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We investigated the effect of low micromolar Ca2+ concentrations on respiration, membrane permeability, and antioxidative defence in liver mitochondria exposed to hypoxia⁄ reoxygenation.

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prevents functional injury of mitochondria exposed to

Lorenz Schild1, Frank Plumeyer1and Georg Reiser2

1 Bereich Pathologische Biochemie der Medizinischen Fakulta¨t der Otto-von-Guericke-Universita¨t Magdeburg, Germany

2 Institut fu¨r Neurobiochemie der Medizinischen Fakulta¨t der Otto-von-Guericke-Universita¨t Magdeburg, Germany

It has been shown in animal models that transient

isch-aemia in liver results in mitochondrial damage The

involvement of oxidative stress in the impairment of the

organelle was demonstrated by the finding that

glutathi-one (GSH) exerts a protective role [1] A hallmark of

ischaemia⁄ reperfusion in liver is a significant increase

in cytosolic and mitochondrial Ca2+concentration [2]

Oxidative stress and increase in the cytosolic Ca2+

concentration favour opening of the mitochondrial

permeability transition pore (MPTP) mediating

mito-chondrial damage In fact, cyclosporin A (CSA), a

speci-fic inhibitor of MPTP, has been demonstrated to

prevent mitochondrial and liver dysfunction in the

re-perfusion phase [3,4] Long-lasting ischaemia in liver

was shown to induce cytochrome c release and necrosis,

whereas short ischaemia with reperfusion results in the release of cytochrome c and apoptosis [5]

A further factor determining the outcome after liver ischaemia⁄ reperfusion is nitric oxide (NO) However, reports about the effect of NO on mitochondrial and tissue damage are still controversial Using either exo-genous NO donors, or endoexo-genous NO precursors or inhibitors of NO synthesis, protective [6,7] as well as harmful effects [8,9] have been found with in vivo models of liver ischaemia

Investigations on isolated liver mitochondria have clearly shown that extramitochondrial Ca2+, reactive oxygen species (ROS), and NO, which are known to change in concentration during ischaemia⁄ reperfusion, affect mitochondria Elevation of Ca2+ concentrations

Keywords

glutathione peroxidase; mitochondrial

permeability transition pore; manganese

super oxide dismutase; nitric oxide;

oxidative stress

Correspondence

L Schild, Bereich Pathologische Biochemie

der Medizinischen Fakulta¨t der

Otto-von-Guericke-Universita¨t Magdeburg, Leipziger

Str 44, 39120 Magdeburg, Germany

Tel: +49 0931 6713644

Fax: +49 0931 6719176

E-mail: lorenz.schild@medizin.

uni-magdeburg.de

(Received 18 July 2005, revised 15 September

2005, accepted 19 September 2005)

doi:10.1111/j.1742-4658.2005.04978.x

Injury of liver by ischaemia crucially involves mitochondrial damage The role of Ca2+ in mitochondrial damage is still unclear We investigated the effect of low micromolar Ca2+ concentrations on respiration, membrane permeability, and antioxidative defence in liver mitochondria exposed to hypoxia⁄ reoxygenation Hypoxia ⁄ reoxygenation caused decrease in state 3 respiration and in the respiratory control ratio Liver mitochondria were almost completely protected at about 2 lm Ca2+ Below and above 2 lm

Ca2+, mitochondrial function was deteriorated, as indicated by the decrease in respiratory control ratio Above 2 lm Ca2+, the mitochondrial membrane was permeabilized, as demonstrated by the sensitivity of state 3 respiration to NADH Below 2 lm Ca2+, the nitric oxide synthase inhib-itor nitro-l-arginine methylester had a protective effect The activities of the manganese superoxide dismutase and glutathione peroxidase after hypoxia showed maximal values at about 2 lm Ca2+ We conclude that

Ca2+exerts a protective effect on mitochondria within a narrow concentra-tion window, by increasing the antioxidative defence

Abbreviations

CSA, cyclosporin A; GPx, glutathione peroxidase; GSH, reduced glutathione; Mn-SOD, manganese superoxide dismutase; MPTP,

mitochondrial permeability transition pore; L -NAME, nitro- L -arginine methylester; NO, nitric oxide; RCR, respiratory control ratio; ROS, reactive oxygen species; TPP + , tetraphenyl phosphonium cation.

