Articles |
From the Institut für Herz und Kreislaufphysiologie (U.K.M.D., G.S., J.S.), Heinrich-Heine-Universität Düsseldorf (Germany), and the Center for Bioengineering (K.K.), University of Washington, Seattle.
Correspondence to Ulrich Decking, MD, Department of Physiology, Heinrich-Heine-University Düsseldorf, PO Box 10 10 07, 40001 Düsseldorf, Germany. E-mail ulrich.decking{at}uni-duesseldorf.de
Abstract To elucidate the physiological
role of the AMP-adenosine metabolic cycle and to
investigate the relation between AMP and adenosine formation,
the O2 supply of isolated guinea pig hearts was varied
(95% to 10% O2). The net adenosine formation rate
(AMP
adenosine) and coronary venous effluent
adenosine release rate were measured; free cytosolic AMP was
determined by 31P-nuclear magnetic resonance. Switching
from 95% to 40% O2 increased free AMP and
adenosine formation 4-fold, whereas free cytosolic
adenosine and venous adenosine release rose 15- to
20-fold. In the AMP range from 200 to 3000 nmol/L, there was a linear
correlation between free AMP and adenosine formation
(R2=.71); however, adenosine release
increased several-fold more than formation. At 95% O2,
only 6% of the adenosine formed was released; however, this
fraction increased to 22% at 40% O2, demonstrating
reduced adenosine salvage. Selective blockade of
adenosine deaminase and adenosine kinase indicated that
flux through adenosine kinase decreased from 85% to 35% of
adenosine formation in hypoxia. Mathematical model
analysis indicated that this apparent decrease in enzyme
activity was not due to saturation but to the inhibition of
adenosine kinase activity to 6% of the basal levels. The data
show (1) that adenosine formation is proportional to the AMP
substrate concentration and (2) that hypoxia decreases
adenosine kinase activity, thereby shunting myocardial
adenosine from the salvage pathway to venous release. In
conclusion, because of the normal high turnover of the
AMP-adenosine metabolic cycle,
hypoxia-induced inhibition of adenosine kinase causes
the amplification of small changes in free AMP into a major rise in
adenosine. This mechanism plays an important role in the high
sensitivity of the cardiac adenosine system to impaired
oxygenation.
Key Words: adenosine adenosine kinase hypoxia 31P nuclear magnetic resonance spectroscopy
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