Alterations to cardiac metabolism with advancing age

Ger J. van der Vusse
Department of Physiology, Cardiovascular Research Institute Maastricht (CARIM),Maastricht University, Maastricht, the Netherlands

Correspondence: Professor Ger J. van der Vusse, Department of Physiology, Cardiovascular Research Institute Maastricht (CARIM), Maastricht University, PO Box 616, 6200 MD Maastricht, the Netherlands. Tel: +31 43 3881086, fax: +31 433884166 , e-mail: vandervusse@fys.unimaas.nl

Because of the rapidly growing number of elderly people in Western societies, cardiac malfunction due to age-related changes in the cardiovascular system is becoming a major health problem. As thoroughly discussed in an excellent review by Lakatta,[1] there is no straightforward answer to the question whether aging itself is inherently associated with impaired cardiac performance, since other factors such as lifestyle and diseases may interact with the normal physiological aging process. On the one hand, the detrimental effects of, for example, sedentariness accumulate with advancing age, and on the other, diseases such as hypertension and myocardial ischemia are more often seen in the elderly.
Although pump activity of the physiologically aged heart seems not to be affected under resting conditions, cardiac performance is depressed when the heart is energetically challenged.[1] Moreover, profound changes at the cellular and subcellular level have been reported: b-adrenergic responsiveness of the cardiac system is significantly reduced,[1] calcium handling is altered,[2] and the composition of contractile proteins changed, exemplified by a shift from the a to the b form of the myosin heavy chain.[3] It is of interest to note that the latter change is thought to improve the efficiency of the aging heart.[1]
Prompted by the pioneering studies of Abu-Erreish et al[4] in the late 1970s, demonstrating a decline in fatty acid oxidation with a concomitant increase in glycolytic activity in the aged rat heart, a plethora of studies has been performed to disclose the effect of aging on cardiac energy metabolism. In general, these studies point to substantial changes in the activity of the enzymes that play a key role in cardiac energy metabolism, and to alterations in the tissue content of cofactors required for substrate oxidation, and in mitochondrial functioning. The pathophysiological significance of these changes for mechanical performance of the aging heart is, however, incompletely understood and a matter of continuous debate.

Cardiac metabolism
Proper cardiac electromechanical performance requires unimpeded delivery of molecular oxygen and oxidizable substrates. The heart relies mainly on fatty acids and glucose for intracellular ATP production.[5] Under normal conditions, lactate and ketone bodies are used to a lesser extent.[6] Healthy coronary vessels guarantee a sufficient supply of substrates to the energy-converting myocytes. As indicated in Figure 1, glucose transport into the cardiomyocyte is facilitated by GLUT4.


Figure 1. Schematic representation of substrate uptake and metabolism in the cardiac muscle cell. FAT, fatty acid translocase; FABP, sarcoplasmic fatty acid-binding protein; NAD, nicotinamide adenine dinucleotide; NADH, reduced nicotinamide adenine dinucleotide.

The latter protein is a glucose transporter that can be recruited from its intracellular storage site to enhance the sarcolemmal capacity to translocate glucose. Glucose is subsequently degraded to pyruvate in a stepwise fashion in the cytoplasm of the cardiac muscle cell. This process, glycolysis, yields two molecules of ATP per molecule of glucose. Under aerobic conditions, pyruvate is converted to acetyl-CoA by pyruvate dehydrogenase, an enzyme complex associated with the mitochondrial inner membrane. Acetyl-CoA reacts with oxaloacetate, an intermediate of the citric acid cycle, yielding citrate. During one turn of the citric acid cycle, citrate is metabolized to oxaloacetate. In concerted action with the mitochondrial respiratory chain, 36 molecules of ATP are produced when one molecule of glucose is oxidized to CO2 and H2O. Recent investigations have revealed that, analogous to glucose, fatty acid uptake by the cardiac muscle cell is also facilitated by a sarcolemma-associated transport protein.[7] This protein, designated fatty acid translocase, augments the capacity of the cardiomyocyte to extract fatty acids from the extracellular compartment by increasing its sarcolemmal content through translocation from an intracellular site to the cell membrane.[8] Transport of fatty acids from the sarcolemma to the mitochondrial outer membrane is facilitated by cytoplasmic fatty acid-binding protein. After conversion to fatty acyl-CoA, a reaction step catalyzed by acyl-CoA synthetase, the acyl moiety is transferred across the mitochondrial inner membrane as acylcarnitine (Figure 2).


Figure 2. Detailed description of mitochondrial fatty acid uptake and degradation. Numbers 1, 2, 3, 4, and 5 refer to fatty acyl synthetase, carnitine palmitoyl transferase-1, carnitine-acylcarnitine translocase, carnitine palmitoyl transferase-2, and 3-hydroxyacyl-CoA dehydrogenase, respectively; fp, flavoprotein; NAD+, oxidized nicotinamide adenine dinucleotide; NADH, reduced nicotinamide adenine dinucleotide.

