title: Spatial heterogeneity of energy turnover in the heart.
abstract: Local myocardial blood flow varies substantially in spite of a rather homogeneous morphology. To further elucidate this paradox, the spatial heterogeneity of tricarboxylic acid cycle turnover (J(TCA), micromol min(-1) g(-1)) and coronary flow was assessed at a high spatial resolution (6x6x6 mm3) in the open chest dog. Local flow differed more than 2.5-fold between individual samples in each heart (n=7). Out of 1,500 myocardial samples, 1/10 received less than 60% and another 1/10 more than 138% of the normalized mean. In low- and high-flow samples, pyruvate uptake and metabolism were analyzed by 13C NMR spectroscopy. Following [3-13C]pyruvate infusion (2 mM, 12 min), glutamate [4-13C]/[3-13C] was significantly greater in low-flow (2.21+/-0.75, 40 samples) than in high-flow (1.64+/-0.49, 39 samples) areas. This suggests that there are major differences in J(TCA). Glutamate, citrate and lactate content positively correlated with flow. Anaplerotic pathways contributed a fraction similar to J(TCA) in low- and high-flow areas, as demonstrated by isotopomer analysis after 60 min of [3-13C]pyruvate application. Mathematical model analysis of NMR data and relevant pool sizes revealed that J(TCA) and thus myocardial oxygen consumption (MVO2) in high-flow areas exceed values in low-flow areas at least threefold. Thus low and high metabolic states normally coexist within the well perfused heart, suggesting that there is considerable spatial heterogeneity of cardiac energy generation and work.
authors: Dept. of Physiology, Heinrich-Heine-University Düsseldorf, Germany. decking@uni-duesseldorf.de
authors: U K
authors: UK
authors: Decking
authors: S
authors: S
authors: Skwirba
authors: M F
authors: MF
authors: Zimmermann
authors: B
authors: B
authors: Preckel
authors: V
authors: V
authors: Thämer
authors: A
authors: A
authors: Deussen
authors: J
authors: J
authors: Schrader
mesh_terms: D000409:Alanine / Q000378:metabolism; D000818:Animals; D001224:Aspartic Acid / Q000378:metabolism; D002247:Carbon Isotopes; D019343:Citric Acid / Q000378:metabolism; D002952:Citric Acid Cycle / Q000502:physiology*; D003326:Coronary Circulation / Q000502:physiology*; D004285:Dogs; D004734:Energy Metabolism / Q000502:physiology*; D018698:Glutamic Acid / Q000378:metabolism; D007656:Ketoglutaric Acids / Q000378:metabolism; D019344:Lactic Acid / Q000378:metabolism; D009682:Magnetic Resonance Spectroscopy; D008293:Malates / Q000378:metabolism; D008954:Models, Biological; D009206:Myocardium / Q000378:metabolism*; D062907:Oxaloacetic Acid / Q000378:metabolism; D010101:Oxygen Consumption / Q000502:physiology; D019289:Pyruvic Acid / Q000378:metabolism
chemical_list: D002247:Carbon Isotopes; D007656:Ketoglutaric Acids; D008293:Malates; D019343:Citric Acid; D062907:Oxaloacetic Acid; D001224:Aspartic Acid; D019344:Lactic Acid; D018698:Glutamic Acid; C030298:malic acid; D019289:Pyruvic Acid; D000409:Alanine