Inhibition of mitochondrial reactive oxygen species improves coronary endothelial function after cardioplegic

Yi Song1, Hang Xing1, Yixin He1

  • 1Division of Cardiothoracic Surgery, Rhode Island Hospital, Alpert Medical School of Brown University, Providence, RI.

Abstract

Insights

Mito-Tempo protects against heart injury by reducing oxidative stress and improving blood vessel function in both diabetic and non-diabetic mice. This antioxidant enhances endothelial function and potassium channel activity after ischemia-reperfusion.

Area of Science:

  • Cardiovascular Physiology
  • Mitochondrial Biology
  • Endothelial Function

Background:

  • Cardioplegic ischemia-reperfusion and diabetes mellitus are linked to coronary endothelial dysfunction.
  • Oxidative stress, particularly from mitochondrial reactive oxidative species, contributes to this injury.
  • Small conductance calcium-activated potassium channels (SK channels) are implicated in endothelial dysfunction.

Purpose of the Study:

  • To investigate if the mitochondria-targeted antioxidant Mito-Tempo can protect coronary small conductance calcium-activated potassium channels and endothelial function.
  • To determine the protective effects of Mito-Tempo against cardioplegic ischemia-reperfusion-induced injury in a mouse model with and without diabetes mellitus.

Main Methods:

  • Isolated small coronary arteries and endothelial cells from diabetic and non-diabetic mice.
  • Utilized a cardioplegic hypoxia and reoxygenation model, treating cells with or without Mito-Tempo.
  • Assessed microvascular function via myography, K+ currents using patch clamp, and measured Ca2+, mitochondrial reactive oxidative species, and SK protein expression.

Main Results:

  • Cardioplegic hypoxia and reoxygenation impaired SK channel activity, increased Ca2+ and mitochondrial reactive oxidative species in both groups.
  • Mito-Tempo treatment significantly reduced Ca2+ and mitochondrial reactive oxidative species overload.
  • Mito-Tempo enhanced coronary relaxation responses and SK channel currents in both diabetic and non-diabetic mice.

Conclusions:

  • Mito-Tempo administration improves endothelial function and SK channel activity following cardioplegic ischemia-reperfusion.
  • These improvements may underlie Mito-Tempo's enhancement of endothelium-dependent vasorelaxation.
  • Targeting mitochondrial reactive oxidative species with Mito-Tempo offers a potential therapeutic strategy for protecting the coronary endothelium.