Gumina Richard J, Pucar Darko, Bast Peter, Hodgson Denice M, Kurtz Christopher E, Dzeja Petras P, Miki Takashi, Seino Susumu, Terzic Andre
Department of Internal Medicine, Division of Cardiovascular Diseases, Mayo Clinic, Mayo Foundation, Rochester, Minnesota 55905, USA.
Am J Physiol Heart Circ Physiol. 2003 Jun;284(6):H2106-13. doi: 10.1152/ajpheart.00057.2003. Epub 2003 Feb 21.
Although ischemic preconditioning induces bioenergetic tolerance and thereby remodels energy metabolism that is crucial for postischemic recovery of the heart, the molecular components associated with preservation of cellular energy production, transfer, and utilization are not fully understood. Here myocardial bioenergetic dynamics were assessed by (18)O-assisted (31)P-NMR spectroscopy in control or preconditioned hearts from wild-type (WT) or Kir6.2-knockout (Kir6.2-KO) mice that lack metabolism-sensing sarcolemmal ATP-sensitive K(+) (K(ATP)) channels. In WT vs. Kir6.2-KO hearts, preconditioning induced a significantly higher total ATP turnover (232 +/- 20 vs. 155 +/- 15 nmol x mg protein(-1) x min(-1)), ATP synthesis rate (58 +/- 3 vs. 46 +/- 3% (18)O labeling of gamma-ATP), and ATP consumption rate (51 +/- 4 vs. 31 +/- 4% (18)O labeling of P(i)) after ischemia-reperfusion. Moreover, preconditioning preserved cardiac creatine kinase-catalyzed phosphotransfer in WT (234 +/- 26 nmol x mg protein(-1) x min(-1)) but not Kir6.2-KO (133 +/- 18 nmol x mg protein(-1) x min(-1)) hearts. In contrast with WT hearts, preconditioning failed to preserve contractile recovery in Kir6.2-KO hearts, as tight coupling between postischemic performance and high-energy phosphoryl transfer was compromised in the K(ATP)-channel-deficient myocardium. Thus intact K(ATP) channels are integral in ischemic preconditioning-induced protection of cellular energetic dynamics and associated cardiac performance.
尽管缺血预处理可诱导生物能量耐受性,从而重塑对心脏缺血后恢复至关重要的能量代谢,但与细胞能量产生、转移和利用保存相关的分子成分尚未完全明确。在此,通过(18)O辅助的(31)P-NMR光谱法评估野生型(WT)或缺乏代谢感应肌膜ATP敏感性钾(K(ATP))通道的Kir6.2基因敲除(Kir6.2-KO)小鼠的对照或预处理心脏中的心肌生物能量动力学。在WT与Kir6.2-KO心脏中,预处理在缺血再灌注后诱导出显著更高的总ATP周转率(232±20对155±15 nmol·mg蛋白-1·min-1)、ATP合成率(58±3对46±3%γ-ATP的(18)O标记)和ATP消耗率(51±4对31±4%无机磷的(18)O标记)。此外,预处理在WT心脏(234±26 nmol·mg蛋白-1·min-1)中保留了心肌肌酸激酶催化的磷酸转移,但在Kir6.2-KO心脏(133±18 nmol·mg蛋白-1·min-1)中未保留。与WT心脏相反,预处理未能在Kir6.2-KO心脏中保留收缩恢复,因为在K(ATP)通道缺陷的心肌中,缺血后性能与高能磷酸转移之间的紧密偶联受到损害。因此,完整的K(ATP)通道在缺血预处理诱导的细胞能量动力学保护及相关心脏性能中不可或缺。