Inside the mitochondrion, carnitine is replaced by CoA, and acyl-CoA is stepwise degraded to acetyl-CoA in a metabolic pathway termed b-oxidation. As described above, the acetyl moiety of acetyl-CoA is oxidized by concerted action of the citric acid cycle and the respiratory chain. Oxidation of fatty acids yields approximately 130 molecules of ATP per molecule of substrate.

Energy conversion in the aging heart
Animal studies have clearly shown that substrate metabolism in the aging heart is different to that in the young adult heart. The capacity to oxidize fatty acids declines, while glycolytic degradation of glucose increases.[4] Collected data point to a multifactorial cause of the decrease in fatty acid oxidation. First, the cardiac tissue content of carnitine, indispensable for mitochondrial uptake of fatty acyl moieties, is significantly reduced in the aged myocardium.[4,9] The maximal activity of carnitine palmitoyl transferase-1 and carnitine-acylcarnitine translocase was also found to be decreased in mitochondria isolated from the aged heart (Figure 2).[10–12] The combined findings indicate therefore that both the enzyme and transporter, and the cofactor required for mitochondrial fatty acyl uptake, are affected in the aged myocardium. Interestingly, the tissue content of CoA, required for fatty acid activation at the mitochondrial outer membrane (Figure 2), is unaffected by aging.[4] By contrast, the maximal activity of the enzyme catalyzing the activation step, acyl-CoA synthetase, declines significantly with advancing age.[13] The same holds for one of the key enzymes in the b-oxidation pathway, 3-hydroxyacyl-CoA dehydrogenase.[13]
The impact of the decline in enzyme activity and content of cofactors involved in fatty acid handling has been established in studies on intact mitochondria isolated from rat myocardium, ie, the oxidation rate of palmitoyl carnitine declines by 40%.[13]
It is noteworthy that in conjunction with the relative increase in cardiac glucose utilization, substantial alterations have been observed in the tissue content of transport proteins and activity of enzymes involved in carbohydrate handling in the aged heart. GLUT4 content significantly declined in the hearts of 25-month-old rats compared with animals 3.5 months of age.[14] These seemingly conflicting findings of increased glycolytic flux and decreased total GLUT4 content suggest that a relatively higher proportion of GLUT4 is permanently present in the sarcolemma of aged cardiomyocytes. The total activity of pyruvate dehydrogenase, controlling the mitochondrial conversion of pyruvate into acetyl-CoA, does not change in the aged heart. However, the percentage of the enzyme complex in its active form significantly decreases during aging.[15] The decline in proportion of pyruvate dehydrogenase in the active form might indicate that in the aged heart, pyruvate is preferentially converted to lactate rather than oxidized in the mitochondrial matrix (Figure 1)
Recent studies also indicate that the activity of some components of the respiratory chain, such as cytochrome c oxidase, is depressed in the aged heart. It is, however, unknown whether this decline affects the maximum capacity of the aged cardiac mitochondrion to utilize molecular oxygen and to regenerate ATP from ADP. Despite this uncertainty, current data point towards the mitochondrion as one of the main cellular compartments in which cardiac energy metabolism becomes affected during advancing age.
Evidence is accumulating that alterations in the phospholipid composition of the aged cardiac mitochondria are, at least in part, responsible for the decline in mitochondrial metabolic functioning.
Cardiolipin, a phospholipid species that is specifically incorporated in mitochondrial membranes, shows a significant decline in
the aging myocardium.[12,16] It is generally accepted that cardiolipin is an essential phospholipid moiety in the mitochondrial membrane that is required to optimize the activity of enzymes constituting the respiratory chain.
The cause of the age-related decline in mitochondrial cardiolipin content is unknown, but the relatively high proportion of polyunsaturated fatty acids in this particular phospholipid points to the damaging effect of oxygen free radicals. In this respect it is noteworthy that the production of oxygen free radicals, with their main site of production being the mitochondrion itself, is more prominent in the aged than in the young adult heart.[17] Alternatively, exposure to oxygen free radicals may be enhanced due to a decline in capacity to scavenge the active oxygen species in the aged heart. This notion, however, has been challenged by the observation that, as a compensatory reaction, the activities of the main oxygen radical scavenger enzymes are stimulated in the mitochondria of the aged heart.[18] In addition to cardiolipin, mitochondrial DNA is a ready target for oxygen free radicals.[19,20] Oxidative damage of cardiac mitochondrial DNA was found to be inversely related to maximum lifespan of the mammals under investigation.[19] Mitochondrial DNA is relatively more sensitive to oxygen free radicals than is nuclear DNA, which may explain the fact that in particular mitochondrial proteins and, hence, proteins involved in cardiac energy conversion are compromised with increasing age.

