PMID- 31605012 OWN - NLM STAT- MEDLINE DCOM- 20201106 LR - 20210110 IS - 2045-2322 (Electronic) IS - 2045-2322 (Linking) VI - 9 IP - 1 DP - 2019 Oct 11 TI - Mitochondrial reactive oxygen species generation in blood cells is associated with disease severity and exercise intolerance in heart failure patients. PG - 14709 LID - 10.1038/s41598-019-51298-3 [doi] LID - 14709 AB - Systemic oxidative stress plays a key role in the development of chronic heart failure (CHF). We tested the hypothesis that mitochondrial reactive oxygen species (ROS) generation in circulating peripheral blood mononuclear cells (PBMCs) contributes to CHF progression. A total of 31 patients who had a history of hospital admission due to worsening HF were enrolled and grouped as having either mild CHF defined as New York Heart Association (NYHA) functional class I-II or moderate-to-severe CHF defined as NYHA functional class III. ROS levels in PBMC mitochondria were significantly increased in CHF patients with NYHA functional class III compared to those with NYHA functional class I-II, accompanied by impaired mitochondrial respiratory capacity in PBMCs. ROS generation in PBMC mitochondria was positively correlated with urinary 8-hydroxydeoxyguanosine, a systemic oxidative stress marker, in CHF patients. Importantly, mitochondrial ROS generation in PBMCs was directly correlated with plasma levels of B-type natriuretic peptide, a biomarker for severity of HF, and inversely correlated with peak oxygen uptake, a parameter of exercise capacity, in CHF patients. The study showed that ROS generation in PBMC mitochondria was higher in patients with advanced CHF, and it was associated with disease severity and exercise intolerance in CHF patients. FAU - Shirakawa, Ryosuke AU - Shirakawa R AD - Department of Cardiovascular Medicine, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Japan. FAU - Yokota, Takashi AU - Yokota T AUID- ORCID: 0000-0001-5470-6648 AD - Department of Cardiovascular Medicine, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Japan. t-yokota@med.hokudai.ac.jp. FAU - Nakajima, Takayuki AU - Nakajima T AD - Department of Cardiovascular Medicine, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Japan. FAU - Takada, Shingo AU - Takada S AD - Department of Cardiovascular Medicine, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Japan. FAU - Yamane, Miwako AU - Yamane M AD - Department of Cardiovascular Medicine, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Japan. FAU - Furihata, Takaaki AU - Furihata T AD - Department of Cardiovascular Medicine, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Japan. FAU - Maekawa, Satoshi AU - Maekawa S AD - Department of Cardiovascular Medicine, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Japan. FAU - Nambu, Hideo AU - Nambu H AD - Department of Cardiovascular Medicine, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Japan. FAU - Katayama, Takashi AU - Katayama T AD - Department of Cardiovascular Medicine, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Japan. FAU - Fukushima, Arata AU - Fukushima A AD - Department of Cardiovascular Medicine, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Japan. FAU - Saito, Akimichi AU - Saito A AD - Department of Cardiovascular Medicine, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Japan. FAU - Ishimori, Naoki AU - Ishimori N AD - Department of Cardiovascular Medicine, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Japan. FAU - Dela, Flemming AU - Dela F AD - Xlab, Center for Healthy Aging, Department of Biomedical Sciences, University of Copenhagen, Copenhagen, Denmark. AD - Department of Geriatrics, Bispebjerg-Frederiksberg University Hospital, Copenhagen, Denmark. FAU - Kinugawa, Shintaro AU - Kinugawa S AUID- ORCID: 0000-0003-2559-0054 AD - Department of Cardiovascular Medicine, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Japan. FAU - Anzai, Toshihisa AU - Anzai T AD - Department of Cardiovascular Medicine, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Japan. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20191011 PL - England TA - Sci Rep JT - Scientific reports JID - 101563288 RN - 0 (Biomarkers) RN - 0 (Reactive Oxygen Species) RN - 114471-18-0 (Natriuretic Peptide, Brain) RN - 88847-89-6 (8-Hydroxy-2'-Deoxyguanosine) SB - IM MH - 8-Hydroxy-2'-Deoxyguanosine/urine MH - Aged MH - Biomarkers/blood MH - Chronic Disease MH - Exercise Test MH - *Exercise Tolerance MH - Female MH - Heart Failure/*physiopathology MH - Humans MH - Leukocytes, Mononuclear/*metabolism MH - Male MH - Middle Aged MH - Mitochondria/*metabolism MH - Natriuretic Peptide, Brain/blood MH - Oxygen Consumption MH - Reactive Oxygen Species/*metabolism MH - *Severity of Illness Index PMC - PMC6789126 COIS- The authors declare no competing interests. EDAT- 2019/10/13 06:00 MHDA- 2020/11/11 06:00 PMCR- 2019/10/11 CRDT- 2019/10/13 06:00 PHST- 2019/05/30 00:00 [received] PHST- 2019/09/29 00:00 [accepted] PHST- 2019/10/13 06:00 [entrez] PHST- 2019/10/13 06:00 [pubmed] PHST- 2020/11/11 06:00 [medline] PHST- 2019/10/11 00:00 [pmc-release] AID - 10.1038/s41598-019-51298-3 [pii] AID - 51298 [pii] AID - 10.1038/s41598-019-51298-3 [doi] PST - epublish SO - Sci Rep. 2019 Oct 11;9(1):14709. doi: 10.1038/s41598-019-51298-3.