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into the low micromolar range causes reduction of state

3 respiration [10] and permeabilization of the

mito-chondrial membrane [11–16] ROS can impair function

and integrity of mitochondria [17] NO controls the

electron flow through the respiratory chain by

compet-itive inhibition of cytochrome oxidase [18]

There is a body of evidence showing that

mitochon-dria are equipped with a constitutive and Ca2+

sensi-tive NO synthase [19,20] Thus, NO generated by

mitochondria may influence oxidative phosphorylation

Moreover, mitochondria are major producers of

super-oxide anion radicals within the respiratory chain in

hepatocytes which in the presence of NO allow the

formation of the highly reactive peroxynitrite

Peroxy-nitrite is known to contribute to functional damage of

components of the mitochondrial electron transport

chain [21] Hypoxia⁄ reoxygenation, an important

com-ponent of ischaemia⁄ reperfusion, leads to the

impair-ment of isolated rat liver mitochondria with the

involvement of oxidative stress [22] In our previous

work, we demonstrated that mitochondrially derived

NO is significantly involved in the deterioration of

iso-lated liver mitochondria upon hypoxia⁄ reoxygenation

[23] In this way, mitochondria may exacerbate their

own injury upon ischaemia⁄ reperfusion Although the

effect of single factors on mitochondria, such as

ele-vated extramitochondrial Ca2+ concentration,

hypo-xia⁄ reoxygenation, and NO, have been elucidated,

their interplay during ischaemia⁄ reperfusion is still

poorly understood

Here, we subjected isolated rat liver mitochondria to

hypoxia and reoxygenation in combination with

extra-mitochondrial Ca2+ concentrations up to 5 lm

After-wards, we determined state 3 and state 4 respiration

with glutamate and malate as substrates We also

meas-ured membrane permeability, and the activities of the

antioxidative enzymes glutathione peroxidase (GPx)

and manganese superoxide dismutase (Mn-SOD)

Addi-tionally, the effect of permanent inhibition of

mito-chondrial NO synthesis by nitro-l-arginine methylester

(l-NAME) on respiration upon hypoxia⁄ reoxygenation

in combination with elevated Ca2+ concentration was

investigated We found that within a narrow

concentra-tion range at around 2 lm extramitochondrial Ca2+,

mitochondria were almost completely protected against

decrease in active respiration and increase in membrane

permeability The activities of the antioxidative enzymes

GPx and Mn-SOD were stimulated by hypoxia⁄

reoxy-genation and increase in Ca2+concentration, displaying

maximal values at a concentration of about 2 lm At

this Ca2+concentration, the inhibition of NO synthesis

with l-NAME did not affect state 3 respiration From

these data we conclude that extramitochondrial Ca2+at

a narrow concentration window exerts a protective effect upon hypoxia⁄ reoxygenation by increasing the activity of antioxidative enzymes in liver mito-chondria

Results

Ca2+affects respiration and membrane permeability upon hypoxia⁄ reoxygenation

In liver ischaemia⁄ reperfusion the cytosolic Ca2+ con-centration in hepatic cells is elevated into the low micro-molar range In order to investigate the influence of extramitochondrial Ca2+ on the impairment of mito-chondria by ischaemia⁄ reperfusion, isolated rat liver mitochondria were subjected to 5 min hypoxia followed

by 10 min reoxygenation in the continuous presence of

Ca2+at concentrations varying from 0.2 up to 4.4 lm Rates of respiration were determined after hypoxia⁄ reoxygenation with 5 mm glutamate and 5 mm malate

