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Mitochondrial debris reduce viability of healthy cardiomyocytes Torp, M-K. 1,3, Li,Y.1,3, Flatebø, T.1, Ranheim, T.2,3,4, Yndestad, A.2,3,4, and Stensløkken, K-O.1,3 1Division of Physiology, Institute of Basic Medical Sciences, University of Oslo Institute of Internal Medicine, Oslo University Hospital Rikshospitalet 3Center for Heart Failure Research, University of Oslo 4KG Jebsen Center for Inflammation Research, University of Oslo 2Research Background: Acute myocardial infarction results in necrosis and initiation of sterile inflammation activated by Damage-Associated Molecular Patterns (DAMPs).Mitochondria are of bacterial origin, displaying bacterial traits in their DNA and proteins. Moreover, the cardiomyocyte volume consists of 30% mitochondria. Our research group has recently showed that mitochondrial DNA induces cell death and activates the innate immune system in cardiomyocytes. In this study, we hypothesize that mitochondrial constituents in general, or N-formyl-peptides specifically, are detrimental to cardiac cells. Methods: Cardiac mitochondria were isolated from C57BI6 male mice and this debris was utilized as agonists for isolated adult mouse cardiomyocytes and cardiac fibroblasts. The cardiomyocytes were stimulated with increasing concentrations of mitochondrial debris or the N-formyl-peptide receptor (Fpr) agonist fMLP. Cardiomyocytes were also exposed to 40 minutes hypoxia and 2h re-oxygenation. Cell death was investigated with High-Throughput microscopy. The cardiac fibroblasts were exposed to mitochondrial debris and sampled in time intervals. Expression and release of cytokines were measured by qPCR and ELISA. Preliminary Results: Cardiomyocytes exposed to normoxic conditions showed a significant increase in cell death when stimulated with 100 µg/ml mitochondrial debris compared to control. In addition, hypoxic conditions significantly increased cell death of cardiomyocytes at lower concentrations of mitochondrial debris (10 µg/ml). Moreover, cardiomyocytes and cardiac fibroblasts exposed to mitochondrial debris showed a significant dose-dependent increase in Interleukin-6 production. Absolute quantification of Fpr genes revealed no expression in cardiomyocytes or cardiac fibroblasts. However, the receptors were expressed in mRNA extracted from PBS perfused mouse hearts possibly indicating presence of tissue resident macrophages. Cardiomyocytes stimulated with fMLP showed no significant decrease in viability compared to control. Conclusion: Mitochondrial debris reduced the viability of the cardiomyocytes, and gave an inflammatory response in cardiomyocytes and cardiac fibroblasts. This response appears not to be mediated through the Fpr.