Dietary and therapeutic strategies
Since energy metabolism has been identified as one of the processes affected in the aging heart, multiple strategies have been developed to restore cardiac substrate handling and energy production to the juvenile level. These therapeutic strategies mostly relate to dietary interventions. Since epidemiological and laboratory evidence points to oxidative injury caused by oxygen free radicals as an important factor in the major diseases of older age, fruit and vegetables, rich in antioxidant vitamins such as vitamin E and C, have been strongly recommended.[21]
In vitro studies on mitochondria isolated from the aged heart have shown that restoration of the mitochondrial cardiolipin content to young adult levels promptly restores the activity of enzymes involved in the respiratory chain. At present, no strategies, however, have been developed to prevent or restore the decline in mitochondrial cardiolipin content in the intact heart in situ during advancing age by dietary supplementation of cardiolipin.
Studies on rats have provided solid evidence that chronic administration of acetylcholine via drinking water completely restores cardiac carnitine levels in aged animals to that seen in rats 5 months of age.[9] More recently, it was shown that acetylcarnitine treatment of rats prevented the age-related decline in activity of carnitine-acylcarnitine translocase in cardiac mitochondria. Unfortunately, information is lacking on the beneficial effect of carnitine supplementation in cardiac mechanical performance. Moreover, until now, the potentially beneficial effect of carnitine supplementation has not been explored in the aging human heart.
In addition to dietary strategies, molecular biology may provide powerful tools to restore cardiac metabolism in the aging heart. When most details of the expression of genes coding for metabolic proteins are known, one may envisage that the administration of ligands specifically interacting with nuclear factors, regulating the expression and, hence, tissue content of proteins or enzymes involved in cardiac substrate handling and conversion, will result in improved cardiac energy metabolism in the elderly.

REFERENCES

 
1: Physiol Rev 1993 Apr;73(2):413-67 Related Articles, Books, LinkOut

Cardiovascular regulatory mechanisms in advanced age.

Lakatta EG.

Laboratory of Cardiovascular Science, National Institute on Aging, Baltimore, Maryland.

Publication Types:
  • Review
  • Review, Academic

PMID: 8475195 [PubMed - indexed for MEDLINE]
2: J Gen Physiol 1985 Nov;86(5):637-51 Related Articles, Books, LinkOut

Intracellular calcium transients and developed tension in rat heart muscle. A mechanism for the negative interval-strength relationship.

Orchard CH, Lakatta EG.

The purposes of the present study were to determine (a) whether changes of intracellular [Ca2+] (Cai) can account for the decrease of developed tension observed in rat heart muscle when stimulation rate is increased, and (b) whether the effect of stimulation rate on Cai is altered in conditions in which the rate of repriming of the sarcoplasmic reticulum (SR) is altered, as when perfusate [Ca2+] (Cao) is increased, and in heart muscle from senescent animals. The photoprotein aequorin was used to monitor Cai in rat papillary muscles. In muscles from 6-mo-old rats, increasing the stimulation rate in the range 0.2-0.66 Hz led to parallel decreases of both the aequorin light transient and developed tension when Cao was 2 mM. When Cao was increased to 4 mM, changes in the stimulation rate had less effect on both the light transient and tension. At 8 mM Cao, changing the stimulation rate had no effect on either the light transient or developed tension. Papillary muscles from 24-mo-old rats, in which SR function is likely to be depressed, exhibited a prolonged Ca2+ transient and twitch. At a Cao of 4 or 8 mM, increasing the stimulation rate from 0.33 to 0.66 Hz still led to decreases in the size of the aequorin light transient and developed tension in these muscles. Developed tension and aequorin light responded to increases of Cao in the same way in both groups of muscles. We conclude that under the conditions of our experiments, developed tension is determined by Cai. The negative interval-strength relationship observed when Cao is in the physiological range can be accounted for by a time-dependent recycling of Ca2+ by the SR. The effects of increasing Cao and the age-related differences observed at high Cao can also be accounted for using this model.

PMID: 4067571 [PubMed - indexed for MEDLINE]
3: Circ Res 1987 Feb;60(2):238-45 Related Articles, Books, LinkOut

Changes in myosin isoenzymes, ATPase activity, and contraction duration in rat cardiac muscle with aging can be modulated by thyroxine.

Effron MB, Bhatnagar GM, Spurgeon HA, Ruano-Arroyo G, Lakatta EG.

To determine whether the relative decline in cardiac myosin isoenzyme V1 with maturation continues progressively into senescence and whether thyroxine could reverse age-associated changes in the myosin isoenzyme profile and contraction, rats 2, 8, and 24 months old were treated with thyroxine, 6.4 mg/kg, for 7 days. Myosin isoenzymes, Ca2+-myosin ATPase activities, and isometric contractile function were measured in cardiac preparations from thyroxine-treated animals and age-matched controls. Right ventricular hypertrophy did not occur with aging in controls. Thyroxine increased right ventricular weight in each age group compared to the control group. Body weight decreased by 10% in all thyroxine-treated rats. The relative right ventricular V1 isoenzyme content progressively decreased from 75 +/- 1% to 54 +/- 1% and 14 +/- 1% in controls at 2, 8, and 24 months, respectively, and was associated with a reciprocal increase in V3 myosin isoenzyme. Ca2+-myosin ATPase activity also progressively declined monotonically with age in the control rats from 854 +/- 28 nmol Pi/mg prot/min at 2 months to 529 +/- 28 nmol Pi/mg prot/min at 24 months. Thyroxine administration increased right ventricular V1 at each age to 97 +/- 2%, 73 +/- 2%, and 59 +/- 2% at 2, 8, and 24 months, respectively. A thyroxine induced increase in the Ca2+-myosin ATPase activity could be detected only in the 24-month-old animals.(ABSTRACT TRUNCATED AT 250 WORDS)

PMID: 2952364 [PubMed - indexed for MEDLINE]
4: Am J Physiol 1977 Mar;232(3):E258-62 Related Articles, Books, LinkOut

Fatty acid oxidation by isolated perfused working hearts of aged rats.

