest that coronary microvascular endothelium is capable of releasing NO to modulate nearby myocardial cell function. Since the heart is richly perfused through the coronary microcirculation and capillary endothelial cells have a large surface area, the microvascular endothelium is likely to serve as an enormous source of NO to regulate parenchymal cell metabolism.

In our recent study43 in dogs after brief exercise training, the regulation of tissue O2 consumption by NO and the upregulation of endothelial NO synthase mRNA were also apparent, further suggesting a role for NO in optimizing O2 utilization. This modulation of mitochondrial function by NO may be universal, based on the studies in macrophages,7 8 rat hepatocytes,44 vascular smooth muscle,45 articular chondrocytes,46 skeletal muscle,47 and myocardium in the present study. On the other hand, the modulation of mitochondrial respiration by endogenously generated NO suggests that inappropriately elevated NO production under pathological conditions, as occurs after cytokine induction, could result in a negative inotropic effect, cell death, and overt tissue dysfunction.48 Because mitochondrial ATP production from oxidative phosphorylation is so tightly coupled to cardiac contraction, a reduction in ATP production due to NO modulation of O2 consumption would be difficult to separate from an NO-mediated effect on the contractile apparatus, reduced shortening, or inotropic state.


*    Selected Abbreviations and Acronyms
 
8-Br-cGMP = 8-bromo-guanosine 3',5'-cyclic monophosphate
BK = bradykinin
CCh = carbachol
DNP = 2,4-dinitrophenol
L-NNA = N{omega}-nitro-L-arginine
LV = left ventricular
NO = nitric oxide
SNAP = S-nitroso-N-acetylpenicillamine


*    Acknowledgments
 
This work was supported by grants PO-1-HL 40231, HL 31069, HL 50142, and HL 53053 from the National Heart, Lung, and Blood Institute.

Received April 15, 1996; accepted May 22, 1996.


*    References
up arrowTop
up arrowAbstract
up arrowIntroduction
up arrowMaterials and Methods
up arrowResults
up arrowDiscussion
*References
 
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D. Sun, A. Huang, G. Zhao, R. Bernstein, P. Forfia, X. Xu, A. Koller, G. Kaley, and T. H. Hintze
Reduced NO-dependent arteriolar dilation during the development of cardiomyopathy
Am J Physiol Heart Circ Physiol, February 1, 2000; 278(2): H461 - H468.
[Abstract] [Full Text] [PDF]


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CirculationHome page
W. Shen, K. Asai, M. Uechi, M. A. Mathier, R. P. Shannon, S. F. Vatner, and J. S. Ingwall
Progressive Loss of Myocardial ATP Due to a Loss of Total Purines During the Development of Heart Failure in Dogs : A Compensatory Role for the Parallel Loss of Creatine
Circulation, November 16, 1999; 100(20): 2113 - 2118.
[Abstract] [Full Text] [PDF]


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CirculationHome page
Y. Shizukuda, A. Helisch, R. Yokota, and J. A. Ware
Downregulation of Protein Kinase C{delta} Activity Enhances Endothelial Cell Adaptation to Hypoxia
Circulation, November 2, 1999; 100(18): 1909 - 1916.
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Eur. J. Cardiothorac. Surg.Home page
P. Krieg, T. Wahlers, W. Giess, R. Rohde, M. Hartrumpf, M. Bund, and A. Haverich
Inhaled nitric oxide and inhaled prostaglandin E1: effect on left ventricular contractility when used for treatment of experimental pulmonary hypertension
Eur. J. Cardiothorac. Surg., November 1, 1999; 14(5): 494 - 502.
[Abstract] [Full Text] [PDF]


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Cardiovasc ResHome page
F. A. Recchia, P. I. McConnell, K. E. Loke, X. Xu, M. Ochoa, and T. H. Hintze
Nitric oxide controls cardiac substrate utilization in the conscious dog
Cardiovasc Res, November 1, 1999; 44(2): 325 - 332.
[Abstract] [Full Text] [PDF]


