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Ester Prodrugs of Malonate with Enhanced Intracellular Delivery Protect Against Cardiac Ischemia-Reperfusion Injury In Vivo.

Published version
Peer-reviewed

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Authors

Prag, Hiran A 
Pala, Laura 
Kula-Alwar, Duvaraka 
Mulvey, John F 
Luping, Du 

Abstract

PURPOSE: Mitochondrial reactive oxygen species (ROS) production upon reperfusion of ischemic tissue initiates the ischemia/reperfusion (I/R) injury associated with heart attack. During ischemia, succinate accumulates and its oxidation upon reperfusion by succinate dehydrogenase (SDH) drives ROS production. Inhibition of succinate accumulation and/or oxidation by dimethyl malonate (DMM), a cell permeable prodrug of the SDH inhibitor malonate, can decrease I/R injury. However, DMM is hydrolysed slowly, requiring administration to the heart prior to ischemia, precluding its administration to patients at the point of reperfusion, for example at the same time as unblocking a coronary artery following a heart attack. To accelerate malonate delivery, here we developed more rapidly hydrolysable malonate esters. METHODS: We synthesised a series of malonate esters and assessed their uptake and hydrolysis by isolated mitochondria, C2C12 cells and in mice in vivo. In addition, we assessed protection against cardiac I/R injury by the esters using an in vivo mouse model of acute myocardial infarction. RESULTS: We found that the diacetoxymethyl malonate diester (MAM) most rapidly delivered large amounts of malonate to cells in vivo. Furthermore, MAM could inhibit mitochondrial ROS production from succinate oxidation and was protective against I/R injury in vivo when added at reperfusion. CONCLUSIONS: The rapidly hydrolysed malonate prodrug MAM can protect against cardiac I/R injury in a clinically relevant mouse model.

Description

Keywords

Drug delivery, Ischemia/reperfusion injury, Malonate, Mitochondria, Succinate, Animals, Cardiotonic Agents, Cell Line, Disease Models, Animal, Esters, Female, Humans, Male, Malonates, Mice, Mice, Inbred C57BL, Mitochondria, Myocardial Infarction, Myocardial Reperfusion Injury, Prodrugs, Rats, Rats, Wistar, Reactive Oxygen Species, Succinic Acid

Journal Title

Cardiovasc Drugs Ther

Conference Name

Journal ISSN

0920-3206
1573-7241

Volume Title

36

Publisher

Springer Science and Business Media LLC
Sponsorship
Medical Research Council (MR/P000320/1)
Medical Research Council (MC_U105663142)
Wellcome Trust (110159/Z/15/Z)
British Heart Foundation (PG/15/84/31670)