Abu-Erreish GM, Neely JR, Whitmer JT, Whitman V, Sanadi DR.

It has been reported that mitochondria isolated from hearts of old rats have lower respiratory activity than mitochondria from young rats. In order to determine the physiological correlates of these changes, the metabolism of hearts from young and old rats has been compared in a perfused working heart preparation. The oxidation of [14C]palmitate to 14CO2, oxygen consumption, and nucleotide levels were measured under different cardiac workloads. The hearts from old animals performed less cardiac work and utilized less oxygen and palmitate in proportion to tissue mass, but the ratio of oxygen consumed to pressure developed was unaltered. There was a small but significant decrease in cardiac efficiency expressed as the ratio between the rate of oxygen consumed and ventricular pressure development. Tissue levels of total carnitine and long-chain acylcarnitine derivatives were greatly reduced in the older heart without significant change in free CoA, acetyl-CoA, or long-chain acyl-CoA. The adenine nucleotide levels were not significantly different in the two groups. The results appear consistent with the in vitro studies on isolated mitochondria.

PMID: 842660 [PubMed - indexed for MEDLINE]

 5. van der Vusse GJ, Glatz JFC, Stam HC, Reneman RS. Fatty acid homeostasis in the normoxic and ischemic heart. Physiol Rev. 1992;72:881–940.  link not found

 
6: Curr Probl Cardiol 1994 Feb;19(2):59-113 Related Articles, Books, LinkOut

Energy metabolism of the heart: from basic concepts to clinical applications.

Taegtmeyer H.

Division of Cardiology, University of Texas-Houston Medical School.

Publication Types:
  • Review
  • Review, Tutorial

PMID: 8174388 [PubMed - indexed for MEDLINE]
7: J Lipid Res 1997 Apr;38(4):745-58 Related Articles, Books, LinkOut

Uptake and metabolism of palmitate by isolated cardiac myocytes from adult rats: involvement of sarcolemmal proteins.

Luiken JJ, van Nieuwenhoven FA, America G, van der Vusse GJ, Glatz JF.

Department of Physiology, Cardiovascular Research Institute Maastricht (CARIM), Maastricht University, The Netherlands.

The precise mechanism of uptake of long-chain fatty acids (FA) by cardiac myocytes is incompletely understood. We examined the involvement of sarcolemmal proteins in the initial uptake of FA by isolated rat cardiac myocytes, and the relation between initial uptake and metabolism. Cardiac myocytes were incubated in the presence of 90 microns [1-14C]palmitate complexed to 300 microns bovine serum albumin (BSA), presenting a physiologically relevant condition. During initial palmitate uptake (3 min), 56% of the intracellularly sequestered palmitate was esterified, and an additional 21% converted into oxidation intermediates. Varying the palmitate/BSA molar ratio revealed saturation kinetics with the apparent Km for cellular palmitate uptake (435 micro M) to be comparable to those for esterification (465 micro M) and oxidation (222 micro M). Varying the BSA concentration at a fixed palmitate/BSA molar ratio also showed saturation of uptake at increasing concentrations, with an apparent Km for BSA of 23 micro M. Changes in palmitate metabolism induced by changes in glucose utilization were accompanied by identical effects on palmitate uptake. Addition of lactate also inhibited both oxidation and uptake of palmitate, but had no effect on esterification. Virtually complete inhibition of palmitate oxidation by etomoxir inhibited palmitate uptake for 50%, while decreasing esterification by 33%. In the presence of phloretin and trypsin, palmitate uptake and metabolism were inhibited 76-88%, and in the presence of sulfo-N-succinimidyloleate by 53%. It is concluded that a) the bulk of sarcolemmal palmitate translocation occurs by membrane-associated FA-binding proteins, most likely assisted by albumin binding proteins without regulatory function, and b) palmitate uptake is most likely driven by its rapid intracellular metabolic conversion.

PMID: 9144089 [PubMed - indexed for MEDLINE]. 
8: J Biol Chem 2000 May 12;275(19):14501-8 Related Articles, Books, LinkOut
Click here to read
Acute regulation of fatty acid uptake involves the cellular redistribution of fatty acid translocase.

Bonen A, Luiken JJ, Arumugam Y, Glatz JF, Tandon NN.