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HypertensionHome page
K. E. Loke, C. M. L. Curran, E. J. Messina, S. K. Laycock, E. G. Shesely, O. A. Carretero, and T. H. Hintze
Role of Nitric Oxide in the Control of Cardiac Oxygen Consumption in B2-Kinin Receptor Knockout Mice
Hypertension, October 1, 1999; 34(4): 563 - 567.
[Abstract] [Full Text] [PDF]


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CirculationHome page
K. E. Loke, S. K. Laycock, S. Mital, M. S. Wolin, R. Bernstein, M. Oz, L. Addonizio, G. Kaley, and T. H. Hintze
Nitric Oxide Modulates Mitochondrial Respiration in Failing Human Heart
Circulation, September 21, 1999; 100(12): 1291 - 1297.
[Abstract] [Full Text] [PDF]


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Ann. Thorac. Surg.Home page
H. Horimoto, A. E. Saltman, G. R. Gaudette, and I. B. Krukenkamp
Nitric oxide-generating {beta}-adrenergic blocker nipradilol preserves postischemic cardiac function
Ann. Thorac. Surg., September 1, 1999; 68(3): 844 - 849.
[Abstract] [Full Text] [PDF]


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CirculationHome page
H. Drexler
Nitric Oxide Synthases in the Failing Human Heart : A Doubled-Edged Sword?
Circulation, June 15, 1999; 99(23): 2972 - 2975.
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J. Appl. Physiol.Home page
G. J. Crystal, X. Zhou, A. A. Halim, S. Alam, M. El-Orbany, and M. R. Salem
Nitric oxide does not modulate whole body oxygen consumption in anesthetized dogs
J Appl Physiol, June 1, 1999; 86(6): 1944 - 1949.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
P. R. Forfia, X. Zhang, D. R. Knight, A. H. Smith, C. P. A. Doe, E. A. Wolfgang, D. M. Flynn, M. S. Wolin, and T. H. Hintze
NO modulates myocardial O2 consumption in the nonhuman primate: an additional mechanism of action of amlodipine
Am J Physiol Heart Circ Physiol, June 1, 1999; 276(6): H2069 - H2075.
[Abstract] [Full Text] [PDF]


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CirculationHome page
C. M. Matter, L. Mandinov, P. A. Kaufmann, G. Vassalli, Z. Jiang, and O. M. Hess
Effect of NO Donors on LV Diastolic Function in Patients With Severe Pressure-Overload Hypertrophy
Circulation, May 11, 1999; 99(18): 2396 - 2401.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Gastrointest. Liver Physiol.Home page
C. Han, Z. Ming, and W. W. Lautt
Shear stress-induced nitric oxide antagonizes adenosine effects on intestinal metabolism
Am J Physiol Gastrointest Liver Physiol, May 1, 1999; 276(5): G1227 - G1234.
[Abstract] [Full Text] [PDF]


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Circ. Res.Home page
K. E. Loke, P. I. McConnell, J. M. Tuzman, E. G. Shesely, C. J. Smith, C. J. Stackpole, C. I. Thompson, G. Kaley, M. S. Wolin, and T. H. Hintze
Endogenous Endothelial Nitric Oxide Synthase–Derived Nitric Oxide Is a Physiological Regulator of Myocardial Oxygen Consumption
Circ. Res., April 16, 1999; 84(7): 840 - 845.
[Abstract] [Full Text] [PDF]


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Cardiovasc ResHome page
G. J Crystal and X. Zhou
Nitric oxide does not modulate the increases in blood flow, O2 consumption, or contractility during CaCl2 administration in canine hearts
Cardiovasc Res, April 1, 1999; 42(1): 232 - 239.
[Abstract] [Full Text] [PDF]


