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Divisions of 1Cardiology and 2Clinical Pharmacology, Department of Medicine, 3Department of Pharmacology, and 4Department of Oral Diagnosis, School of Dental Medicine, Case Western Reserve University, and 5Medical and 6Pathology and Laboratory Medicine Services, Louis Stokes Veterans Affairs Medical Center, Cleveland, Ohio 44106
Submitted 11 April 2003 ; accepted in final form 18 February 2004
Ischemia and reperfusion result in mitochondrial dysfunction, with decreases in oxidative capacity, loss of cytochrome c, and generation of reactive oxygen species. During ischemia of the isolated perfused rabbit heart, subsarcolemmal mitochondria, located beneath the plasma membrane, sustain a loss of the phospholipid cardiolipin, with decreases in oxidative metabolism through cytochrome oxidase and the loss of cytochrome c. We asked whether additional injury to the distal electron chain involving cardiolipin with loss of cytochrome c and cytochrome oxidase occurs during reperfusion. Reperfusion did not lead to additional damage in the distal electron transport chain. Oxidation through cytochrome oxidase and the content of cytochrome c did not further decrease during reperfusion. Thus injury to cardiolipin, cytochrome c, and cytochrome oxidase occurs during ischemia rather than during reperfusion. The ischemic injury leads to persistent defects in oxidative function during the early reperfusion period. The decrease in cardiolipin content accompanied by persistent decrements in the content of cytochrome c and oxidation through cytochrome oxidase is a potential mechanism of additional myocyte injury during reperfusion.
cytochrome c; oxygen radicals; phospholipids
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