Abstract:AimWe studied whether available oxygen without induced mechanical stretch regulates the release of the biologically active B‐type natriuretic peptide (BNP) from Langendorff heart.MethodsRat hearts were isolated and perfused with a physiological Krebs–Henseleit solution at a constant hydrostatic pressure in Langendorff set‐up. The basal O2 level of perfusate (24.4 ± 0.04 mg L−1) was gradually lowered to 3.0 ± 0.01 mg L−1 over 20 min using N2 gas (n = 7). BNP and O2 level were measured from coronary flow. During… Show more
“…The aorta was swiftly cannulated with a 21-gage cannula and the heart was retroactively perfused with Tyrode Solution (137 mM NaCl, 5.4 mM KCl, 1.2 mM MgCl 2 , 10 mM HEPES, 10 mM glucose, 1.2 mM NaH 2 PO 4 , and 1.2 mM CaCl 2 ) aerated with a mixture of O 2 (95%) and CO 2 (5%) in order to maintain O 2 levels at 800 nmol/mL using a murine Langendorff perfusion apparatus. After a stabilization period of 20 min, the perfusion buffer was switched to the Tyrode Solutions containing various O 2 concentrations (normoxia: 800 nmol/mL; mild hypoxia: 550 nmol/mL; heavy hypoxia: 300 nmol/mL), which have been proven to induce various myocardial injuries in previous studies (Anttila et al, 2017) for an additional 40 min of perfusion. Then, the hearts were cut into small pieces and homogenized in cold isolation buffer (20 mM HEPES, 220 mM mannitol, 68 mM sucrose, 80 mM KCl, 0.5 mM EGTA, 2 mM magnesium acetate, supplemented with protease inhibitors, pH 7.4) for mitochondrial isolation which was done using a protocol adapted from a previous study (McLelland et al, 2016).…”
Section: Isolation Of Mitochondria and Reconstitution Of MDV In Vitromentioning
Myocardial ischemia is a condition with insufficient oxygen supporting the heart tissues, which may result from myocardial infarction or trauma-induced hemorrhagic shock. In order to develop better preventive and therapeutic strategies for myocardial ischemic damage, it is important that we understand the mechanisms underlying this type of injury. Mitochondrial-derived vesicles (MDVs) have been proposed as a novel player in maintaining mitochondrial quality control. This study aimed to investigate the role and possible mechanisms of MDVs in ischemia/hypoxia-induced myocardial apoptosis. H9C2 cardiomyocytes were used for the cellular experiments. A 40% fixed blood volume hemorrhagic shock rat model was used to construct the acute general ischemic models. MDVs were detected using immunofluorescence staining with PDH and TOM20. Exogenous MDVs were reconstituted in vitro from isolated mitochondria under different hypoxic conditions. The results demonstrate that MDV production was negatively correlated with cardiomyocyte apoptosis under hypoxic conditions; exogenous MDVs inhibited hypoxia-induced cardiomyocyte apoptosis; and MDV-mediated protection against hypoxia-induced cardiomyocyte apoptosis was accomplished via Bcl-2 interactions in the mitochondrial pathway. This study provides evidence that MDVs protect cardiomyocytes against hypoxic damage by inhibiting mitochondrial apoptosis. Our study used a novel approach that expands our understanding of MDVs and highlights that MDVs may be part of the endogenous response to hypoxia designed to mitigate damage. Strategies that stimulate cardiomyocytes to produce cargo-specific MDVs, including Bcl-2 containing MDVs, could theoretically be helpful in treating ischemic/hypoxic myocardial injury.
