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Am J Physiol Heart Circ Physiol 291: H152-H160, 2006. First published February 10, 2006; doi:10.1152/ajpheart.01233.2005
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Inhibition of cardiac contractility by 5-hydroxydecanoate and tetraphenylphosphonium ion: a possible role of mitoKATP in response to inotropic stress

Keith D. Garlid,1 Paolo E. Puddu,2 Philippe Pasdois,3 Alexandre D. T. Costa,1 Bertrand Beauvoit,3,4 Anna Criniti,2 Liliane Tariosse,3 Philippe Diolez,5 and Pierre Dos Santos3,6

1Portland State University, Portland, Oregon; 2Department of the Heart and Great Vessels "Attilio Reale," University "La Sapienza": UOC Biotechnologies Applied to Cardiovascular Diseases, Rome, Italy; 3Institut National de la Santé et de la Recherche Médicale, Athérosclérose, Pessac, France; and 4Université Victor Ségalen Bordeaux 2, and 5Centre National de la Recherche Scientifique, Université Victor Ségalen Bordeaux 2, and 6Centre Hospitalier Universitaire de Bordeaux, Bordeaux, France

Submitted 21 November 2005 ; accepted in final form 29 January 2006

This study investigates the role of the mitochondrial ATP-sensitive K+ channel (mitoKATP) in response to positive inotropic stress. In Langendorff-perfused rat hearts, inotropy was induced by increasing perfusate calcium to 4 mM, by adding 80 µM ouabain or 0.25 µM dobutamine. Each of these treatments resulted in a sustained increase in rate-pressure product (RPP) of ~60%. Inhibition of mitoKATP by perfusion of 5-hydroxydecanoate (5-HD) or tetraphenylphosphonium before induction of inotropic stress resulted in a marked attenuation of RPP. Inhibition of mitoKATP after induction of stress caused the inability of the heart to maintain a high-work state. In human atrial fibers, the increase in contractility induced by dobutamine was inhibited 60% by 5-HD. In permeabilized fibers from the Langendorff-perfused rat hearts, inhibition of mitoKATP resulted, in all cases, in an alteration of adenine nucleotide compartmentation, as reflected by a 60% decrease in the half-saturation constant for ADP [K1/2 (ADP)]. We conclude that opening of cardiac mitoKATP is essential for an appropriate response to positive inotropic stress and propose that its involvement proceeds through the prevention of stress-induced decrease in mitochondrial matrix volume. These results indicate a physiological role for mitoKATP in inotropy and, by extension, in heart failure.

mitochondria; creatine kinase; calcium; dobutamine; ouabain



Address for reprint requests and other correspondence: P. Dos Santos, Inserm U. 441, Ave. du Haut Lévêque, 33604 Pessac, France (e-mail: pierre.dossantos{at}wanadoo.fr)




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