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J Am Coll Cardiol, 2000; 35:1338-1346
© 2000 by the American College of Cardiology Foundation
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ARTICLE

Cytokine-induced nitric oxide production inhibits mitochondrial energy production and impairs contractile function in rat cardiac myocytes

Tetsuya Tatsumi, MD, PhD*, Satoaki Matoba, MD*, Akira Kawahara, MD*, Natsuya Keira, MD*, Jun Shiraishi, MD*, Kazuko Akashi, MD*, Miyuki Kobara, MD*, Tetsuya Tanaka, MD*, Maki Katamura, MD*, Chiaki Nakagawa, MD*, Bon Ohta, MD, PhD*, Takeshi Shirayama, MD, PhD*, Kazuo Takeda, MD, PhD*, Jun Asayama, MD, PhD{dagger}, Henry Fliss, PhD{ddagger} and Masao Nakagawa, MD, PhD*

* Second Department of Medicine, Kyoto Prefectural University of Medicine; Kyoto, Japan
{dagger} Department of Clinical Pharmacology, Kyoto Pharmaceutical University, Kyoto, Japan
{ddagger} Department of Cellular and Molecular Medicine, University of Ottawa, Ottawa, Ontario, Canada

Manuscript received August 6, 1998; revised manuscript received October 27, 1999, accepted December 15, 1999.

Reprint requests and correspondence: Dr. Tetsuya Tatsumi, Second Department of Medicine, Kyoto Prefectural University of Medicine, Kawaramachi-Hirokoji, Kamigyo-ku, Kyoto 602-8566, Japan
tatsumi{at}koto.kpu-m.ac.jp

OBJECTIVES

The present study examined whether nitric oxide (NO) produced by inducible nitric oxide synthase (iNOS) can directly inhibit aerobic energy metabolism and impair cell function in interleukin (IL)-1ß–stimulated cardiac myocytes.

BACKGROUND

Recent reports have indicated that excessive production of NO induced by cytokines can disrupt cellular energy balance through the inhibition of mitochondrial respiration in a variety of cells. However, it is still largely uncertain whether the NO-induced energy depletion affects myocardial contractility.

METHODS

Primary cultures of rat neonatal cardiac myocytes were prepared, and NO2/NO3 (NOx) in the culture media was measured using Griess reagent.

RESULTS

Treatment with IL-1ß (10 ng/ml) increased myocyte production of NOx in a time-dependent manner. The myocytes showed a concomitant significant increase in glucose consumption, a marked increase in lactate production, and a significant decrease in cellular ATP (adenosine 5'-triphosphate). These metabolic changes were blocked by co-incubation with NG-monomethyl-L-arginine (L-NMMA), an inhibitor of NO synthesis. Sodium nitroprusside (SNP), a NO donor, induced similar metabolic changes in a dose-dependent manner, but 8-bromo-cyclic guanosine 3',5'-monophosphate (8-bromo-cGMP), a cGMP donor, had no effect on these parameters. The activities of the mitochondrial iron-sulfur enzymes, NADH-CoQ reductase and succinate-CoQ reductase, but not oligomycin-sensitive ATPase, were significantly inhibited in the IL-1ß or SNP-treated myocytes. Both IL-1ß and SNP significantly elevated maximum diastolic potential, reduced peak calcium current (ICa), and lowered contractility in the myocytes. KT5823, an inhibitor of cGMP-dependent protein kinase, did not block the electrophysiological and contractility effects.

CONCLUSIONS

These data suggest that IL-1ß–induced NO production in cardiac myocytes lowers energy production and myocardial contractility through a direct attack on the mitochondria, rather than through cGMP-mediated pathways.

Abbreviations and Acronyms
  ATP = adenosine 5'-triphosphate
  8-bromo-cGMP = 8-bromo-cyclic guanosine 3',5'-monophosphate
  IL-1ß = interleukin-1ß
  iNOS = inducible nitric oxide synthase
  L-NMMA = NG-monomethyl-L-arginine
  NO = nitric oxide
  SNP = sodium nitroprusside




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