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Bull Vet Inst Pulawy 50, 571-575, 2006
PINACIDIL MODULATES MITOCHONDRIAL FUNCTION
UNDER EXPERIMENTAL MYOCARDIUM DYSTROPHY IN RATS
HALYNA TKACHENKO AND NATALIA KURHALYUK1
Department of Hygiene and Toxicology,
Danylo Halytskiy Lviv National Medical University, 79010 Lviv, Ukraine
1
Department of Zoology and Animal Physiology, Institute of Biology and Environment Protection,
Pomeranian Pedagogical University, 76-200 Słupsk, Poland
[email protected]
Received for publication April 24, 2006.
Abstract
The effects of КATP channels opener pinacidil (0.06
mg/kg) and blocker glibenclamide (1 mg/kg), on the function
of mitochondria and lipid peroxidation processes in the heart
of rats with low (LR), and high resistance (HR) to hypoxia
under adrenaline myocardium dystrophy were studied.
Succinate (0.35 mM) and α-ketoglutarate (1 mM) were used as
oxidative substrates. Pinacidil caused an increase in the
efficiency of oxygen consumption in heart mitochondria of rats
with HR and economical utilization in rats with LR to hypoxia
under succinate oxidation. The effects of pinacidil on
mitochondrial oxygen consumption were more significant
under succinic oxidation in rats with HR, than α-ketoglutarate
oxidation in rats with LR to hypoxia. These changes caused the
increase in α-ketoglutarate oxidation efficiency, with a
temporary decrease in lipid peroxidation processes in rats with
LR to hypoxia. Glibenclamide, when administered before the
adrenaline myocardium dystrophy, abolished the protection
induced by pinacidil.
Key words: rats, КАТP-channels, pinacidil,
glibenclamide, myocardium dystrophy, mitochondria,
resistance, hypoxia.
Adrenaline induces heart injury, and is an
important medical problem. Several studies have shown
that KATP channel openers such as pinacidil,
cromakalim, and diazoxide, are protective against
ischaemia-reperfusion in experimental model (4, 6-11).
The KATP channel is the end effector protein, mediating
the cardioprotective effect. The KATP channel has been
demonstrated to be an important component of acute
ischaemic preconditioning, in perfused heart and cellular
models (6-11, 14, 18). Under certain experimental
conditions, KATP channel openers have been shown to
render cells and tissues resistant to oxidative stress (1).
The interaction of KATP channel and mitochondrial
respiratory chain may be important in mediating the
adaptive effects of KATP channel openers. Regulation of
mitochondrial respiration by KATP channel openers to
mediates a number of dysfunctions, which may include
hypoxia, shock, ischaemia, and other organs failure (10,
22, 23).
A number of KATP channel openers have been
shown to produce a beneficial effect on the myocardium
in numerous models of ischaemia, and the KATP channel
has been demonstrated to be a key component of the
phenomenon termed ischaemic preconditioning, in
which single or multiple brief periods of ischaemia have
been shown to produce a marked cardioprotection
against injury, produced by a subsequent prolonged
ischaemic insult (22). The protective action of the KATP
channel openings is not limited to the heart, but also
observed in the brain (2). Therefore, modulations of the
KATP channel functions have important implications in
the physiology and pathophysiology of the heart, as well
as other organs. Early studies suggested that the
cardioprotective effect of KATP channel agonists were
mediated through the sarcolemmal channel (24).
However, the following findings all support a
mitochondrial site of action (6-8, 14, 18, 22).
Nevertheless, a role for the sarcolemmal KATP channel
has not been totally dismissed.
Tkachenko et al. (26) recently showed that
pharmacological treatment with KATP channel openers
induced protection under stress in rat liver (26), and
experimental myocardium dystrophy in guinea pig liver
(17). Our studies have shown that protection induced by
KATP channel openers was mediated by the oxidation of
α-ketoglutarate in the rat liver under stress conditions
(26). We hypothesised the relation between protection
induced by KATP channel openers, and oxidation of
NAD-generating substrates (α-ketoglutarate) under
experimental myocardium dystrophy. Accordingly, the
goal of the present study was to show that the
pharmacological treatment with pinacidil, an opener of
the KATP channel, induces protection under myocardium
dystrophy in rats with different resistance to hypoxia.