Department of Kinesiology, University of Waterloo, Waterloo, Ontario N2L 3G1, Canada. abonen@healthy.uwaterloo.ca

We used muscle contraction, which increases fatty acid oxidation, as a model to determine whether fatty acid transport is acutely regulated by fatty acid translocase (FAT/CD36). Palmitate uptake by giant vesicles, obtained from skeletal muscle, was increased by muscle contraction. Kinetic studies indicated that muscle contraction increased V(max), but K(m) remained unaltered. Sulfo-N-succinimidyl oleate, a specific inhibitor of FAT/CD36, fully blocked the contraction-induced increase in palmitate uptake. In giant vesicles from contracting muscles, plasma membrane FAT/CD36 was also increased in parallel with the increase in long chain fatty acid uptake. Further studies showed that like GLUT-4, FAT/CD36 is located in both the plasma membrane and intracellularly (endosomally). With muscle contraction, FAT/CD36 at the surface of the muscle was increased, while concomitantly, FAT/CD36 in the intracellular pool was reduced. Similar responses were observed for GLUT-4. We conclude that fatty acid uptake is subject to short term regulation by muscle contraction and involves the translocation of FAT/CD36 from intracellular stores to the sarcolemma, analogous to the regulation of glucose uptake by GLUT-4.

PMID: 10799533 [PubMed - indexed for MEDLINE]
9: Exp Gerontol 1990;25(2):127-34 Related Articles, Books, LinkOut

Levels of carnitines in brain and other tissues of rats of different ages: effect of acetyl-L-carnitine administration.

Maccari F, Arseni A, Chiodi P, Ramacci MT, Angelucci L.

Institute for Research on Senescence, Sigma-Tau S.p.A., Pomezia, Rome, Italy.

Male Sprague-Dawley rats, aged 2, 5, 16, 20 and 30 months and normally fed, were used for determination of carnitines in the brain, serum, heart, tibial muscle, liver and urine. With respect to 5-month-old animals, those aged 30 months exhibited a statistically significant decrement of total carnitine levels in the brain, serum, heart and tibial muscle, accompanied by a dramatic increment in the liver. This suggests impaired net transport of carnitines from the liver to the blood in old age. Urinary excretion was similar in the two age groups. One group received from 5 months on daily 75 mg/kg acetyl-L-carnitine in drinking water. At 20 months, the treated animals showed levels of brain, heart and serum carnitines similar to those of 5-month-old animals. The recovery of brain, heart and serum carnitines in the old animals treated with acetyl-L-carnitine indicates that intestinal absorption and tissue uptake remain sufficiently efficient in the course of aging. The lower level of brain lipofuscins due to acetyl-L-carnitine treatment may be related to the effect of the compound on acetylcholine metabolism.

PMID: 2369927 [PubMed - indexed for MEDLINE]
10: Cardiovasc Res 1993 Dec;27(12):2222-8 Related Articles, Books, LinkOut

Mitochondrial metabolism and substrate competition in the aging Fischer rat heart.

McMillin JB, Taffet GE, Taegtmeyer H, Hudson EK, Tate CA.

Department of Pathology and Laboratory Medicine, University of Texas Medical School at Houston.

OBJECTIVE: The objective was to examine mitochondrial oxidative metabolism of long chain fatty acids and to compare it with glucose uptake and the generation of pressure-volume work in hearts from mature and aged rats. METHODS: Hearts from mature (8 to 15 months of age) and old (28 to 30 months) Fischer 344 rats were perfused as working hearts with either 10 mM glucose or glucose plus 1 mM oleic acid (2% bovine serum albumin) and rates of glucose extraction were determined. Hearts were subjected to a stepwise increase in work load. In separate experiments, mitochondria were isolated from mature and old rat hearts and assayed for respiratory function, carnitine exchange, carnitine palmitoyltransferase activities, and phospholipid content. RESULTS: Although there were no differences in peak work attained between the mature and old rats in the presence of either glucose alone or glucose plus oleic acid, glucose utilisation was significantly decreased by oleate in the mature animals only. No significant changes in either glutamate or succinate (+rotenone) supported respiration were found in heart mitochondria isolated from old rats compared with mature animals. In agreement with prior studies with the Wistar rat model of aging, significant decrements in the rates of palmitoylcarnitine oxidation and carnitine exchange were apparent in the old Fischer animals. A significant lowering of heart mitochondrial carnitine palmitoyltransferase I activity was also found in the old animals. A decrease in the amounts of carnitine loaded in mitochondria from old animals is consistent with reduced carnitine content in both mitochondria and whole hearts from aged Wistar and Fischer rats. A significant (23%) reduction in heart mitochondrial cardiolipin content from 30 month old Fischer rats suggests that this phospholipid may also contribute to the lower rates of carnitine and acylcarnitine transport across the mitochondrial inner membrane. CONCLUSION: The limitation in the delivery of fatty acyl units to beta oxidation as measured in isolated heart mitochondria from old rats has a physiological correlate in the intact heart. The well documented suppression of glucose oxidation by fatty acids seen in the adult rat heart is not seen in old hearts, supporting the in vitro finding of decreased oxidation of palmitoylcarnitine with senescence.

