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Third Department of Internal Medicine, Hamamatsu University School of Medicine, Hamamatsu, Japan
Submitted 15 June 2004 ; accepted in final form 18 November 2004
Although recent studies focused on the contribution of mitochondrial Ca2+ to the mechanisms of ischemia-reperfusion injury, the regulation of mitochondrial Ca2+ under pathophysiological conditions remains largely unclear. By using saponin-permeabilized rat myocytes, we measured mitochondrial membrane potential (
m) and mitochondrial Ca2+ concentration ([Ca2+]m) at the physiological range of cytosolic Ca2+ concentration ([Ca2+]c; 300 nM) and investigated the regulation of [Ca2+]m during both normal and dissipated 
m. When 
m was partially depolarized by carbonyl cyanide p-(trifluoromethoxy)phenylhydrazone (FCCP, 0.010.1 µM), there were dose-dependent decreases in [Ca2+]m. When complete 
m dissipation was achieved by FCCP (0.31 µM), [Ca2+]m remained at one-half of the control level despite no Ca2+ influx via the Ca2+ uniporter. The 
m dissipation by FCCP accelerated calcein leakage from mitochondria in a cyclosporin A (CsA)-sensitive manner, which indicates that 
m dissipation opened the mitochondrial permeability transition pore (mPTP). After FCCP addition, inhibition of the mPTP by CsA caused further [Ca2+]m reduction; however, inhibition of mitochondrial Na+/Ca2+ exchange (mitoNCX) by a Na+-free solution abolished this [Ca2+]m reduction. Cytosolic Na+ concentrations that yielded one-half maximal activity levels for mitoNCX were 3.6 mM at normal 
m and 7.6 mM at 
m dissipation. We conclude that 1) the mitochondrial Ca2+ uniporter accumulates Ca2+ in a manner that is dependent on 
m at the physiological range of [Ca2+]c; 2) 
m dissipation opens the mPTP and results in Ca2+ influx to mitochondria; and 3) although mitoNCX activity is impaired, mitoNCX extrudes Ca2+ from the matrix even after 
m dissipation.
permeability transition pore; Na+/Ca2+ exchange; depolarization; ischemia-reperfusion injury
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