572
Material and Methods
Animals. The experiments were carried out on
adult male Wistar rats weighing 200-220 g. The study
was conducted in conformity with the policies and
procedures, detailed in the Guide for the Care and Use
of Laboratory Animals. Animals were divided in two
groups: rats with low resistance (LR) and with high
resistance (HR) to hypoxia (3). Resistance of rats to
hypoxia was evaluated as survival time (min) in the
altitude chamber 11000 m (170 mm Hg) above sea level.
Survival time was measured after achieving the altitude.
Cessation of breathing served as the criterion for
resistance to hypoxia.
Influence of КATP channel opener pinacidil and
blocker glibenclamide on the mitochondrial function
under adrenaline myocardium dystrophy, was evaluated
in 4 groups of rats with LR and HR to hypoxia: 1) a
control group that was injected intraperitoneally with a
isotonic solution; 2) a group that was induced adrenaline
myocardium dystrophy , the results were analysed up to
24 h after the injection of adrenaline; 3) a group that was
treated with КATP channel opener pinacidil before
adrenaline myocardium dystrophy induction; 4) a group
that was induced myocardium dystrophy and injected
with glibenclamide before adrenaline myocardium
dystrophy induction.
Drugs. Pinacidil and glibenclamide were
purchased from Sigma Chemical. Glibenclamide was
dissolved in saline. Pinacidil was dissolved in 0.1 M
NaOH and saline. Pinacidil and glibenclamide were
administered intraperitoneally at a dose of 0.06 mg/kg,
and 1 mg/kg, respectively, 30 min before myocardium
dystrophy was induced.
Model
of
experimental
myocardium
dystrophy. The adrenaline myocardium dystrophy was
evoked with injection of adrenaline hydrochloride
solution at the dose of 1.5 mg of adrenaline/kg body wt.
The dose of adrenaline was chosen based on the results
of the preliminary experiments (21). It is known that the
most noticeable morphological and biochemical changes
are during the first 24 h, under treatment with high doses
of adrenaline; therefore to reveal the maximal breach of
energetic metabolism we studied the processes of ADPstimulated respiration of rat heart mitochondria at the
24th h from the beginning of the experiment (21). Before
the experiment the group of control animals was injected
with 1 ml of isotonic solution.
Mitochondrial isolation and measurement of
mitochondrial respiration. Mitochondria were isolated
by differential centrifugation from the heart according to
Kondrashova (15). Briefly, isolated rat hearts were
quickly excised, chilled, weighed, and homogenised in a
glass Potter-Elvehejm with a motor-driven Teflon pestle.
The homogenisation medium contained 180 mM KCl,
10 mM HEPES, 10 mM EGTA, and 0.5% bovine serum
albumin; pH 7.2 was adjusted with KOH. The nuclear
fraction was isolated from a 10% suspension of
homogenate centrifuged at 150 g for 3 min, and at 350 g
for 4 min. The mitochondrial pellet was obtained by
centrifugation of supernatant for 20 min at 10 000 g.
Finally, mitochondria were re-suspended in the isolation
buffer. Mitochondrial suspension (~2-4 mg protein/ml)
was kept on ice before experiments.
Mitochondria were added to the respiration
chamber containing a total volume of 1.0 ml of
respiration medium. The medium contained 30 mM trisHCl, 125 mM KCl, 10 mM NaCl, 5 mM KH2PO4, 1.5
mM MgCl2, and 3 mM EGTA. Potassium hydroxide
(1.0 N) was used to adjust the pH of the medium to 7.20
at 26oC. Succinate (0.35 mM final concentration) and αketoglutarate (1 mM) were used as oxidative substrates.
ADP (phosphate acceptor) was administered in 0.2 mM
concentration.
Oxygen consumption of mitochondrial respiration
was measured in the multichannel chamber using a
Clark-type electrode (5). The effects of drugs were
assessed on “state 2”, “state 3” and “state 4”
mitochondrial respiration, respiratory control ratio by
Chance (V3/V4), and efficiency of phosphorylation
(ADP-to-oxygen-ratio, ADP/O). Oxygen consumption
was determined with succinate or α-ketoglutarate as
substrates in the presence (state 3) or the absence (state
4) of phosphate acceptor, and recorded as nanogram of
oxygen atoms per minute, per milligram of
mitochondrial protein. The respiratory control ratio by
Chance was calculated as the ratio of state 3 to state 4
respiration rate. The ADP-to-oxygen-ratio (ADP/O) was
calculated as the ratio of nmoles of added ADP per
nanogram of oxygen atoms utilized during state 3.
