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Updated: Aug 22, 2026

Model of Ischemia and Reperfusion Injury in Rabbits
Published on: November 3, 2023
Blockade of electron transport during ischemia protects cardiac mitochondria
Edward J Lesnefsky1, Qun Chen, Shadi Moghaddas
1Department of Medicine, Division of Cardiology, School of Dentistry, Case Western Reserve University, Cleveland, Ohio 44106, USA. EXL9@po.cwru.edu
Abstract:
Subsarcolemmal mitochondria sustain progressive damage during myocardial ischemia. Ischemia decreases the content of the mitochondrial phospholipid cardiolipin accompanied by a decrease in cytochrome c content and a diminished rate of oxidation through cytochrome oxidase. We propose that during ischemia mitochondria produce reactive oxygen species at sites in the electron transport chain proximal to cytochrome oxidase that contribute to the ischemic damage. Isolated, perfused rabbit hearts were treated with rotenone, an irreversible inhibitor of complex I in the proximal electron transport chain, immediately before ischemia. Rotenone pretreatment preserved the contents of cardiolipin and cytochrome c measured after 45 min of ischemia. The rate of oxidation through cytochrome oxidase also was improved in rotenone-treated hearts. Inhibition of the electron transport chain during ischemia lessens damage to mitochondria. Rotenone treatment of isolated subsarcolemmal mitochondria decreased the production of reactive oxygen species during the oxidation of complex I substrates. Thus, the limitation of electron flow during ischemia preserves cardiolipin content, cytochrome c content, and the rate of oxidation through cytochrome oxidase. The mitochondrial electron transport chain contributes to ischemic mitochondrial damage that in turn augments myocyte injury during subsequent reperfusion.
Insights
Inhibiting mitochondrial complex I during ischemia preserves heart mitochondria by reducing reactive oxygen species. This protects cardiolipin and cytochrome c, lessening damage during reperfusion.
Area of Science:
- Cardiology
- Mitochondrial Biology
- Biochemistry
Background:
- Subsarcolemmal mitochondria are vulnerable to damage during myocardial ischemia.
- Ischemia leads to decreased cardiolipin and cytochrome c, impairing cytochrome oxidase function.
- Mitochondrial reactive oxygen species (ROS) production in the electron transport chain contributes to ischemic injury.
Purpose of the Study:
- To investigate if inhibiting complex I of the electron transport chain protects mitochondria during ischemia.
- To determine the role of ROS produced by the electron transport chain in ischemic mitochondrial damage.
Main Methods:
- Isolated, perfused rabbit hearts were pretreated with rotenone, a complex I inhibitor, before inducing ischemia.
- Cardiolipin and cytochrome c content were measured after ischemia.
- The rate of oxidation through cytochrome oxidase was assessed.
- ROS production in isolated subsarcolemmal mitochondria was measured during substrate oxidation.
Main Results:
- Rotenone pretreatment preserved cardiolipin and cytochrome c content after ischemia.
- The rate of oxidation through cytochrome oxidase was improved in rotenone-treated hearts.
- Rotenone treatment reduced ROS production during complex I substrate oxidation in isolated mitochondria.
Conclusions:
- Inhibiting the mitochondrial electron transport chain during ischemia mitigates mitochondrial damage.
- Limiting electron flow preserves mitochondrial function and reduces ROS production.
- The mitochondrial electron transport chain is a significant contributor to ischemic mitochondrial damage, exacerbating myocyte injury upon reperfusion.
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