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The FASEB Journal express article 10.1096/fj.00-0497fje. Published online February 5, 2001.
Myoglobin facilitates oxygen diffusion
Marc W. Merx, Ulrich Flögel, Thomas Stumpe, Axel Gödecke, Ulrich K. M. Decking, and Jürgen Schrader
Institut für Herz-und Kreislaufphysiologie, Heinrich-Heine-Universität Düsseldorf, Germany
Corresponding author: Jürgen Schrader, Institut für Herz-und Kreislaufphysiologie,
Heinrich-Heine-Universität Düsseldorf, Postfach 101007, 40001 Düsseldorf. E-mail: [email protected]
ABSTRACT
In this study, the hemodynamic effects of acute myoglobin (Mb)
inhibition with CO on isolated hearts of wild-type (WT) mice
were examined at different degrees of oxygenation. Hearts from
myoglobin knockout (myo-/-) mice served as appropriate
controls. The intracellular MbO2 dissociation curve, as measured
by 1H NMR, was determined by systematically lowering the O2
content of the perfusion medium. At 100% MbO2 saturation
(buffer O2: 75%), complete inhibition of Mb with 20% CO did
not alter left ventricular developed pressure (LVDP) or coronary
venous PO2 (PvO2) and thus myocardial O2 consumption. At
87% MbO2 saturation (buffer O2: 65%), CO applied to WT
hearts significantly decreased LVDP by 12% and increased PvO2
by 30% (both P<0.005) respectively, whereas no effects were
observed in myo-/- hearts. Cell width in isolated myo-/- as
compared with WT cardiomyocytes was reduced (4.8 µm vs. 5.4
µm, P<0.001), whereas cell length did not differ. At ambient
PO2 of 8 mm Hg, oxygen consumption of stimulated myo-/cardiomyocytes was only 60% that of WT controls (P<0.001).
Our results do not support Mb-mediated oxidative
phosphorylation in the beating mouse heart. However, we find
conclusive evidence that Mb is important in facilitating O2
diffusion from the vasculature to mitochondrial cytochromes and
that the oxygen reservoir of myoglobin is of functional relevance
in the beating mammalian heart.
Key words: facilitated diffusion • ischemia • magnetic resonance
spectroscopy • myoglobin knockout mouse • oxidative
phosphorylation
M
yoglobin (Mb) is generally considered an important
intracellular O2 binding hemoprotein found in the
cytoplasm of vertebrate type I and IIa skeletal and
cardiac muscle tissue (1). In mammals, O2 half saturation of Mb
is achieved at intracellular O2 partial pressure as low as 2 mmHg
(horse heart Mb, 35°C, pH 7.0 (2)), which suggests a
predominance of oxygenated Mb under basal conditions. In
exercising skeletal muscle and in the beating heart, Mb is
therefore thought to serve as a short-term O2 reservoir, tiding the
muscle over from one contraction to the next (3). In diving
mammals, Mb concentrations exceed those in terrestrial
mammals up to 10-fold and may serve as an O2 store
contributing to the extension of diving time (4, 5). Similarly, Mb
is expressed in high concentrations in skeletal muscle of
mammals and humans adapted to high altitudes (6, 7).
Tissue hemoproteins have also been identified as biochemical
catalysts serving various functions. Studies conducted in
mammalian isolated mitochondria and cardiomyocytes have
suggested that Mb can augment mitochondrial oxidative
phosphorylation directly (8–10). However, the precise
mechanism remains elusive and attempts to demonstrate this
effect in perfused myocardium have led to inconsistent findings
(11–13).
Mb has further been proposed to facilitate intracellular O2
diffusion (4), positioning Mb as critical link between capillary
O2 supply and the O2-consuming cytochromes located in
mitochondria. Most likely there is a parallel flux of Mb-bound
O2 (facilitated O2 diffusion) and dissolved O2. Facilitated O2
diffusion has been demonstrated unambiguously in concentrated
Mb and hemoglobin solutions (14). Experiments aimed at
investigating this function of Mb in isolated cells, papillary
muscle, and on the whole organ-level have yielded conflicting
results (13, 15–20). Likewise, model calculations have both
supported and refuted a contribution of Mb-bound O2 to total O2
flux (21–23). In addition, the specificity of inhibitors used in
some of the above studies (most commonly carbon monoxide
and nitrite) has been a matter of intense debate.
