Ide T, Tsutsui H, Kinugawa S, Utsumi H, Kang D, Hattori N, Uchida K, Arimura K i, Egashira K, Takeshita A
Research Institute of Angiocardiology and Cardiovascular Clinic and Department of Clinical Chemistry and Laboratory Medicine, Kyushu University School of Medicine, Fukuoka, Japan.
Circ Res. 1999 Aug 20;85(4):357-63. doi: 10.1161/01.res.85.4.357.
Oxidative stress in the myocardium may play an important role in the pathogenesis of congestive heart failure (HF). However, the cellular sources and mechanisms for the enhanced generation of reactive oxygen species (ROS) in the failing myocardium remain unknown. The amount of thiobarbituric acid reactive substances increased in the canine HF hearts subjected to rapid ventricular pacing for 4 weeks, and immunohistochemical staining of 4-hydroxy-2-nonenal ROS-induced lipid peroxides was detected in cardiac myocytes but not in interstitial cells of HF animals. The generation of superoxide anion was directly assessed in the submitochondrial fractions by use of electron spin resonance spectroscopy with spin trapping agent, 5, 5'-dimethyl-1-pyrroline-N-oxide, in the presence of NADH and succinate as a substrate for NADH-ubiquinone oxidoreductase (complex I) and succinate-ubiquinone oxidoreductase (complex II), respectively. Superoxide production was increased 2.8-fold (P<0.01) in HF, which was due to the functional block of electron transport at complex I. The enzymatic activity of complex I decreased in HF (274+/-13 versus 136+/-9 nmol. min(-1). mg(-1) protein, P<0.01), which may thus have caused the functional uncoupling of the respiratory chain and the deleterious ROS production in HF mitochondria. The present study provided direct evidence for the involvement of ROS in the mitochondrial origin of HF myocytes, which might be responsible for both contractile dysfunction and structural damage to the myocardium.
心肌中的氧化应激可能在充血性心力衰竭(HF)的发病机制中起重要作用。然而,衰竭心肌中活性氧(ROS)生成增加的细胞来源和机制仍不清楚。在快速心室起搏4周的犬HF心脏中,硫代巴比妥酸反应物质的量增加,并且在HF动物的心肌细胞中检测到4-羟基-2-壬烯醛ROS诱导的脂质过氧化的免疫组织化学染色,但在间质细胞中未检测到。通过使用电子自旋共振光谱和自旋捕获剂5,5'-二甲基-1-吡咯啉-N-氧化物,分别以NADH和琥珀酸作为NADH-泛醌氧化还原酶(复合体I)和琥珀酸-泛醌氧化还原酶(复合体II)的底物,直接评估亚线粒体组分中超氧阴离子的生成。HF中超氧阴离子的产生增加了2.8倍(P<0.01),这是由于复合体I处电子传递的功能障碍所致。HF中复合体I的酶活性降低(274±13对136±9 nmol·min⁻¹·mg⁻¹蛋白,P<0.01),这可能因此导致了呼吸链的功能解偶联以及HF线粒体中有害的ROS产生。本研究为ROS参与HF心肌细胞的线粒体起源提供了直接证据,这可能是心肌收缩功能障碍和结构损伤的原因。