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Myocardial iron content and mitochondrial function in human heart failure: a direct tissue analysis
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SYSNO ASEP 0477808 Document Type J - Journal Article R&D Document Type Journal Article Subsidiary J Článek ve WOS Title Myocardial iron content and mitochondrial function in human heart failure: a direct tissue analysis Author(s) Melenovský, V. (CZ)
Petrák, J. (CZ)
Mráček, Tomáš (FGU-C) RID, ORCID
Beneš, J. (CZ)
Borlaug, B. A. (US)
Nůsková, Hana (FGU-C) RID, ORCID
Pluháček, T. (CZ)
Špatenka, J. (CZ)
Kovalčíková, Jana (FGU-C)
Drahota, Zdeněk (FGU-C) RID, ORCID
Kautzner, J. (CZ)
Pirk, J. (CZ)
Houštěk, Josef (FGU-C) RID, ORCIDSource Title European Journal of Heart Failure - ISSN 1388-9842
Roč. 19, č. 4 (2017), s. 522-530Number of pages 9 s. Language eng - English Country US - United States Keywords heart failure ; mitochondria ; iron deficiency ; bioenergetics ; metabolism ; reactive oxygen species Subject RIV EB - Genetics ; Molecular Biology OECD category Biochemistry and molecular biology R&D Projects GB14-36804G GA ČR - Czech Science Foundation (CSF) NT14050 GA MZd - Ministry of Health (MZ) LQ1604 GA MŠMT - Ministry of Education, Youth and Sports (MEYS) NT14250 GA MZd - Ministry of Health (MZ) ED1.1.00/02.0109 GA MŠMT - Ministry of Education, Youth and Sports (MEYS) NV16-27496A GA MZd - Ministry of Health (MZ) Institutional support FGU-C - RVO:67985823 UT WOS 000401004500011 EID SCOPUS 84988378043 DOI https://doi.org/10.1002/ejhf.640 Annotation Iron replacement improves clinical status in iron-deficient patients with heart failure (HF), but the pathophysiology is poorly understood. The impact of myocardial iron deficiency (MID) on mitochondrial function, measured directly in the failing human heart, is unknown. Left ventricular samples were obtained from 91 consecutive HF patients and 38 HF-free organ donors (controls). Total myocardial iron content, mitochondrial respiration, citric acid cycle and respiratory chain enzyme activities, and content of OXPHOS complexes and ROS-protective enzymes were measured in tissue homogenates to quantify mitochondrial function. Myocardial iron content was lower in HF compared with controls (156 +/- 41 vs. 200 +/- 38 mu g.g(-1) dry weight, P < 0.001), independently of anaemia. MID was associated with more extensive coronary disease and less beta-blocker usage compared with non-MID HF patients. Compared with controls, HF patients displayed reduced myocardial oxygen respiration and reduced activity of all examined mitochondrial enzymes (all P < 0.001). MID in HF was associated with preserved activity of respiratory chain enzymes but reduced activity of aconitase and citrate synthase (by -26% and -15%, P < 0.05) and reduced expression of catalase, glutathione peroxidase, and superoxide dismutase 2. Myocardial iron content is decreased and mitochondrial functions are impaired in advanced HF. MID in HF is associated with diminished citric acid cycle enzyme activities and decreased ROS-protecting enzymes. MID may contribute to altered myocardial substrate use and to worsening of mitochondrial dysfunction that exists in HF. Workplace Institute of Physiology Contact Lucie Trajhanová, lucie.trajhanova@fgu.cas.cz, Tel.: 241 062 400 Year of Publishing 2018
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