The recent, independent generation of Mb knockout (myo-/-)
mice by Garry et al. (24) and our laboratory (25) has provided
the foundation for a new experimental approach to study the
proposed diverse functions of Mb. We have recently
demonstrated that potent compensatory mechanisms, all aimed
to steepen the intracellular PO2 gradient, are activated in myo-/mice (25). These mechanisms include a higher capillary density,
increase in coronary flow and flow reserve, as well as an
elevated hematocrit. These findings were taken as indication that
Mb may play an important role for the delivery of O2 by
facilitated diffusion.
Although suggestive, previous data do not exclude the
possibility that the effect observed as a result of chronic loss of
Mb might be only indirectly related to the loss of Mb in myo-/mice. The aim of the present study therefore was to investigate
the effect of acute inactivation of Mb in wild-type (WT) mice in
which no compensatory adaptation took place. For Mb
inactivation, we used carbon monoxide (CO) with myo-/- mice
serving as appropriate controls.
This approach enabled us to: a) address the question of CO
specificity as inhibitor of Mb;
b) quantify the role of Mb as oxygen store in the beating
mammalian heart; c) test the hypothesis of Mb-mediated
oxidative phosphorylation; and d) demonstrate the functional
relevance of Mb in intracellular O2 supply by facilitating O2
diffusion.
MATERIAL AND METHODS
Animals
Myo-/--mice were generated by deleting the essential exon-2 via
homologous recombination in embryonic stem cells as described
previously (25). A total of 38 and 70 male mice were used in the
myo-/- and WT group, respectively. Measurement of Mb
concentrations was performed in four WT mouse hearts by
densitometric scanning of cardiac protein extracts separated by
SDS/PAGE. Body weight ranged from 28 to 38 g and heart
weight from 180 to 250 mg, with no significant differences
between the two groups.
Langendorff experimental setup
We prepared murine hearts and retrograde perfusion at 100
mmHg constant pressure with modified Krebs-Henseleit
buffer—gassed at 95% O2/5% CO2 (carbogen), resulting in a pH
of 7.4 and heated to 35°C— essentially as described (26), by
using an isolated heart apparatus (Hugo Sachs Elektronik,
March-Hugstetten, Germany). Perfusion pressure, coronary
flow, left ventricular developed pressure (LVDP), and coronary
venous PO2 (PvO2) were measured continuously, the latter via a
Clark-type electrode. Signals were recorded using a PC with
dedicated software (EMKA Technologies, Paris, France). All
hearts were paced at 400 bpm and allowed to stabilize for 30
min with carbogen buffer at 100 mmHg constant perfusion
pressure prior to data acquisition.
H NMR protocol
For NMR measurements, hearts were placed inside a 10 mm
NMR tube and transferred into a heated (35°C) 10 mm 1H/19F
dual probe inside a Bruker AMX 400 NMR spectrometer, as
previously described (26). Mouse hearts (4 myo-/-, 36 WT) were
then switched to constant flow perfusion. Following the switch
to constant flow, baseline 1H NMR spectra were acquired for all
hearts. The WT hearts were subsequently perfused with buffer
equilibrated with either 75%, 65%, 58%, 51%, 44%, 38%, 32%,
25%, or 12% O2 (n = 4 hearts per O2 level) and 1H NMR spectra
were acquired. WT hearts were reperfused with carbogen buffer
and recovery 1H NMR spectra were obtained. All hearts were
subjected to buffer containing 20% CO, 75% O2, and 5% CO2
with final spectra acquisition to determine the background noise
of the MbO2 signal.
Functional decline during ischemia
Hearts of myo-/- and WT mice (n = 10 each) were perfused with
buffer equilibrated with 20% N2, 75% O2, and 5% CO2. Hearts
were switched to constant flow perfusion, while the flow rate at
which they had stabilized was maintained. Baseline values were
acquired as above and hearts subjected to 15 s of no-flow
ischemia followed by 10 min reperfusion. Hereafter, perfusion
was switched to buffer equilibrated with 20% CO, 75% O2, and
5% CO2. After 10 min of stabilization, baseline values were once
more acquired and hearts were subjected to 15 s of ischemia and
10 min reperfusion as above.
