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Low-pressure reperfusion alters mitochondrial permeability transition

¹Institut National de la Santé et de la Recherche Médicale E0226, Université Claude Bernard Lyon I, and ²Hospices Civils de Lyon, Lyon, France

Submitted 25 October 2004 ; accepted in final form 12 January 2005

We hypothesized that low-pressure reperfusion may limit myocardial necrosis and attenuate postischemic contractile dysfunction by inhibiting mitochondrial permeability transition pore (mPTP) opening. Male Wistar rat hearts (n = 36) were perfused according to the Langendorff technique, exposed to 40 min of ischemia, and assigned to one of the following groups: 1) reperfusion with normal pressure (NP = 100 cmH₂O) or 2) reperfusion with low pressure (LP = 70 cmH₂O). Creatine kinase release and tetraphenyltetrazolium chloride staining were used to evaluate infarct size. Modifications of cardiac function were assessed by changes in coronary flow, heart rate (HR), left ventricular developed pressure (LVDP), the first derivate of the pressure curve (dP/dt), and the rate-pressure product (RPP = LVDP x HR). Mitochondria were isolated from the reperfused myocardium, and the Ca²⁺-induced mPTP opening was measured using a potentiometric approach. Lipid peroxidation was assessed by measuring malondialdehyde production. Infarct size was significantly reduced in the LP group, averaging 17 ± 3 vs. 33 ± 3% of the left ventricular weight in NP hearts. At the end of reperfusion, functional recovery was significantly improved in LP hearts, with RPP averaging 10,392 ± 876 vs. 3,969 ± 534 mmHg/min in NP hearts (P < 0.001). The Ca²⁺ load required to induce mPTP opening averaged 232 ± 10 and 128 ± 16 µM in LP and NP hearts, respectively (P < 0.001). Myocardial malondialdehyde was significantly lower in LP than in NP hearts (P < 0.05). These results suggest that the protection afforded by low-pressure reperfusion involves an inhibition of the opening of the mPTP, possibly via reduction of reactive oxygen species production.

ischemia; necrosis; cardioprotection

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