Protein concentration was determined by the
Lowry assay, using bovine serum albumin as the
standard (20). Lipid peroxidation processes (TBA-active
products
content)
were
determined
spectrophotometrically (25).
Statistical analyses. Results were statistically
presented as means ± SEM and treated with Students ttest. Statistical differences were considered significant if
the P value was <0.05.
Results
Tables 1 and 2 show the respiratory parameters of
mitochondria in the heart of rats with low and high
resistance to hypoxia, using FAD-generating (succinic
acid),
and
NADH-generating
substrates
(αketoglutarate).
The rates of state 3 respirations of isolated
mitochondria were 59.14 ± 4.18 and 63.06 ± 5.31 ng at
О/min mg protein in rats with LR and HR to hypoxia,
respectively, and succinate oxidation (Table 1). The
model of experimental myocardium dystrophy induced
the changes in the rate of mitochondrial respiration.
Therefore, the state 3 of respiration (V3) was increased
by 29.9% (P<0.05), and decreased by 48.7% (P<0.01) in
rats with LR and HR to hypoxia, respectively, under
succinate oxidation. Changes of the rate in state 3 were
correlated with reduction of respiratory control ratio by
32.2% (P<0.01), and efficiency of phosphorylation
(ADP/O) by 35.2% (P<0.01) in heart mitochondria of
rats with HR to hypoxia. Oxidation of NAD-dependent
substrate (α-ketoglutarate) in mitochondria under
myocardium dystrophy was correlated with decreasing
573
Table 1
Mitochondrial respiration data of heart mitochondria of rats with different resistance to hypoxia under influence of
pinacidil or glibenclamide and adrenaline myocardium dystrophy (substrate of oxidation – 0.35 mM succinate)
Group of animals
V3,
ng at О/min · mg
mitochondrial protein
Respiratory control
ratio,
V3/V4
Control:
rats with low resistance
59.14±4.18
2.25±0.18
rats with high resistance
63.06±5.31
2.30±0.14
Myocardium dystrophy:
rats with low resistance
76.85±6.68*
2.14±0.19
rats with high resistance
32.34±4.71*
1.56±0.13*
Pinacidil and myocardium dystrophy:
rats with low resistance
53.81±7.34**
2.30±0.09
rats with high resistance
76.96±9.16**
3.81±0.14**
Glibenclamide and myocardium dystrophy:
rats with low resistance
30.11±4.74**
1.61±0.06**
rats with high resistance
36.86±6.31
1.91±0.07**
*P<0.05 between control and myocardium dystrophy group,
** P<0.05 between myocardium dystrophy group and pinacidil and glibenclamide groups.
ADP/O,
µМ АDP/ng аt О
1.30±0.14
1.96±0.17
1.98±0.10*
1.27±0.18*
1.99±0.14
1.79±0.11**
1.05±0.12**
1.22±0.06
Table 2
Mitochondrial respiration data of heart mitochondria of rats with different resistance to hypoxia under influence of
pinacidil or glibenclamide and adrenaline myocardium dystrophy (substrate of oxidation – 1 mM α-ketoglutarate)
Group of animals
Control:
rats with low resistance
rats with high resistance
Myocardium dystrophy:
rats with low resistance
rats with high resistance
Pinacidil and myocardium dystrophy:
rats with low resistance
rats with high resistance
Glibenclamide and myocardium dystrophy:
rats with low resistance
rats with high resistance
For legend see Table 1.
V 3,
ng at О/min ·mg
mitochondrial protein
Respiratory control
ratio,
V3/V4
ADP/O,
µМ АDP/ng аt О
48.26±5.62
67.13±6.22
2.36±0.11
2.50±0.16
1.38±0.18
1.91±0.10
45.21±7.12
55.44±6.14
1.64±0.17*
1.71±0.11*
0.69±0.04*
1.73±0.11
71.42±6.73**
64.38±5.68
3.63±0.12**
3.71±0.34**
2.66±0.19**
2.27±0.12**
35.40±7.11
52.16±5.33
1.60±0.16
1.63±0.14
0.96±0.05**
1.04±0.09**
respiratory control ratio by 30.5% (P<0.01), and 31.6%
(P<0.01) in heart mitochondria of rats with LR and HR
to hypoxia (Table 2).
