Kinetic changes of ethanolamine base exchange activity and increase of viscosity in sarcolemmal membranes of hamster heart during development of cardiomyopathy

Trimetazidine: potential mechanisms of action in hypertrophic cardiomyopathy

In this review we consider available information on the cardio- and cytoprotective properties and mechanism of action of trimetazidine, an antianginal drug. Two points in particular are addressed: the advantages of trimetazidine over classic drugs and its possible use for the long-term treatment of hypertrophic cardiomyopathy, described as an ischemic disorder.

Membrane integrity and phospholipid movement influence the base exchange reaction in rat liver microsomes

Properties of Ca(2+)-stimulated incorporation of amincalcohols, serine and ethanolamine, into phospholipids, and factors regulating the reaction were studied in endoplasmic reticulum membranes isolated from rat liver. In contrast to apparent K(m) values for either aminoalcohol, maximal velocities of the reaction were significantly affected by Ca2+ concentration. No competition between these two soluble substrates used at equimolar concentrations close to their K(m) values was observed, suggesting the existence of two distinct phospholipid base exchange activities. The enzyme utilizing the electrically neutral serine was not sensitive to changes of membrane potential evoked by valinomycin in the presence of KCl. On the other hand, when positively charged ethanolamine served as a substrate, the enzyme activity was inhibited by 140 mM KCl and this effect was reversed by valinomycin. The rates of inhibition of phospholipid base exchange reactions by various thiol group modifying reagents were also found to differ. Cd2+ and lipophylic p-chloromercuribenzoic acid at micromolar concentrations were most effective. It can be suggested that -SH groups located within the hydrophobic core of the enzymes molecules are essential for the recognition of membrane substrates. However, the influence of the -SH group modifying reagents on the protein-facilitated phospholipid motion across endoplasmic reticulum membranes can not be excluded, since an integral protein-mediated transverse movement of phospholipids within the membrane bilayer and Ca(2+)-mediated changes in configuration of the phospholipid polar head groups seem to be a regulatory step of the reaction. Indeed, when the membrane integrity was disordered by detergents or an organic solvent, the reaction was inhibited, although not due to the transport of its water-soluble substrates is affected, but due to modulation of physical state of the membrane bilayer and, in consequence, the accessibility of phospholipid molecules.

Nonenzymatically evoked and cytochrome P450-dependent lipid peroxidation inhibits synthesis of phosphatidylethanolaminevia the ethanolamine base exchange reaction in rat liver microsomes

In the present study the relationship between lipid peroxidation, changes in the redox state of membrane and phosphatidylethanolamine (PE) synthesis via base exchange reaction in rat liver microsomes was investigated. It was found that PE synthesis is enhanced in the presence of antioxidants, butylated hydroxytoluene (BHT), or unsaturated free fatty acids. Prooxidants, tert-butyl hydroxyperoxide (BHP), ferrous ions combined with ascorbate or NADPH (via cytochrome P450-dependent proteins), increased the amount of lipid peroxidation products in the membrane, and in consequence inhibited the reaction. The effect of BHP was fully reversed by reduced glutathione and dithiothreitol (DTT), whereas the effect of other compounds could be reversed only by BHT. In contrast, a reversal of the inhibitory effect of cadmium ions on base exchange activity was observed in the presence of DTT, but not BHT. Therefore, both the -SH/-S-S- ratio in the membrane, affected by BHP and cadmium ions, and the lipid hydroxyperoxides (rather than aldehydes), generated by ferrous ions and ascorbate or NADPH, are equally responsible for the inactivation of the ethanolamine base exchange enzyme in rat liver microsomes. This may suggest that the synthesis of PE via the base exchange reaction may be considered an element of the superfine cellular machinery involved in the repair of damage to unsaturated fatty acid chains of phospholipids caused by reactive oxygen species under oxidative stress.

Altered lipid metabolism in the failing heart of cardiomyopathic hamsters (UM-X7.1)

The lipid composition of different anatomic regions of 150 day-old UM-X7.1 cardiomyopathic hamster and age-matched controls (Syrian golden hamsters) was examined. Cardiomyopathic hamsters exhibit a phospholipid to protein ratio higher than healthy animals in atria, whereas the contrary is true in the other anatomic regions examined. In all tissues the cholesterol to phospholipid ratio is higher in cardiomyopathic hamster than in controls. Healthy and UM-X7.1 hamsters differ substantially as far as the percent distribution of fatty acids in total lipids is concerned, the lipids from cardiomyopathic animals accumulating fatty acids of the omega-6 series and being relatively poor in monoenoic fatty acids. The different fatty acid composition of heart lipids appears to be a consequence of a generalized disturbance of the lipid metabolism in cardiomyopathic hamsters during congestive heart failure.