PMID- 11489783 OWN - NLM STAT- MEDLINE DCOM- 20010913 LR - 20190623 IS - 1524-4539 (Electronic) IS - 0009-7322 (Linking) VI - 104 IP - 6 DP - 2001 Aug 7 TI - Upregulation of the cardiac monocarboxylate transporter MCT1 in a rat model of congestive heart failure. PG - 729-34 AB - BACKGROUND: Cardiac metabolism becomes more dependent on carbohydrates in congestive heart failure (CHF), and lactate may be used as an important respiratory substrate. Monocarboxylate transporter 1 (MCT1) promotes cotransport of lactate and protons into and out of heart cells and conceivably flux of lactate between cells, because it is abundantly present in the intercalated disk. METHODS AND RESULTS: Six weeks after induction of myocardial infarction (MI) in Wistar rats, left ventricular end-diastolic pressures were >15 mm Hg, signifying CHF. MCT1 and connexin43 protein levels in CHF were 260% and 20%, respectively, of those in sham-operated animals (Sham), and the corresponding mRNA signals were 181% and not significantly changed, respectively. Confocal laserscan immunohistochemistry and quantitative immunogold cytochemistry showed that MCT1 density was much higher in CHF than in Sham both at the surface membrane and in the intercalated disk. In CHF, a novel intracellular pool of MCT1 appeared to be associated with cisternae, some close to the T tubules. In contrast, connexin43 particles, seen exclusively at gap junctions, were substantially fewer. Maximum lactate uptake was 107+/-15 mmol. L(-1). min(-1) in CHF and 42+/-6 mmol. L(-1). min(-1) in Sham cells (P<0.05). The K(m) values were between 7 and 9 mmol/L (P=NS). CONCLUSIONS: In cardiomyocytes from CHF rats, (1) the amount of functional MCT1 in the sarcolemma, including in the intercalated disk, is increased several-fold; (2) a new intracellular pool of MCT1 appears; (3) another disk protein, connexin43, is much reduced; and (4) increased reliance on lactate and other monocarboxylates (eg, pyruvate) could provide tight metabolic control of high-energy phosphates. FAU - Johannsson, E AU - Johannsson E AD - Department of Anatomy, Institute of Basic Medical Sciences, Institute for Experimental Medical Research, Ullevaal Hospital, University of Oslo, Oslo, Norway. FAU - Lunde, P K AU - Lunde PK FAU - Heddle, C AU - Heddle C FAU - Sjaastad, I AU - Sjaastad I FAU - Thomas, M J AU - Thomas MJ FAU - Bergersen, L AU - Bergersen L FAU - Halestrap, A P AU - Halestrap AP FAU - Blackstad, T W AU - Blackstad TW FAU - Ottersen, O P AU - Ottersen OP FAU - Sejersted, O M AU - Sejersted OM LA - eng PT - Journal Article PL - United States TA - Circulation JT - Circulation JID - 0147763 RN - 0 (Carrier Proteins) RN - 0 (Lactates) RN - 0 (Monocarboxylic Acid Transporters) RN - 0 (RNA, Messenger) SB - IM MH - Animals MH - Blotting, Northern MH - Blotting, Western MH - Carrier Proteins/genetics/*metabolism MH - Disease Models, Animal MH - Gene Expression Regulation MH - Heart Failure/genetics/*metabolism/physiopathology MH - Heart Ventricles/physiopathology MH - Lactates/pharmacokinetics MH - Microscopy, Confocal MH - Microscopy, Electron MH - Monocarboxylic Acid Transporters MH - Myocardium/*chemistry/pathology/ultrastructure MH - RNA, Messenger/genetics/metabolism MH - Rats MH - Rats, Wistar MH - Up-Regulation EDAT- 2001/08/08 10:00 MHDA- 2001/09/14 10:01 CRDT- 2001/08/08 10:00 PHST- 2001/08/08 10:00 [pubmed] PHST- 2001/09/14 10:01 [medline] PHST- 2001/08/08 10:00 [entrez] AID - 10.1161/hc3201.092286 [doi] PST - ppublish SO - Circulation. 2001 Aug 7;104(6):729-34. doi: 10.1161/hc3201.092286.