Treatment with pinacidil under myocardium
dystrophy resulted in an increase in state 3 of respiration
by 138% (P<0.001), respiratory control ratio – by
144.2% (P<0.001), and efficiency of phosphorylation by
41% (P<0.01) in heart mitochondria of rats with HR to
hypoxia under succinate oxidation. However, the effects
of pinacidil on mitochondrial oxygen consumption data
were more significant under α-ketoglutarate oxidation,
especially in heart mitochondria of rats with LR to
hypoxia. The increase in rate ADP-induced
mitochondrial respiration of state 3 deals with increasing
the efficiency of phosphorylation by 286% (P<0.001),
and the respiratory control ratio by 121% (p<0.001) in
mitochondria of rats with LR to hypoxia. The use of
glibenclamide under myocardium dystrophy, proved to
reduce the reliability of respiratory control ratio,
correlating with the decrease of efficiency of
phosphorylation (АDP/О).
The lipid peroxidation processes in myocardium
were also determined (Fig.1). It is shown, that model of
myocardium dystrophy was accompanied by a
considerable increase in TBA-active products content by
94.4% (P<0.001), in the heart of rats with LR.
The same test for the group of animals with HR
caused intensification of lipid peroxidation processes
only by 73.6% (P<0.001). Treatment with pinacidil
induced the considerable decrease in lipid peroxidation
marker (TBA-active products content) in the heart by
37% (P<0.01), and by 37.3% (P<0.01) for the group of
animals with HR and LR, respectively.
574
7
*
*
6
5
**
**
4
3
2
1
0
LR
Control
AMD
HR
Pinacidil and AMD
Glibenclamide and AMD
Fig.1. Content of TBA-active products (µM/mg) in myocardium under influence of pinacidil and glibenclamide under
adrenaline myocardium dystrophy (AMD) in rats with low (LR) and high resistance (HR) to hypoxia.
* P<0.05 between control and myocardium dystrophy groups
** P<0.05 between myocardium dystrophy and pinacidil and glibenclamide groups
Discussion
The main goal of this investigation was to
demonstrate whether pinacidil, an opener of the KATP
channel, induces cardioprotective effects under
adrenaline myocardium dystrophy in the rat heart. Our
results show that, pharmacological treating with
pinacidil induces cardioprotective effects, as indicated
by a significant increase in the efficiency of oxidative
phosphorylation and decrease in TBA-active products
content, compared to that in non-treated controls.
Glibenclamide, the blocker of KATP channels, when
administered before the myocardium dystrophy,
abolished the cardioprotection induced by pinacidil.
Our data show that the adrenaline myocardium
dystrophy caused the succinate oxidation in heart
mitochondria with decrease in the NAD-dependent
oxidation. However, the efficiency of oxidation
processes considerably depends on resistance to
hypoxia. The activation of succinate-dependent way of
oxidation was examined in the group of animals with LR
to hypoxia. Consequently, the myocardium dystrophy in
animals with an initial high physiological reactivity is
related to metabolic preserving the NAD-dependent
oxidation. It may preserve the mitochondrial oxygen
consumption capacity.
Loukyanova (19) showed the reason of
functioning breach during hypoxia. It consists not so
much in the inhibition of cytochrome c oxidase activity,
as in a gradual inactivation of electron transport
function, which begins on NAD-dependent part of
mitochondrial respiratory chain; and afterwards spreads
on the region of cytochromes b-c1. The indemnification
of energy support processes is related to activating the
oxidizing ability of two basic metabolic ways, NADНand FAD-dependent, in mitochondrial respiratory chain
during hypoxia. The NADН-dependent way prevails in
the region of 75-50% oxygen concentration; the FADdependent way turns out at a lower oxygen level (5020%). NADН- and FAD-dependent ways of electron
transport in mitochondrial respiratory chain, determines
individual sensitiveness to hypoxia. Predominance of
NAD-dependent oxidization is explored in the brain of
animals with HR and more intensive succinate oxidation
in animals with LR to hypoxia (19).
