Repository logo
 

Malonate given at reperfusion prevents post-myocardial infarction heart failure by decreasing ischemia/reperfusion injury.

Published version
Peer-reviewed

Repository DOI


Change log

Authors

Abe, Jiro 
Vujic, Ana 
Prag, Hiran A 
Murphy, Michael P 

Abstract

The mitochondrial metabolite succinate is a key driver of ischemia/reperfusion injury (IRI). Targeting succinate metabolism by inhibiting succinate dehydrogenase (SDH) upon reperfusion using malonate is an effective therapeutic strategy to achieve cardioprotection in the short term (< 24 h reperfusion) in mouse and pig in vivo myocardial infarction (MI) models. We aimed to assess whether inhibiting IRI with malonate given upon reperfusion could prevent post-MI heart failure (HF) assessed after 28 days. Male C57BL/6 J mice were subjected to 30 min left anterior coronary artery (LAD) occlusion, before reperfusion for 28 days. Malonate or without-malonate control was infused as a single dose upon reperfusion. Cardiac function was assessed by echocardiography and fibrosis by Masson's trichrome staining. Reperfusion without malonate significantly reduced ejection fraction (~ 47%), fractional shortening (~ 23%) and elevated collagen deposition 28 days post-MI. Malonate, administered as a single infusion (16 mg/kg/min for 10 min) upon reperfusion, gave a significant cardioprotective effect, with ejection fraction (~ 60%) and fractional shortening (~ 30%) preserved and less collagen deposition. Using an acidified malonate formulation, to enhance its uptake into cardiomyocytes via the monocarboxylate transporter 1, both 1.6 and 16 mg/kg/min 10 min infusion led to robust long-term cardioprotection with preserved ejection fraction (> 60%) and fractional shortening (~ 30%), as well as significantly less collagen deposition than control hearts. Malonate administration upon reperfusion prevents post-MI HF. Acidification of malonate enables lower doses of malonate to also achieve long-term cardioprotection post-MI. Therefore, the administration of acidified malonate upon reperfusion is a promising therapeutic strategy to prevent IRI and post-MI HF.

Description

Acknowledgements: The authors would like to thank Olga Sauchanka (Department of Medicine, University of Cambridge) for surgical advice and assistance throughout this study.

Keywords

Heart failure with reduced ejection fraction, Ischemia/reperfusion injury, Malonate, Mitochondria, Reactive oxygen species, Succinate, Animals, Malonates, Male, Myocardial Infarction, Mice, Inbred C57BL, Myocardial Reperfusion Injury, Heart Failure, Disease Models, Animal, Mice, Myocardium, Ventricular Function, Left, Fibrosis, Myocytes, Cardiac, Time Factors

Journal Title

Basic Res Cardiol

Conference Name

Journal ISSN

0300-8428
1435-1803

Volume Title

119

Publisher

Springer Science and Business Media LLC
Sponsorship
British Heart Foundation (PG/20/10025)
Medical Research Council (MC_UU_00015/3)
Wellcome Trust (220257/Z/20/Z)