Effect of CO on O2 diffusion
Twenty-four myo-/- and 24 WT mouse hearts were switched to
constant flow and perfused either with 75 %, 65%, 58%, or 51%
O2 (n = 6 + 6 each) buffer. After 12 min, stable functional
parameters and PvO2 values were obtained. Hearts were then
switched to buffer containing 20% CO, keeping the respective
O2 content constant. Stable functional parameters and PvO2
values were acquired 12 min later.
Cardiomyocytes
Cardiomyocytes (CMs) were prepared from 4 myo-/- and 4 WT
mice (29–35 g) essentially as described (27). To measure
“intactness” and cell geometry, rod-shaped CMs (47 ± 7% n = 8)
were fixed in glutaraldehyde (0.2%). For functional analysis, the
cell suspension was injected into the oxystat system (27). This
system enables the incubation of electrically stimulated CMs (9
Hz, 37°C) at a precisely defined ambient PO2 while measuring
O2 consumption (VO2). Ambient PO2 was consecutively reduced
from 40 to 30, 20, 15, 10, 8, 5, 2, 1, and 0.5 mmHg. At each
ambient PO2, VO2 was measured under steady-state conditions
for 5–10 min. The protein content was determined at 40 (start),
10, and 0.5 mmHg (end) as described previously (27).
NMR method
For selective excitation of the MbO2 and MbCO Val E11
resonance (28) at –2 to –3 ppm, the standard 1 3 3 1 pulse
sequence of the Bruker library was used. The delay for binomial
H2O suppression was set to 166 µs, which resulted in maximal
excitation of the region of interest. A 45° pulse (12.5 µs;
estimated from the H2O signal) was applied, and 16K transients
were averaged for a typical 1H NMR spectrum that required 15
min of signal accumulation (acquisition time 42 ms, sweep
width 12195 Hz, data size 1K, zero filling to 2K, exponential
weighting resulting in a 40 Hz line broadening; chemical shifts
were referenced to the H2O resonance at 4.7 ppm). Excitation
with the 1 3 3 1 sequence led to large phase dispersion, which
resulted in positive lipid signals and negative signals for the
MbO2 and MbCO Val E11 resonance (Fig. 1, for a theoretical
explanation see (29, 30)). Relative peak areas were obtained by
integration after baseline correction.
Statistical analysis
We compared changes within groups by using multivariate
ANOVA for repeated measurements. Differences between
groups were analyzed by multivariate ANOVA followed by
Bonferroni’s post-hoc test (all statistical analysis calculated with
SPSS 8.0, SPSS, Chicago). A P value <0.05 was taken to
indicate a statistically significant difference.
RESULTS
Myoglobin as oxygen reservoir
Cardiac Mb content in WT hearts was determined after
SDS/PAGE to be 0.19 ± 0.03 mmol of Mb/kg wet weight (n = 4)
and found to be absent in myo-/- hearts. 1H NMR experiments
were undertaken to identify the MbO2 signal and to verify its
absence in myo-/- hearts. As illustrated in Figure 1, the MbO2
signal was found in WT hearts at –2.8 ppm with excellent
signal-to-noise ratio (15 min. accumulation time). Perfusion with
the CO-containing medium (20% CO) resulted in the appearance
of the MbCO signal at –2.3 ppm, whereas the MbO2 signal at –
2.8 ppm was no longer detectable (Fig. 1), which demonstrated
complete inhibition of the oxygen binding capacity of Mb. Both
Mb signals were absent in myo-/- hearts. As is apparent from
Table 1, neither WT nor myo-/- hearts displayed a functional
response to CO under these conditions.