Animals with LR to hypoxia are characterised by
tension of regulatory mechanisms, and a decrease in
antioxidant system ability, which results in activating
lipid peroxidation processes under stress conditions (16,
19). Therefore, the intensification of regulatory role of
КATP channels, caused effects of stress damage on
mitochondrial membranes under КATP channel opener
treatment under myocardium dystrophy. The specific
effect of adrenaline consists in the considerable oxygen
consumption and substrates utilisation. The increasing of
the macroergics level through strengthening the
transport systems activity is unreal. Muscles, liver, and
myocardium, are able to overstrain and function in
autonomy using only its own resources. The ineffective
anaerobic processes with the increasing of lactate
concentration are prevailed. However, these processes
are uniquely reliable under these conditions. The
effective functioning of mitochondrial respiratory chain
induces the decrease in lipid peroxydation processes
intensity and cellular acidosis. These processes are
mediated by the КATP channels and can be a deciding
factor in adaptation.
Holmuhamedov et al. (13) demonstrated that
pinacidil induced mitochondrial swelling, a decrease in
the mitochondrial membrane potential, and accelerated
respiration in isolated cardiomyocyte mitochondria.
These effects can be reversed by the potassium channel
blocker glibenclamide. Recently, Hanley et al. (12)
showed that pinacidil inhibited NADH oxidation
575
without any effects on succinate oxidation. They showed
that these effects produced by pinacidil occurred in the
absence of any changes in mitochondrial membrane
potential.
Our results demonstrate that pinacidil caused an
increase in the efficiency of oxygen consumption for
macroergic synthesis (FAD-dependent substrate
oxidation); in mitochondria of rats with HR to hypoxia
and economical utilization under succinate oxidation,
and increase in oxygen consumption data under αketoglutarate oxidation for rats with LR to hypoxia.
Glibenclamide, when administered before the
myocardium dystrophy protocol, abolished the
protection induced by pinacidil, and induced the
decrease in the rate of mitochondrial respiration with the
lowest value of efficiency of phosphorylation in heart
mitochondria. Consequently, the economisation of
oxygen consumption processes under succinate
oxidation with the reduction of lipid peroxidation
processes; is one of the indications of forming the
resistance by the correction of energy support processes
in mitochondria (16, 19).
In conclusion, our studies established that
pharmacological treatment with КATP channel opener
pinacidil; induces the elevation of efficiency of NADdependent substrate oxidation, in particular αketoglutarate of rats with LR, and economical utilization
in rats with HR and succinate oxidation with temporary
decrease in lipid peroxidation processes, under
myocardium dystrophy. Pinacidil has a protective effect
on heart mitochondria energy support under this
condition.
8.
9.
10.
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12.
13.
14.
15.
16.
17.
References
18.
1.
2.
3.
4.
5.
6.
7.
Akao M., Ohler A., O'Rourke B., Marban E.:
Mitochondrial ATP-sensitive potassium channels inhibit
apoptosis induced by oxidative stress in cardiac cells.
Circ Res 2001, 88, 1267-1275.
Bajgar R., Seetharaman S., Kowaltowski A.J., Garlid
K.D., Paucek P.: Identification and properties of a novel
intracellular (mitochondrial) ATP-sensitive potassium
channel in brain. J Biol Chem 2001, 276, 33369-33374.
Berezovskiy V.A.: The features of individuality in
reaction to hypoxia. Physiol J 1975, 21, 371-376.
Bernardo N.L., D'Angelo M., Okubo S., Joy A., Kukreja
R.C.: Second window of ischemic preconditioning is
mediated by opening of ATP-sensitive potassium
channels in the rabbit heart. Am J Physiol 1999, 276,
1323-1330.
Chance B., Williams G.: The respiratory chain and
oxidative phosphorylation. Adv Enzymol 1955, 17, 65134.
Fryer R.M., Eells J.T., Hsu A.K., Henry M.M., Gross
G.J.: Ischemic preconditioning in rats: role of
mitochondrial K(ATP) channel in preservation of
mitochondrial function. Am J Physiol Heart Circ Physiol
2000, 278, H305-H312.
