PMID- 10212235 OWN - NLM STAT- MEDLINE DCOM- 19990603 LR - 20210209 IS - 0021-9258 (Print) IS - 0021-9258 (Linking) VI - 274 IP - 18 DP - 1999 Apr 30 TI - Glucose uptake and glycolysis reduce hypoxia-induced apoptosis in cultured neonatal rat cardiac myocytes. PG - 12567-75 AB - Myocardial ischemia/reperfusion is well recognized as a major cause of apoptotic or necrotic cell death. Neonatal rat cardiac myocytes are intrinsically resistant to hypoxia-induced apoptosis, suggesting a protective role of energy-generating substrates. In the present report, a model of sustained hypoxia of primary cultures of Percoll-enriched neonatal rat cardiac myocytes was used to study specifically the modulatory role of extracellular glucose and other intermediary substrates of energy metabolism (pyruvate, lactate, propionate) as well as glycolytic inhibitors (2-deoxyglucose and iodoacetate) on the induction and maintenance of apoptosis. In the absence of glucose and other substrates, hypoxia (5% CO2 and 95% N2) caused apoptosis in 14% of cardiac myocytes at 3 h and in 22% of cells at 6-8 h of hypoxia, as revealed by sarcolemmal membrane blebbing, nuclear fragmentation, and chromatin condensation (Hoechst staining), terminal deoxynucleotidyl transferase-mediated dUTP nick end labeling (TUNEL) staining, and DNA laddering. This was accompanied by translocation of cytochrome c from the mitochondria to the cytosol and cleavage of the death substrate poly(ADP-ribose) polymerase. Cleavage of poly(ADP-ribose) polymerase and DNA laddering were prevented by preincubation with the caspase inhibitors benzyloxycarbonyl-Val-Ala-Asp-fluoromethyl ketone (zVAD-fmk) and benzyloxycarbonyl-Asp-Glu-Val-Asp-fluoromethyl ketone (zDEVD-fmk), indicating activation of caspases in the apoptotic process. The caspase inhibitor zDEVD-fmk also partially inhibited cytochrome c translocation. The presence of as little as 1 mM glucose, but not pyruvate, lactate, or propionate, before hypoxia prevented apoptosis. Inhibiting glycolysis by 2-deoxyglucose or iodoacetate, in the presence of glucose, reversed the protective effect of glucose. This study demonstrates that glycolysis of extracellular glucose, and not other metabolic pathways, protects cardiac myocytes from hypoxic injury and subsequent apoptosis. FAU - Malhotra, R AU - Malhotra R AD - Department of Internal Medicine, Division of Nephrology, University of Michigan Medical Center and the Ann Arbor Veterans Affairs Medical Center, Ann Arbor, Michigan 48109, USA. FAU - Brosius, F C 3rd AU - Brosius FC 3rd LA - eng GR - HL060156/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - J Biol Chem JT - The Journal of biological chemistry JID - 2985121R RN - EC 2.4.2.30 (Poly(ADP-ribose) Polymerases) RN - IY9XDZ35W2 (Glucose) SB - IM MH - Animals MH - Animals, Newborn MH - *Apoptosis MH - *Cell Hypoxia MH - Cells, Cultured MH - Glucose/*metabolism MH - *Glycolysis MH - Myocardium/cytology/*metabolism MH - Poly(ADP-ribose) Polymerases/metabolism MH - Rats MH - Rats, Wistar MH - Substrate Specificity EDAT- 1999/04/23 02:02 MHDA- 2001/03/28 10:01 CRDT- 1999/04/23 02:02 PHST- 1999/04/23 02:02 [pubmed] PHST- 2001/03/28 10:01 [medline] PHST- 1999/04/23 02:02 [entrez] AID - S0021-9258(19)73390-0 [pii] AID - 10.1074/jbc.274.18.12567 [doi] PST - ppublish SO - J Biol Chem. 1999 Apr 30;274(18):12567-75. doi: 10.1074/jbc.274.18.12567.