To assess the functional relevance of the MbO2 buffer in the
mammalian heart, Langendorff perfused hearts from myo-/- and
WT mice were subjected to brief no-flow ischemia. Figure 2
compares the decrease in dP/dtmax observed after the onset of
ischemia (baseline parameters given in Table 1). As can be seen,
cardiac function decreased more steeply in myo-/- hearts,
especially during the first seconds of ischemia. Respective
values after 2 sec of ischemia were 9.4 ± 2.8% in the knockout
versus 5.4 ± 2.1% in the WT (P<0.05). Thereafter, a more
parallel pattern of functional decline develops. Significant
differences of similar magnitude were also seen for LVDP and
dP/dtmin (P<0.05; data not shown). When beat-to-beat analysis
was used, differences in the rate of functional decline were
observed for 18 ± 3 heartbeats (P<0.05, data not shown). The
ischemia-induced decrease in cardiac function in WT hearts after
acute inhibition of Mb by CO was identical to the effect of
chronic lack of Mb in hearts from myo-/- mice (Fig. 2). Baseline
function was regained within 10 min of reperfusion (data not
shown).
Myoglobin-facilitated oxygen diffusion
Isolated heart
To approximate conditions that might mimic the in vivo situation
with respect to Mb, we progressively lowered the PO2 in the
perfusion medium by equilibrating the perfusion medium with
O2 ranging from 95% to 12%. At the same time the extent of Mb
oxygenation was measured by 1H NMR spectroscopy. This
measurement enabled us to determine the intracellular MbO2
dissociation curve within the beating heart (Fig. 3A). To exclude
effects of changes of coronary flow and thus O2 delivery, all
experiments were carried out in the constant volume mode. Mb
desaturation first appeared at 65% arterial O2 when Mb was
desaturated by 13 ± 3%. Equilibrating the medium with 51% O2
decreased MbO2 saturation to 46 ± 8%, the lowest MbO2
saturation of 18.6 ± 5% was reached at 12% arterial O2. Upon
reperfusion with carbogen, hearts showed an almost complete
recovery. The relationship between arterial O2 and intracellular
PO2 is depicted in Figure 3B. We calculated the intracellular
PO2 by using the data on Mb saturation and assuming Mb to be
half-saturated at 2 mmHg (2). When perfusion medium was
equilibrated with 65% O2 (432 mmHg), the observed 13%
reduction of MbO2 saturation corresponds to an intracellular PO2
of ~16 mmHg (Fig. 3B). Further decrease in the O2 content of
the medium steeply reduced MbO2 saturation and intracellular
PO2 to values <2 mmHg.
Having defined the range at which Mb desaturation occurs in the
perfused beating heart, we analyzed the effect of CO on cardiac
performance and O2 utilization in myo-/- and WT mice further.
As shown in Figure 4, myo-/- and WT hearts perfused at an
arterial O2 of 65% exhibited opposite responses when subjected
to 20% CO. WT hearts revealed a highly significant increase in
coronary venous PO2 (PvO2, 29 ± 6 => 36.7 ± 5.6 mmHg,
P<0.001) accompanied by a decrease in LVDP of 11%
(P<0.001). In contrast, myo-/- hearts displayed a slight decrease
in PvO2 (37 ± 5 => 35 ± 5 mmHg, P<0.05) and could maintain
LVDP.
Figure 5 summarizes the influence of CO (20% in equilibrating
gas phase) on PvO2 (Fig. 5B) and LVDP (Fig. 5C) at the
different levels of MbO2, ranging from 100% to 51%. When Mb
was fully O2 saturated (arterial medium equilibrated with 75%
O2), CO induced no significant change in PvO2 or functional
parameters of WT and myo-/- hearts. Under conditions resulting
in partially saturated Mb, however, WT hearts responded to CO
with an increase in PvO2 and a decrease in LVDP. This effect
was most pronounced at 87% MbO2 saturation (arterial O2 at
65%). In contrast, myo-/- hearts, when subjected to CO, could
always sustain LVDP with unaltered, or even slightly
decreasing, PvO2.
