The effect of ischaemic injury on the fine structure of canine atrial myocardium

Non-uniform fine structural alteration in the sinus node after cessation or reduction of blood flow

The sinus node of the dog was examined, using a large-specimen resin-embedding method for combined light and electron microscopy, after 30-240 min of total in vitro ischaemia and after 15-180 min of reduced blood flow in hearts with 2:1 AV block. Although progressive fine structural alteration was observed in the in vitro series, not all cells developed changes at the same rate. Complete loss of glycogen stores and swelling of organelles could be seen in many after only 30 min, whilst others retained their glycogen and showed minimal alteration even after 90 min. Despite relatively severe alteration throughout the node after 120 or more min, some groups of cells showed more extreme degrees of swelling and surface bleb formation than others. In the partially ischaemic in vivo series focal alteration, consisting chiefly of mitochondrial swelling and/or gross dilatation of sarcoplasmic reticulum vesicles, was detectable after 20 min and increased little in extent or degree during longer periods of reduced blood flow. This non-uniform response of sinus nodal cells to ischaemic injury parallels that of contractile atrial muscle cells.

Regional variations in the "adenine/oxypurine" pool of the heart in normoxia and oxygen deficiency

The regional distribution of energy-related metabolites was determined for the normal dog heart by using high performance liquid chromatography to analyse the levels of ATP, ADP, AMP, IMP, adenosine, inosine, hypoxanthine/xanthine, uric acid and NAD in tissue samples from 7 defined areas of the myocardium and 2 of the conduction system, and calculating the overall concentration of these metabolites in each area. From 8 of the 20 hearts used, additional samples were taken and allowed to undergo autolysis in vitro at 37 degrees C for up to 2 h before being analysed in the same manner. The total concentration of the metabolites assayed ("adenine/oxypurine" pool) did differ from one area to another, most notably between ventricles (left = 6.08, right = 5.93, apex = 6.08 microM/g wet tissue weight) and atria (left wall = 4.44, left appendage = 4.12, right wall = 4.34, right appendage = 3.57 microM/g wet tissue weight), but for each area remained essentially constant during the period of autolysis studied.

Relative activities of 5'-nucleotidase and adenosine deaminase in atrial and ventricular myocardium--the enzyme paradox

The 5'-nucleotidase and adenosine deaminase activities were determined for tissue extracts of up to 10 defined regions of the normal dog heart. The specific activity of 5'-nucleotidase was very significantly higher in atrial than in ventricular myocardium (4 X) and was also higher in right than in left sites of the heart (2 X). The reason for the markedly higher specific activity in atrial muscle is not clear and appears paradoxical relative to adenine nucleotide content and pattern of ATP decay during oxygen deprivation. In contrast to 5'-nucleotidase activity the total adenosine deaminase activity was found to be similar in all sampling sites examined.

Comparative biochemistry and fine structure of atrial and ventricular myocardium during autolysis in vitro

In a previous study we found that the development of fine structural alteration in atrial myocardium made ischaemic in vivo was slower than has been observed for ventricular myocardium. To explore possible reasons for this, parallel samples of atrial (A) and ventricular (V) myocardium undergoing autolysis (ischaemic necrosis) in vitro at 37 degrees C were studied for up to 2 hours. At 15-minute intervals tissue was snap-frozen for measurement of pH, lactate, and adenine metabolites by HPLC. In half the experiments comparable specimens were taken for electron microscopic examination as well. Fine structural alteration developed less uniformly and more slowly in A than in V. The most striking metabolic differences between A and V were: A had a consistently higher tissue pH and lower lactate level The sum of the adenine + hypoxanthine metabolites was essentially constant but significantly different for each (A = 5.04 +/- 0.12 (s.e.m.), V = 7.71 +/- 0.15 (s.e.m.) mumol/g wet tissue weight) Initial ATP levels were lower (40% less) in A The maximum accumulation of AMP was higher in A, despite its smaller pool of adenine metabolites Both adenosine and inosine showed slower rates of change in A. These results suggest that during early, severe ischaemic injury A and V show differing activities of 5'-nucleotidase.