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1 Departments of Medicine and Radiology, University of Minnesota Health Sciences, Minneapolis, Minnesota 55455; and 2 Centre de Génétique Moléculaire et Cellulaire, Centre National de la Recherche Scientifique Lyon I, 69622 Villeurbanne Cedex, France
This study examined high-energy phosphates (HEP) and
mitochondrial ATPase protein expression in hearts in which myocardial infarction resulted in either compensated left ventricular remodeling (LVR) or congestive heart failure (CHF). The response of HEP (measured via 31P magnetic resonance spectroscopy) to a modest
increase in the cardiac work state produced by dobutamine-dopamine
infusion and pacing (if needed) was examined in 17 pigs after left
circumflex coronary artery ligation (9 with LVR and 8 with CHF) and
compared with 7 normal pigs. In hearts with LVR, the baseline
phosphocreatine (PCr)-to-ATP ratio decreased, and calculated ADP
increased; these changes were most severe in hearts with CHF. HEP
levels did not change in normal or LVR hearts during
dobutamine-dopamine infusion. However, in hearts with CHF, the
PCr-to-ATP ratio decreased further, and free ADP increased. The
mitochondrial protein levels of the F0F1-ATPase
subunits were normal in hearts with compensated LVR. However, in
failing hearts, the
-subunit decreased by 36%, the
-subunit
decreased by 16%, the oligomycin sensitivity-conferring protein
subunit decreased by 40%, and the initiation factor 1 subunit
decreased by 41%. Thus in failing hearts, reductions in mitochondrial F0F1-ATPase protein expression
are associated with increased myocardial free ADP.
myocardial infarct; catecholamine; creatine kinase; phosphocreatine
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