Garlid K.D., Paucek P., Yarov-Yarovoy V., Murray
H.N., Darbenzio R.B., D'Alonzo A.J., Lodge N.J., Smith
M.A., Grover G.J.: Cardioprotective effect of diazoxide
and its interaction with mitochondrial ATP-sensitive K+
channels. Possible mechanism of cardioprotection. Circ
Res 1997, 86, 1072-1082.
19.
20.
21.
22.
23.
24.
25.
26.
Ghosh S., Standen N.B., Galinanes M.: Evidence for
mitochondrial KATP channels as effectors of human
myocardial preconditioning. Cardiovasc Res 2000, 45,
934-940.
Gross G.J., Auchampach J.A.: Blockade of ATPsensitive potassium channels prevents myocardial
preconditioning in dog. Circ Res 1992, 70, 223-233.
Gross
P.:
KATP
channels
and
myocardial
preconditioning: an update. Am J Physiol Heart Circ
Physiol 2003, 285, 921-930.
Grover G.J., Sleph P.G., Dzwonczyk S.: Pharmacologic
profile of cromacalim in the treatment of myocardium
ischemia in isolated rat hearts and anesthetized dogs. J
Cardiovasc Pharmacol 1990, 16, 853-864.
Hanley P.J., Mickel M., Brandt U., Daut J.: KATP
channel independent targets of diazoxide and 5hydroxidecanoate in the heart. J Physiol 2002, 542, 735741.
Holmuhamedov E.L., Jovanovic S., Dzeja P.P.,
Jovanovic A., Terzic A.: Mitochondrial ATP-sensitive
K+ channels modulate cardiac mitochondrial function.
Am J Physiol 1998, 275, H1567-H1576.
Iwai T, Tanonaka K, Koshimizu M., Takeo S.:
Preservation of mitochondrial function by diazoxide
during sustained ischaemia in the rat heart. Br J
Pharmacol 2000, 129, 1219-1227.
Kondrashova M.N., Fedotcheva N.I., Saakyan I.R.:
Preservation of native properties of mitochondria in rat
liver homogenate. Mitochondrion 2001, 1, 249-267.
Kurhalyuk N.M.: Role of tricarbonic acid cycle
intermediates in energy support processes and
antioxidant enzymes activity under various factors
influence. Thesis. Taras Shevchenko Kyiv National
University, Kyiv, 2003, p. 32.
Kurhalyuk N., Tkachenko G.: Influence of diazoxide on
the function of mitochondria in guinea pig liver under
myocardium dystrophy. Bull Vet Inst Pulawy 2006, 50,
125-129.
Liu Y., Sato T., Seharaseyon J., Szewczyk A., O’Rourke
B., Marban E.: Mitochondrial ATP-dependent potassium
channels. Viable candidate effectors of ischemic
preconditioning. Ann NY Acad Sci 1999, 30, 27-37.
Loukyanova L.D.: The contemporary problems of
hypoxia. Herald Russian Acad Med Sci 2000, 9, 3-12.
Lowry O., Rosenbrough N., Farr A., Randall R.: Protein
measurement with Folin protein reagent. J Biol Chem
1951, 193, 265–270.
Markova O.: The myocardium dystrophy and the
reactivity of organism. Ternopol, 1998, p.152.
O'Rourke B.: Myocardial KATP channels in
preconditioning. Circ Res 2000, 87, 845-855.
Pell T.J., Yellon D.M., Goodwin R.W., Baxter G.F.:
Myocardial ischemic tolerance following heat stress is
abolished by ATP-sensitive potassium channel blockade.
Cardiovasc Drugs Ther 1997, 11, 679-686.
Suzuki M., Saito T., Sato T., Tamagawa M., Miki T.,
Seino S., Nakaya H.: Cardioprotective effect of diazoxide
is mediated by activation of sarcolemmal but not
mitochondrial ATP-sensitive potassium channels in mice.
Circulation 2003, 107, 682-685.
Timirbulatov R.A., Seleznev E.I.: Method for increasing
intensity of free radical oxidation of blood lipid
containing components and its diagnosis value. Lab
Manuals 1981, 4, 209-211.
Tkachenko G.M., Kurhalyuk N.M., and Vovkanych L.S.:
Effect of кATP channels opener pinacidil on functioning
of liver mitochondria of rats with different resistance to
hypoxia under stress condition. Ukr Biochem J 2004, 76,
56-64.