PMID: 8313432 [PubMed - indexed for MEDLINE]
11: Mech Ageing Dev 1995 Apr 14;79(2-3):127-36 Related Articles, Books, LinkOut

Carnitine palmitoyl transferase-I activity in the aging mouse heart.

Odiet JA, Boerrigter ME, Wei JY.

Division on Aging, Harvard Medical School, Beth Israel Hospital, Boston, MA 02215, USA.

We investigated the influence of age on carnitine palmitoyl transferase-I (CPT-I, EC 2.3.1.21) activity in the mouse heart. There was an age-associated decrease in CPT-I activity from 2 to 26 months (P = 0.006). We studied the effect of oxygen-derived radicals on CPT-I activity. Mitochondria from 2-month-old mouse hearts exposed to different concentrations of hydrogen peroxide (H2O2) showed a dose-related decrease in CPT-I activity (P < 0.002). To determine the possible reversibility of the age change in CPT-I activity, we studied the effect of oral administration of propionyl-L-carnitine (PLC). Oral pretreatment of middle-aged (18-month-old) mice with PLC resulted in a 37% increase of basal CPT-I activity (P < 0.05) compared to age-matched untreated animals, and restored it to a level similar to that of 2-month-old mice. Pretreatment of senescent (26-month-old) mice with PLC, however, showed no significant change in basal CPT-I activity. It is possible that the age-related decrease in CPT-I activity may result from an in vivo accumulation of oxygen-derived radical damage. It appears that the age change in CPT-I activity in 18- but not in the 26-month-old mice is reversible with PLC.

PMID: 7616763 [PubMed - indexed for MEDLINE] 
12: Mech Ageing Dev 1995 Oct 13;84(2):103-12 Related Articles, Books, LinkOut
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Carnitine-acylcarnitine translocase activity in cardiac mitochondria from aged rats: the effect of acetyl-L-carnitine.

Paradies G, Ruggiero FM, Petrosillo G, Gadaleta MN, Quagliariello E.

Department of Biochemistry and Molecular Biology, University of Bari, Italy.

Age-related changes in mitochondrial fatty acids metabolism may underlie the progressive decline in cardiac function. The effect of aging and acute treatment with acetyl-L-carnitine on fatty acids oxidation and on carnitine-acylcarnitine translocase activity in rat heart mitochondria was studied. Rates of palmitoylcarnitine supported respiration as well as carnitine-carnitine and carnitine-palmitoylcarnitine exchange reactions were all depressed (approx. 35%) in heart mitochondria from aged rats. These effects were almost completely reversed following treatment of aged rats with acetyl-L-carnitine. Heart mitochondrial cardiolipin content was significantly reduced (approx. 38%) in aged rats. Treatment of aged rats with acetyl-L-carnitine restored the level of cardiolipin to that of young rats. It is suggested that acetyl-L-carnitine is able to reverse age-related decrement in mitochondrial carnitine-acylcarnitine exchange activity by restoring the normal cardiolipin content.

PMID: 8788238 [PubMed - indexed for MEDLINE]
13: Biochem J 1978 Feb 15;170(2):285-95 Related Articles, Books, LinkOut

Lipid oxidation by heart mitochondria from young adult and senescent rats.

Hansford RG.

PMID: 637843 [PubMed - indexed for MEDLINE]
14: J Gerontol 1993 Jul;48(4):B168-70 Related Articles, Books, LinkOut

Myocardial GLUT-4 glucose transporter protein levels of rats decline with advancing age.

Cartee GD.

Biodynamics Laboratory, University of Wisconsin-Madison.

Age-related changes in glucose metabolism and glucose transporter protein content have been described in adipose tissue and skeletal muscle, two tissues that express the GLUT-4 isoform of the glucose transporter protein. I studied the effect of age on the levels of GLUT-4 protein in a third insulin-sensitive tissue: the heart. Cardiac ventricles were sampled from male Fischer 344/Brown Norway F1 hybrid (F344/BNNia) rats. The total protein concentration of the left ventricle did not change with age. GLUT-4 levels per mg of protein declined by 15% between 3.5 and 13 months of age, and by another 12% during adulthood (between 13 and 25 months of age); when expressed per g wet weight, the decreases were 13% and 17%, respectively. Linear regression analysis revealed a significant (p < .0001) relationship (r2 = .634) between age and myocardial GLUT-4. These results demonstrate that the GLUT-4 levels in the left ventricle decrease in an age-related fashion and suggest that the capacity for glucose transport might also be reduced.

PMID: 8315221 [PubMed - indexed for MEDLINE]


15. Nakai N, Sato Y, Oshida Y, et al. Effects of aging on the activities of pyruvate dehydrogenase complex and its kinase in rat heart. Life Sci. 1997;60:2309–2314. link not found

 
16: FEBS Lett 1997 Apr 7;406(1-2):136-8 Related Articles, Books, LinkOut

Age-dependent decline in the cytochrome c oxidase activity in rat heart mitochondria: role of cardiolipin.