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Cardiovasc ResHome page
G. Kojda and K. Kottenberg
Regulation of basal myocardial function by NO
Cardiovasc Res, March 1, 1999; 41(3): 514 - 523.
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Proc. Natl. Acad. Sci. USAHome page
E. Clementi, G. C. Brown, N. Foxwell, and S. Moncada
On the mechanism by which vascular endothelial cells regulate their oxygen consumption
PNAS, February 16, 1999; 96(4): 1559 - 1562.
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Circ. Res.Home page
F. A. Recchia, P. I. McConnell, R. D. Bernstein, T. R. Vogel, X. Xu, and T. H. Hintze
Reduced Nitric Oxide Production and Altered Myocardial Metabolism During the Decompensation of Pacing-Induced Heart Failure in the Conscious Dog
Circ. Res., November 16, 1998; 83(10): 969 - 979.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
W. Wang
Cardiac sympathetic afferent stimulation by bradykinin in heart failure: role of NO and prostaglandins
Am J Physiol Heart Circ Physiol, September 1, 1998; 275(3): H783 - H788.
[Abstract] [Full Text] [PDF]


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CirculationHome page
H. Takano, S. Manchikalapudi, X.-L. Tang, Y. Qiu, A. Rizvi, A. K. Jadoon, Q. Zhang, and R. Bolli
Nitric Oxide Synthase Is the Mediator of Late Preconditioning Against Myocardial Infarction in Conscious Rabbits
Circulation, August 4, 1998; 98(5): 441 - 449.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
N. Suto, A. Mikuniya, T. Okubo, H. Hanada, N. Shinozaki, and K. Okumura
Nitric oxide modulates cardiac contractility and oxygen consumption without changing contractile efficiency
Am J Physiol Heart Circ Physiol, July 1, 1998; 275(1): H41 - H49.
[Abstract] [Full Text] [PDF]


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Circ. Res.Home page
S. K. Laycock, T. Vogel, P. R. Forfia, J. Tuzman, X. Xu, M. Ochoa, C. I. Thompson, A. Nasjletti, and T. H. Hintze
Role of Nitric Oxide in the Control of Renal Oxygen Consumption and the Regulation of Chemical Work in the Kidney
Circ. Res., June 29, 1998; 82(12): 1263 - 1271.
[Abstract] [Full Text] [PDF]


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Circ. Res.Home page
Y.-W. Xie, P. M. Kaminski, and M. S. Wolin
Inhibition of Rat Cardiac Muscle Contraction and Mitochondrial Respiration by Endogenous Peroxynitrite Formation During Posthypoxic Reoxygenation
Circ. Res., May 4, 1998; 82(8): 891 - 897.
[Abstract] [Full Text] [PDF]


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Cardiovasc ResHome page
R. E Klabunde, J. Tse, and H. R Weiss
Guanylyl cyclase inhibition reduces contractility and decreases cGMP and cAMP in isolated rat hearts
Cardiovasc Res, March 1, 1998; 37(3): 676 - 683.
[Abstract] [Full Text] [PDF]


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Circ. Res.Home page
R. Bolli, S. Manchikalapudi, X.-L. Tang, H. Takano, Y. Qiu, Y. Guo, Q. Zhang, and A. K. Jadoon
The Protective Effect of Late Preconditioning Against Myocardial Stunning in Conscious Rabbits Is Mediated by Nitric Oxide Synthase : Evidence That Nitric Oxide Acts Both as a Trigger and as a Mediator of the Late Phase of Ischemic Preconditioning
Circ. Res., December 19, 1997; 81(6): 1094 - 1107.
[Abstract] [Full Text]


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Arterioscler. Thromb. Vasc. Bio.Home page
J.-L. Balligand and P. J. Cannon
Nitric Oxide Synthases and Cardiac Muscle : Autocrine and Paracrine Influences
Arterioscler Thromb Vasc Biol, October 1, 1997; 17(10): 1846 - 1858.
[Abstract] [Full Text]


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Proc. Natl. Acad. Sci. USAHome page
U. Flogel, M. W. Merx, A. Godecke, U. K. M. Decking, and J. Schrader
Myoglobin: A scavenger of bioactive NO
PNAS, January 16, 2001; 98(2): 735 - 740.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
S. Setty, J. D. Tune, and H. F. Downey
Nitric oxide modulates right ventricular flow and oxygen consumption during norepinephrine infusion
Am J Physiol Heart Circ Physiol, February 1, 2002; 282(2): H696 - H703.
[Abstract] [Full Text] [PDF]


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