Cardiomyocytes
To investigate whether the observed differences in the rate of
VO2 can also be determined at the cellular level, isolated
cardiomyocytes (CM) from WT and myo-/- hearts were analyzed
at defined PO2 by using an Oxystat system (27). VO2 of freshly
isolated, stimulated mouse CMs was found to be identical in WT
and myo-/- CMs at 14.5 ± 1.5 (n = 4) and 14.6 ± 1.0 nmol⋅min1
⋅mg protein–1 (n = 3), respectively. As illustrated in Figure 6,
reduction in ambient PO2 from 40 mmHg to 8 mmHg did not
change VO2 of WT myocytes, whereas PO2 values below 8
mmHg led to a rapid decline of VO2. In myo-/- CMs, the onset of
VO2 decrease was observed at a higher PO2 and VO2 reduction
was more pronounced. Thus, VO2 was decreased to a
significantly greater extent at low ambient PO2 in myo-/compared with WT CMs (i.e., at 10 mmHg ambient PO2: 57 ±
15 versus 89 ± 10% of baseline, respectively). Cell morphology
revealed the width of myo-/- CMs to be smaller than that from
WT CMs (4.8 ± 2.1 vs. 5.4 ± 2.6 µm, n = 133 and 163
respectively, p<0.001), whereas length did not differ (74 ± 21 vs.
71 ± 18 µm, p = n.s.).
DISCUSSION
The major finding of this study is that acute inhibition of Mb
under conditions of minor Mb deoxygenation leads to significant
impairment of left ventricular contractility and reduced
myocardial O2 consumption. In conjunction with our studies on
the O2 uptake of stimulated cardiomyocytes, these findings show
conclusively that Mb facilitates the diffusion of O2 from the
vasculature to mitochondrial cytochromes in the beating heart.
We also quantified the role of Mb as O2 reservoir and tested the
hypothesis of Mb-mediated oxidative phosphorylation. Although
Mb appears important during brief periods of ischemia, our data
do not support a direct Mb effect on oxidative phosphorylation
in the mouse heart.
Myoglobin as oxygen reservoir
Our data demonstrate that lack of Mb significantly enhances the
ischemia-induced decline in left ventricular force development.
This effect was most pronounced within the first 2 s of ischemia.
Because myocardial Mb content (0.19 mmol of Mb/kg wet
weight), its O2 storage capacity (1 mol O2/mol Mb) and VO2 are
known, the maximum period during which O2 released from Mb
can support myocardial oxidative metabolism is calculated to be
2.8 seconds. This value is consistent with our experimental
findings. In addition to tiding the heart over from contraction to
contraction, the advantage of such a delay in functional decline
may be relevant during short periods of cardiac arrhythmia with
resulting decrease in coronary perfusion.
The average intracellular concentrations of O2 and MbO2 differ
by at least 1 order of magnitude. Assuming an intracellular PO2
of 10 mmHg, the concentration of physically dissolved O2 is
about 13 µM (31). This finding is comparable with a myoglobin
concentration of 190 µM determined in the mouse heart in the
present study, which is similar to that of larger mammals (e.g.,
250 µM Mb in horse heart (32)). In striated muscle, Mb is in the
mM range (32)); under well-oxygenated conditions, most of the
myoglobin will be oxygenated (see below).
Myoglobin-mediated oxidative phosphorylation
The difference in concentration of O2 and MbO2, which favors
Mb-facilitated diffusion, is counterbalanced by the diffusion
coefficient of physically dissolved O2 (DO2), which is up to 100fold higher than the diffusion coefficient of Mb (DMb) (~2 × 10–
5
cm2/s for DO2 (33) vs. 2 – 23 x 10–7 cm2/s for DMb (21, 34)).
Unfortunately, precise in vivo data for both DO2 and DMb are
difficult to obtain and a matter of intense debate. Moreover,
there seem to be differences depending on muscle type; for
example, Conley et al. reported finding higher DMb values in
cardiac muscle than in striated muscle (15). An increase in the
ratio DMb/DO2 would result in a higher fraction of O2 supply by
Mb-facilitated O2 diffusion and vice versa.
Wittenberg and Wittenberg (8) were the first to propose that Mb
supports ATP generation by cardiac cells under conditions of
fully oxygenated Mb. In their study, a CO blockade of
intracellular Mb function was shown to abolish about one-third
of the O2 uptake of resting isolated rat CMs. As underlying
mechanism, a preferred uptake of Mb-bound O2 by mitochondria
and/or the acceptance of electrons by sarcoplasmic Mb with
concomitant reduction of heme iron ligated O2 to H2O were
suggested. According to this hypothesis, one would expect
myocardial VO2 to be decreased in hearts lacking Mb or
following acute blockade of Mb. However, we found no
significant functional differences between isolated myo-/- and
WT hearts (Table 1). Furthermore, acute inhibition of Mb by
CO at 75% arterial O2 in the saline-perfused mouse heart (see
Figs. 1 and 3) had no effect on myocardial VO2 and contractile
parameters—LVDP, dP/dtmax, and rate-pressure-product
(RPP)—(Table 1); although the perfusion-medium was of
sufficiently high PO2 to fully oxygenate sarcoplasmic Mb (see
Fig. 3). Thus, we found no evidence for Mb-mediated oxidative
phosphorylation in the mouse heart.