Paradies G, Ruggiero FM, Petrosillo G, Quagliariello E.

Department of Biochemistry and Molecular Biology, University of Bari, Italy.

Cardiolipin is a major mitochondrial membrane lipid and plays a pivotal role in mitochondrial function. We have recently suggested a possible involvement of this phospholipid in the age-linked decline of cytochrome c oxidase activity in rat heart mitochondria [G. Paradies et al. (1993) Arch. Gerontol. Geriatr. 16, 263-272]. The aim of this work was to test our earlier proposal. We have investigated whether addition of exogenous cardiolipin to mitochondria is able to reverse, in situ, the age-linked decrease in the cytochrome oxidase activity. The method of fusion of liposomes with mitochondria developed by Hackenbrock [Hackenbrock and Chazotte (1986) Methods Enzymol. 125, 35-45] was employed in order to enrich the mitochondria cardiolipin content. We demonstrate that the lower cytochrome c oxidase activity in heart mitochondria from aged rats can be fully restored to the level of young control rats by exogenously added cardiolipin. No restoration was obtained with other phospholipids or with peroxidized cardiolipin. Our data support a key role for cardiolipin in the age-linked decline of rat heart mitochondrial cytochrome c oxidase activity.

PMID: 9109403 [PubMed - indexed for MEDLINE] 
17: Mutat Res 1992 Sep;275(3-6):295-304 Related Articles, Books, LinkOut

Mitochondrial production of pro-oxidants and cellular senescence.

Sohal RS, Brunk UT.

Department of Biological Sciences, Southern Methodist University, Dallas, TX 75275.

Mitochondria are the major intracellular producers of O2- and H2O2. The level of oxidative stress in cells, as indicated by the in vivo exhalation of alkanes and the concentration of molecular products of oxy-radical reactions, increases during aging in mammals as well as insects. In this paper, we discuss the relationship between mitochondrial generation of O2- and H2O2, and the aging process. The rate of mitochondrial O2- and H2O2 generation increases with age in houseflies and the brain, heart and liver of rat. This rate has been found to correspond to the life expectancy of flies and to the maximum life span potential (MLSP) of six different mammalian species, namely, mouse, rat, guinea pig, rabbit, pig and cow. In contrast, the level of antioxidant defenses provided by activities of superoxide dismutase, catalase, glutathione peroxidase and glutathione concentration neither uniformly declines with age nor corresponds to variations in MLSP of different mammalian species. It is argued that the rate of mitochondrial O2- and H2O2 generation rather than the antioxidant level may act as a longevity determinant.

Publication Types:
  • Review
  • Review, Tutorial

PMID: 1383771 [PubMed - indexed for MEDLINE]
18: Mutat Res 1992 Sep;275(3-6):295-304 Related Articles, Books, LinkOut

Mitochondrial production of pro-oxidants and cellular senescence.

Sohal RS, Brunk UT.

Department of Biological Sciences, Southern Methodist University, Dallas, TX 75275.

Mitochondria are the major intracellular producers of O2- and H2O2. The level of oxidative stress in cells, as indicated by the in vivo exhalation of alkanes and the concentration of molecular products of oxy-radical reactions, increases during aging in mammals as well as insects. In this paper, we discuss the relationship between mitochondrial generation of O2- and H2O2, and the aging process. The rate of mitochondrial O2- and H2O2 generation increases with age in houseflies and the brain, heart and liver of rat. This rate has been found to correspond to the life expectancy of flies and to the maximum life span potential (MLSP) of six different mammalian species, namely, mouse, rat, guinea pig, rabbit, pig and cow. In contrast, the level of antioxidant defenses provided by activities of superoxide dismutase, catalase, glutathione peroxidase and glutathione concentration neither uniformly declines with age nor corresponds to variations in MLSP of different mammalian species. It is argued that the rate of mitochondrial O2- and H2O2 generation rather than the antioxidant level may act as a longevity determinant.

Publication Types:
  • Review
  • Review, Tutorial

PMID: 1383771 [PubMed - indexed for MEDLINE]
19: FASEB J 2000 Feb;14(2):312-8 Related Articles, Books, LinkOut
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Oxidative damage to mitochondrial DNA is inversely related to maximum life span in the heart and brain of mammals.

Barja G, Herrero A.

Department of Animal Biology-II (Animal Physiology), Faculty of Biology, Complutense University, Madrid 28040, Spain.