“…The aorta was swiftly cannulated with a 21-gage cannula and the heart was retroactively perfused with Tyrode Solution (137 mM NaCl, 5.4 mM KCl, 1.2 mM MgCl 2 , 10 mM HEPES, 10 mM glucose, 1.2 mM NaH 2 PO 4 , and 1.2 mM CaCl 2 ) aerated with a mixture of O 2 (95%) and CO 2 (5%) in order to maintain O 2 levels at 800 nmol/mL using a murine Langendorff perfusion apparatus. After a stabilization period of 20 min, the perfusion buffer was switched to the Tyrode Solutions containing various O 2 concentrations (normoxia: 800 nmol/mL; mild hypoxia: 550 nmol/mL; heavy hypoxia: 300 nmol/mL), which have been proven to induce various myocardial injuries in previous studies (Anttila et al, 2017) for an additional 40 min of perfusion. Then, the hearts were cut into small pieces and homogenized in cold isolation buffer (20 mM HEPES, 220 mM mannitol, 68 mM sucrose, 80 mM KCl, 0.5 mM EGTA, 2 mM magnesium acetate, supplemented with protease inhibitors, pH 7.4) for mitochondrial isolation which was done using a protocol adapted from a previous study (McLelland et al, 2016).…”
Section: Isolation Of Mitochondria and Reconstitution Of MDV In Vitromentioning
Myocardial ischemia is a condition with insufficient oxygen supporting the heart tissues, which may result from myocardial infarction or trauma-induced hemorrhagic shock. In order to develop better preventive and therapeutic strategies for myocardial ischemic damage, it is important that we understand the mechanisms underlying this type of injury. Mitochondrial-derived vesicles (MDVs) have been proposed as a novel player in maintaining mitochondrial quality control. This study aimed to investigate the role and possible mechanisms of MDVs in ischemia/hypoxia-induced myocardial apoptosis. H9C2 cardiomyocytes were used for the cellular experiments. A 40% fixed blood volume hemorrhagic shock rat model was used to construct the acute general ischemic models. MDVs were detected using immunofluorescence staining with PDH and TOM20. Exogenous MDVs were reconstituted in vitro from isolated mitochondria under different hypoxic conditions. The results demonstrate that MDV production was negatively correlated with cardiomyocyte apoptosis under hypoxic conditions; exogenous MDVs inhibited hypoxia-induced cardiomyocyte apoptosis; and MDV-mediated protection against hypoxia-induced cardiomyocyte apoptosis was accomplished via Bcl-2 interactions in the mitochondrial pathway. This study provides evidence that MDVs protect cardiomyocytes against hypoxic damage by inhibiting mitochondrial apoptosis. Our study used a novel approach that expands our understanding of MDVs and highlights that MDVs may be part of the endogenous response to hypoxia designed to mitigate damage. Strategies that stimulate cardiomyocytes to produce cargo-specific MDVs, including Bcl-2 containing MDVs, could theoretically be helpful in treating ischemic/hypoxic myocardial injury.
“…Arjamaa suggests that the role of NPs in hypoxia conditions is probably not to counterbalance pressure changes in the circulation, but to regulate oxygen transport causing a contraction of blood volume (diuresis, natriuresis, vascular permeability) leading to hemoconcentration and increased oxygen transport capacity per unit volume of blood [78]. In addition, Anttila et al [79] showed in a Langendorff rat beating-heart device that the BNP level of the infusate increases when the oxygen pressure of the infused solution decreases. The effect of oxygen was independent of the degree of mechanical stretching of the myocardium, even after the heart rate decreased while the pressure conditions remained constant.…”
Section: Pathophysiology Of Cardiac Natriuretic Peptidesmentioning
Besides pumping, the heart participates in hydro-sodium homeostasis and systemic blood pressure regulation through its endocrine function mainly represented by the large family of natriuretic peptides (NPs), including essentially atrial natriuretic (ANP) and brain natriuretic peptides (BNP). Under normal conditions, these peptides are synthesized in response to atrial cardiomyocyte stretch, increase natriuresis, diuresis, and vascular permeability through binding of the second intracellular messenger’s guanosine 3′,5′-cyclic monophosphate (cGMP) to specific receptors. During heart failure (HF), the beneficial effects of the enhanced cardiac hormones secretion are reduced, in connection with renal resistance to NP. In addition, there is a BNP paradox characterized by a physiological inefficiency of the BNP forms assayed by current methods. In this context, it appears interesting to improve the efficiency of the cardiac natriuretic system by inhibiting cyclic nucleotide phosphodiesterases, responsible for the degradation of cGMP. Recent data support such a therapeutic approach which can improve the quality of life and the prognosis of patients with HF.
“…Arjamaa suggests that the role of the natriuretic peptide system in hypoxia conditions is perhaps not to counterbalance pressure changes in circulation, but to regulate oxygen transport, by causing volume contraction (diuresis, natriuresis, and plasma shift) leading to hemoconcentration and increasing oxygen‐carrying capacity per unit volume of blood . Furthermore, Anttila et al . have shown in a spontaneously beating Langendorff rat heart, that the BNP level of perfusate is increased when the oxygen tension of the inflowing buffer is decreased.…”
Section: Increased Bnp In Htx Despite Normal Heart Functionsmentioning
Heart transplantation (HT) should normalize cardiac endocrine function, but brain natriuretic peptide (BNP) levels remain elevated after HT, even in the absence of left ventricular hemodynamic disturbance or allograft rejection. Right ventricle (RV) abnormalities are common in HT recipients (HTx), as a result of engraftment process, tricuspid insufficiency, and/or repeated inflammation due to iterative endomyocardial biopsies. RV function follow-up is vital for patient management as RV dysfunction is a recognized cause of in-hospital death and is responsible for a worse prognosis. Interestingly, few and controversial data are available concerning the relationship between plasma BNP levels and RV functional impairment in HTx. This suggests that infra-clinical modifications, such as subtle immune system disorders or hypoxic conditions, might influence BNP expression. Nevertheless, due to other altered circulating molecular forms of BNP, a lack of specificity of BNP assays is described in heart failure patients. This phenomenon could exist in HT population and could explain elevated BNP plasmatic levels despite a normal RV function. In clinical practice, intra-individual change in BNP over time, rather than absolute BNP values, might be more helpful in detecting right cardiac dysfunction in HTx.
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