Myoglobin-facilitated oxygen diffusion
This study establishes that acute inhibition of Mb with CO under
conditions of partially deoxygenated Mb results in a significant
decrease in VO2 and contractility (Fig. 4 and Fig. 5). This effect
is specific for Mb, because no functional changes were observed
in myo-/- hearts under otherwise identical conditions. In addition,
contracting CMs from myo-/- hearts was characterized by lower
VO2 at any given ambient PO2 below 15 mmHg (Fig. 6), which
clearly indicates an increase in the apparent diffusive resistance
to O2. This increase in resistance was observed although cell
width in myo-/- CMs was significantly reduced (4.7 versus 5.2
µm), which decreases diffusion distances for O2. Together these
findings demonstrate that Mb is essential for the delivery of O2
from the sarcolemma to the mitochondria by way of Mbfacilitated O2 diffusion.
To assess the relative contribution of Mb-facilitated O2 diffusion
versus the diffusion of physically dissolved oxygen to
intracellular O2 flux, we have to consider several factors
affecting these two parallel pathways. Mass flux via diffusion in
general is governed by a) the concentration difference
(‘gradient’), b) the diffusion coefficient, and c) the diffusion
distance (for review see ref 23). It follows that the quantitative
extent of Mb-mediated O2 diffusion depends primarily on the
intracellular concentrations of O2 and MbO2 and on the in vivo
diffusion coefficients of O2 and MbO2, respectively.
Intracellular O2 diffusion is governed not by the average
concentration of O2 or MbO2, but by the respective
concentration differences between the site of O2 supply (the
sarcolemma) and the site of O2 consumption (the mitochondria).
Therefore, the concentration gradients for O2 and MbO2 have to
be considered. Under conditions of a fully oxygenated Mb; that
is, in absence of an MbO2 concentration gradient at a high
intracellular PO2, theory predicts that Mb-facilitated O2 diffusion
does not contribute to the intracellular O2 flux to any significant
extent. In line with this prediction, inactivating Mb with CO at a
high arterial PO2 was without functional effects on the saline
perfused heart (see Table 1). Under these conditions, apparently
O2 flux was solely dependent on the diffusion of physically
dissolved O2. In contrast, when arterial O2 supply was lowered
and intracellular Mb partially deoxygenated, blocking Mb by CO
significantly reduced VO2, which demonstrated the importance
of Mb-facilitated O2 diffusion in presence of a MbO2 gradient
within the CM. Direct experimental proof for the intracellular
radial MbO2 gradient has been demonstrated recently in single
CMs, with high MbO2 saturation measured close to the
sarcolemma and the nadir located at the cell center (18).
When comparing WT and myo-/- hearts, it is important to note
that the diffusion distance is not identical. We have shown
previously that the capillary distance is reduced in myo-/- hearts
(25). The present study demonstrates a reduced width of
cardiomyocytes, thereby complementing this finding. It
emphasizes that, in the case of Mb deficiency, nature has
optimized diffusion distances to boost O2 delivery by simple
diffusion. In line with this interpretation, the highest Mb content
has been reported in muscle fibers that exhibit the greatest
diffusion distances (15). In this context it is remarkable that O2
consumption was lower in myo-/- CMs despite shorter diffusion
distance (Fig. 6), which suggests that the reduction in cell width
is not sufficient to compensate for the loss of Mb-facilitated O2
diffusion.
Functional implications
In the present study, Mb-facilitated diffusion clearly played a
substantial role in intracellular O2 transport when ambient PO2
was low (8 mmHg as seen in isolated cardiomyocytes) and
myoglobin was partially deoxygenated (13% Mb vs. 87% MbO2,
as shown in the saline perfused heart). Whether similar
conditions exist in vivo has been a matter of debate for decades.
