Mitochondrial ATPase and high-energy phosphates in failing hearts
1Department of Medicine, University of Minnesota Health Sciences, Minneapolis, Minnesota 55455, USA.
Insights
In heart failure, high-energy phosphates decrease, impacting mitochondrial function. This study shows reduced mitochondrial ATPase protein expression in failing hearts, linked to increased ADP levels.
Area of Science:
- Cardiology
- Biochemistry
- Physiology
Background:
- Myocardial infarction can lead to left ventricular remodeling (LVR) or congestive heart failure (CHF).
- High-energy phosphates (HEP) are crucial for cardiac function.
- Mitochondrial ATPase is vital for cellular energy production.
Purpose of the Study:
- To investigate high-energy phosphates (HEP) and mitochondrial ATPase protein expression in pigs with LVR or CHF post-myocardial infarction.
- To assess the cardiac response to increased workload in these conditions.
Main Methods:
- Utilized (31)P magnetic resonance spectroscopy to measure HEP.
- Administered dobutamine-dopamine infusion and pacing to increase cardiac workload.
- Analyzed mitochondrial F(0)F(1)-ATPase subunit protein expression via Western blotting.
- Compared pigs with LVR (n=9), CHF (n=8), and normal controls (n=7).
Main Results:
- Hearts with LVR showed decreased phosphocreatine (PCr)-to-ATP ratio and increased ADP at baseline.
- These changes were more pronounced in hearts with CHF.
- HEP levels remained stable in normal and LVR hearts during dobutamine-dopamine infusion.
- CHF hearts exhibited further decreases in PCr-to-ATP ratio and increases in ADP.
- Failing hearts displayed significant reductions in mitochondrial F(0)F(1)-ATPase subunits (alpha: -36%, beta: -16%, oligomycin sensitivity-conferring protein: -40%, initiation factor 1: -41%).
Conclusions:
- Reduced mitochondrial F(0)F(1)-ATPase protein expression in failing hearts is associated with elevated myocardial free ADP.
- These molecular changes likely contribute to the impaired energy metabolism observed in heart failure.
Abstract:
This study examined high-energy phosphates (HEP) and mitochondrial ATPase protein expression in hearts in which myocardial infarction resulted in either compensated left ventricular remodeling (LVR) or congestive heart failure (CHF). The response of HEP (measured via (31)P magnetic resonance spectroscopy) to a modest increase in the cardiac work state produced by dobutamine-dopamine infusion and pacing (if needed) was examined in 17 pigs after left circumflex coronary artery ligation (9 with LVR and 8 with CHF) and compared with 7 normal pigs. In hearts with LVR, the baseline phosphocreatine (PCr)-to-ATP ratio decreased, and calculated ADP increased; these changes were most severe in hearts with CHF. HEP levels did not change in normal or LVR hearts during dobutamine-dopamine infusion. However, in hearts with CHF, the PCr-to-ATP ratio decreased further, and free ADP increased. The mitochondrial protein levels of the F(0)F(1)-ATPase subunits were normal in hearts with compensated LVR. However, in failing hearts, the alpha-subunit decreased by 36%, the beta-subunit decreased by 16%, the oligomycin sensitivity-conferring protein subunit decreased by 40%, and the initiation factor 1 subunit decreased by 41%. Thus in failing hearts, reductions in mitochondrial F(0)F(1)-ATPase protein expression are associated with increased myocardial free ADP.
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