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Ischemia and reperfusion induced multilamellar vesicles in isolated rabbit hearts: time correlation between

A H Schrijvers1, M J de Groot, V V Heijnen

  • 1Department of Physiology, University of Limburg, Maastricht, The Netherlands.

Insights

Increased multilamellar vesicles in heart cells indicate ischemic membrane injury. Their formation correlates with fatty acid buildup and ATP depletion, suggesting minor phospholipid loss has severe consequences.

Area of Science:

  • Cardiovascular Biology
  • Cellular Pathology
  • Biochemistry

Background:

  • Multilamellar vesicles (MLVs) are membrane structures observed in cardiac cells.
  • Their role and formation during ischemia-reperfusion injury are not fully understood.

Purpose of the Study:

  • To investigate the quantitative changes and formation kinetics of MLVs in cardiac myocytes and endothelial cells during ischemia and reperfusion.
  • To correlate MLV formation with biochemical markers of cellular injury.

Main Methods:

  • Cardiac ischemia was induced in hearts for varying durations (e.g., 60 minutes).
  • Hearts were examined for the presence and quantity of MLVs in myocytes and endothelial cells using electron microscopy.
  • Biochemical assays measured levels of ATP, fatty acids (including arachidonic acid), triacylglycerols, phospholipids, and lactate dehydrogenase (LDH) release.

Main Results:

  • A significant increase in MLVs was observed in myocytes, particularly those extruded from mitochondria, after 60 minutes of ischemia.
  • MLVs extruded from the sarcolemma increased upon reperfusion following ischemia.
  • MLV formation correlated significantly with increased arachidonic acid and total fatty acids, decreased ATP content, and increased LDH release.
  • No significant changes in total triacylglycerols or phospholipids were detected, suggesting a minor phospholipid fraction is involved.

Conclusions:

  • The number of MLVs can serve as a quantitative marker for ischemic membrane injury in the heart.
  • MLV formation is closely linked to metabolic alterations (ATP depletion, fatty acid accumulation) during ischemia.
  • Even a small loss of phospholipids can lead to significant pathophysiological consequences, including membrane damage and release of cellular contents.

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