DNA damage is considered of paramount importance in aging. Among causes of this damage, free radical attack, particularly from mitochondrial origin, is receiving special attention. If oxidative damage to DNA is involved in aging, long-lived animals (which age slowly) should show lower levels of markers of this kind of damage than short-lived ones. However, this possibility has not heretofore been investigated. In this study, steady-state levels of 8-oxo-7, 8-dihydro-2'-deoxyguanosine (8-oxodG) referred to deoxyguanosine (dG) were measured by high performance liquid chromatography (HPLC) in the mitochondrial (mtDNA) and nuclear (nDNA) DNA from the heart of eight and the brain of six mammalian species ranging in maximum life span (MLSP) from 3.5 to 46 years. Exactly the same digestion of DNA to deoxynucleosides and HPLC protocols was used for mtDNA and nDNA. Significantly higher (three- to ninefold) 8-oxodG/dG values were found in mtDNA than in nDNA in all the species studied in both tissues. 8-oxodG/dG in nDNA did not correlate with MLSP across species either in the heart (r=-0.68; P<0.06) or brain (r = 0.53; P<0.27). However, 8-oxodG/dG in mtDNA was inversely correlated with MLSP both in heart (r=-0.92; P<0.001) and brain (r=-0.88; P<0.016) tissues following the power function y = a(.)x(b), where y is 8-oxodG/dG and x is the MLSP. This agrees with the consistent observation that mitochondrial free radical generation is also lower in long-lived than in short-lived species. The results obtained agree with the notion that oxygen radicals of mitochondrial origin oxidatively damage mtDNA in a way related to the aging rate of each species.-Barja, G., Herrero, A. Oxidative damage to mitochondrial DNA is inversely related to maximum life span in the heart and brain of mammals.

PMID: 10657987 [PubMed - indexed for MEDLINE] 
20: Mutat Res 1992 Sep;275(3-6):145-55 Related Articles, Books, LinkOut

Mitochondrial DNA alterations as ageing-associated molecular events.

Wei YH.

Department of Biochemistry, National Yang-Ming Medical College, Taipei, Taiwan.

Mitochondrial DNA (mtDNA) is a naked double-stranded circular extrachromosomal genetic element continuously exposed to the matrix that contains great amounts of reactive oxygen species and free radicals. The age-dependent decline in the capability and capacity of mitochondria to dispose these oxy-radicals will render mtDNA more vulnerable to mutations during the ageing process. During the past 3 years, more than 10 different types of deletions have been identified in the mtDNA of various tissues of old humans. Some of them were found only in a certain tissue but some others appeared in more than one organ or tissue. The 4977-bp deletion is the most prevalent and abundant one among these deletions. Skeletal muscle is the target tissue of most ageing-associated mtDNA deletions and has often been found to carry multiple deletions. The onset age of the various deletions in mtDNA varies greatly with individual and type of the deletion. The 4977-bp deletion has been independently demonstrated to occur in the mtDNA of various tissues of the human in the early third decade of life. However, the 7436-bp deletion was only detected in the heart mtDNA of human subjects in their late thirties. The others appeared only in older humans over 40 years old. No apparent sex difference was found in the onset age of these ageing-associated mtDNA deletions. The various ageing-associated deletions could be classified into two groups. Most of the deletions belong to the first group, in which the 5'- and 3'-end breakpoints of the deletion are flanked by 4-bp or longer direct repeats. The deletion in the second group occurs less frequently and shows no distinct repeat sequences flanking the deletion sites. These two groups of mtDNA deletions may occur by different mechanisms. The first group is most probably caused by internal recombination or slippage mispairing during replication of mtDNA by the D-loop mechanism. The deleted mtDNA and the deleted DNA fragment may be further degraded or escape from the mitochondria and get translocated into the nucleus. The latter route has been substantiated by many observations of inserted mtDNA sequences in the nuclear DNA. Thus, the fragments of migrating mtDNA may change the information content and expression level of certain nuclear genes and thereby promote the ageing process or cause cancer. Similar ageing-associated alterations of mtDNA have also been observed in aged animals and plants. I suggest that mtDNA deletions and other mutations to be discovered are molecular events generally associated with the ageing process.

Publication Types:
  • Review
  • Review, Tutorial

PMID: 1383757 [PubMed - indexed for MEDLINE]
21: Drugs Aging 1998 Mar;12(3):169-75 Related Articles, Books, LinkOut

Should antioxidant vitamins be routinely recommended for older people?

Ward JA.

Royal South Sydney Hospital, Zetland, New South Wales, Australia.

The hypothesis that oxidative damage due to free radicals is an important cause of aging is the subject of much research and even more interest among the public and lay media. An increasing number of older people are asking whether they should be taking antioxidant vitamins, despite their considerable cost. Epidemiological and laboratory evidence indicates that oxidative damage caused by oxygen free radicals is important in many of the major diseases of older age. It is also clear that a diet high in antioxidants protects against these diseases, including many cancers and ischaemic heart disease. However, it has not been proven whether antioxidant vitamins, taken as dietary supplements, provide the same level of protection as a diet that is rich in fruit and vegetables. Although there appears to be no reason to discourage older people from taking vitamin E (tocopherols) and ascorbic acid (vitamin C), the best advice to give them is to reduce their intake of xenobiotics, to drink tea instead of coffee, and to eat liberal amounts of fruit, vegetables, nuts, soya beans and lentils. The use of beta-carotene as a dietary supplement should be discouraged.

Publication Types:
  • Review
  • Review, Tutorial

PMID: 9534018 [PubMed - indexed for MEDLINE]

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