In striated muscle of exercising humans, 1H NMR spectroscopy
enabled the study of MbO2 saturation (35–37). These studies
unequivocally demonstrated that MbO2 desaturates with
exercise; that is, that cellular PO2 is low enough for unloading of
O2 from MbO2. Thus parallel diffusion of physically dissolved
O2 and Mb-bound O2 is likely to occur.
Several groups have also addressed the question of cardiac
MbO2 saturation on the whole organ level in vivo. Based on data
obtained by scanning reflectance spectroscopy, average MbO2
saturation was calculated to be in the order of 92% (38). In
apparent contrast, Zhang et al. (39) were unable to detect deoxyMb by surface coil 1H NMR spectroscopy. However, the
relatively low sensitivity of 1H NMR to deoxy-Mb imposes a
limit of detection ~10% (39, 40). Consequently, it is very likely
that deoxygenated Mb (and thus a MbO2 concentration gradient)
do exist in the blood-perfused heart. Because the present study
demonstrated Mb-mediated facilitated diffusion of O2 in the
presence of minor Mb deoxygenation, this effect appears to be
functionally relevant also under in vivo conditions. On the basis
of the results reported here, we would expect the delivery of
oxygen via Mb-facilitated diffusion to become even more
important under conditions of reduced O2 supply (e.g., coronary
artery disease) or extended diffusion distance (e.g., cardiac
hypertrophy).
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Table 1
myo-/-, n=10
WT, n=10
Control
+CO
Control
+CO
MVO2
6.5±0.7
6.4±0.8
6.3±0.4
6.6±0.9
LVDP
76.3±9.3
77.7±8.5
77.1±7.6
79.1±10.4
dP/dtmax
4327±512
4367±534
4311±447
4567±497
RPP
30520±3720
31080±3400
30840±3040
41620±4160
Table 1. Hemodynamic data and myocardial O2 consumption (VO2) of isolated WT and myo-/- hearts perfused under
control conditions (medium equilibrated with 75% O2, 20% N2, and 5% CO2) and after replacement of N2 by 20% CO in
the arterial buffer. LVDP, left ventricular developed pressure; dP/dtmax, rate of maximal pressure development; RPP, ratepressure product.
Fig. 1
Figure 1. 1H NMR spectra of WT and myo-/- hearts. The MbO2 signal is detected at –2.8 ppm and the MbCO signal
at –2.3 ppm. The shift of the NMR signal reflects the CO-induced change in the chemical and electronic environment of
the planar heme group, taking effect on the neighboring Val 68 methyl group protons. No Mb signals are detected for
myo-/- hearts. Part of the lipid signal is depicted on the left border of all spectra. Data on myoglobin structure were taken
from X-ray studies on MbO2 and MbCO (41, 42).
Fig. 2
Figure 2. Decline of cardiac function during no-flow ischemia. dP/dtmax, rate of maximal pressure development.
Fig. 3
Figure 3. Relationship between arterial buffer oxygenation, MbO2 saturation (A) and calculated intracellular PO2 (B) as
determined by 1H NMR spectroscopy.
Fig. 4
Figure 4. Effect of CO (20% in equilibrating gas phase) on venous PO2 (PvO2) (A) and left ventricular developed
pressure (LVDP) (B) in the WT and myo-/- group (n = 6, each), 65% arterial O2. The chosen degree of oxygenation
resulted in 87% MbO2 saturation (see Fig. 3).
Fig. 5
Figure 5. Synopsis of changes in venous PO2 (PvO2) (B) and left ventricular developed pressure (LVDP) (C) induced by
CO (20% in equilibrating gas phase) in WT and myo-/- hearts (each bar, n = 6) at different oxygen levels, correlated to
degrees of MbO2 saturation as depicted in (A).
Fig. 6
Figure 6. Effect of ambient PO2 on cellular O2 consumption (VO2) of isolated mouse cardiomyocytes (CM) in an open
system. Where standard deviation is given, value is mean of 4–6 CM preparations. (**: P<0.001, n = 6). Lines are a
sigmoidal curve fit of the respective data.