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Department of Biochemistry, University of Oxford, Oxford OX1 3QU, United Kingdom
To determine whether the
effects of fatty acids on the diabetic heart during ischemia
involve altered glycolytic ATP and proton production, we measured
energetics and intracellular pH (pHi) by using
31P NMR spectroscopy plus [2-3H]glucose
uptake in isolated rat hearts. Hearts from 7-wk streptozotocin diabetic
and control rats, perfused with buffer containing 11 mM glucose, with
or without 1.2 mM palmitate or the ketone bodies, 4 mM
-hydroxybutyrate plus 1 mM acetoacetate, were subjected to 32 min of
low-flow (0.3 ml · g wet
wt
1 · min
1) ischemia,
followed by 32 min of reperfusion. In control rat hearts, neither
palmitate nor ketone bodies altered the recovery of contractile
function. Diabetic rat hearts perfused with glucose alone or with
ketone bodies, had functional recoveries 50% lower than those of the
control hearts, but palmitate restored recovery to control levels. In a
parallel group with the functional recoveries, palmitate prevented the
54% faster loss of ATP in the diabetic, glucose-perfused rat hearts
during ischemia, but had no effect on the rate of ATP depletion
in control hearts. Palmitate decreased total glucose uptake in control
rat hearts during low-flow ischemia, from 106 ± 17 to
52 ± 12 µmol/g wet wt, but did not alter the total glucose
uptake in the diabetic rat hearts, which was 42 ± 5 µmol/g wet
wt. Recovery of contractile function was unrelated to pHi
during ischemia; the glucose-perfused control and
palmitate-perfused diabetic hearts had end-ischemic
pHi values that were significantly different at 6.36 ± 0.04 and 6.60 ± 0.02, respectively, but had similar functional
recoveries, whereas the glucose-perfused diabetic hearts had
significantly lower functional recoveries, but their pHi
was 6.49 ± 0.04. We conclude that fatty acids, but not ketone bodies, protect the diabetic heart by decreasing ATP depletion, with
neither having detrimental effects on the normal rat heart during
low-flow ischemia.
31P nuclear magnetic resonance spectroscopy; substrate utilization; glucose uptake; myocardial energetics
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