as substrates Transient hypoxia in the presence of 0.2 lm Ca2+ caused decrease in state 3 respiration to 45% of the normoxic control value (incubation in air saturated medium) The influence of Ca2+ on state 3 respiration obtained with hypoxia⁄ reoxygenation was characterized by a bell-shaped concentration depend-ence (Fig 1A, upper part) Increasing the Ca2+ concen-tration improved state 3 respiration Almost complete protection was seen at 2 lm extramitochondrial Ca2+ (91% of normoxic mitochondria) This was not observed when Ca2+ uptake was inhibited by 10 lm ruthenium red (data not shown) Further increase in extramitochondrial Ca2+ concentration resulted in decreased rates of state 3 respiration measured after hypoxia⁄ reoxygenation At the maximally used concen-tration of 4.4 lm Ca2+, no stimulation of oxygen con-sumption by ADP could be reached The respiration determined in the absence of ADP (state 4) had no clear

Ca2+ dependence (lower part in Fig 1A) In order to test whether the effect of hypoxia⁄ reoxygenation and elevated Ca2+on state 3 respiration was due to opening

of the MPTP, isolated rat liver mitochondria were exposed to hypoxia⁄ reoxygenation and Ca2+ in the additional presence of 2 lm of the MPTP inhibitor CSA At this concentration, CSA completely prevented

Ca2+-induced swelling of liver mitochondria (data not shown) CSA partially protected liver mitochondria against decrease in state 3 respiration at Ca2+ concen-trations below and above 2 lm (Fig 1A, upper part) Within the narrow concentration range at around 2 lm extramitochondrial Ca2+, no effect of CSA was observed The rates of state 4 respiration were slightly higher in CSA-containing incubations in comparison to

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CSA-free incubations At 2 lm extramitochondrial

Ca2+both values were equal (Fig 1A, lower part)

In order to evaluate precisely the functional injury

of mitochondria, the coupling of oxidative

phosphory-lation was quantified by calculating respiratory

con-trol ratios (RCR), which are given by the ratios of state 3 and state 4 respiration The resulting data are presented in Fig 1B Highest RCR values were found between 1 and 2 lm extramitochondrial Ca2+ indica-ting a protective Ca2+ concentration range Below and above this concentration range, loss of mito-chondrial coupling was observed Inhibition of pore opening by CSA had no significant effect on RCR over the whole Ca2+concentration range investigated The RCR of freshly isolated mitochondria was 6.4 ± 0.7 (n¼ 12).

To investigate the possibility of a CSA-insensitive permeabilization of the mitochondrial membrane upon hypoxia⁄ reoxygenation and Ca2+, we used a different approach The membrane impermeable pyridine nucleotide NADH (5 mm) and cytochrome c (10 lm) were added to mitochondria respiring under state 3 conditions Both compounds have no effect on state 3 respiration in intact mitochondria However, permeabi-lization of the membrane allows access of NADH and cytochrome c to the respiratory chain resulting in sti-mulation of state 3 respiration The relative changes of state 3 respiration without and with NADH addition plus cytochrome c, measured after exposure of mito-chondria to hypoxia⁄ reoxygenation and various Ca2+ concentrations, is depicted in Fig 1C Up to 2 lm extramitochondrial Ca2+, no stimulation of state 3 res-piration by NADH plus cytochrome c was observed, documenting the tightness of the mitochondrial mem-brane Even in the presence of 2 lm CSA, elevation of the Ca2+concentration from 2 lm to 4.4 lm was par-alleled by an increase in the ratio of state 3 respiration without and with NADH addition plus cytochrome c clearly This indicates permeabilization of the mito-chondrial membrane The permeabilization (Fig 1C) was associated with loss of mitochondrial function (Fig 1B)

Fig 1 Influence of cyclosporin A on the Ca2+sensitivity of res-piration upon hypoxia ⁄ reoxygenation Rat liver mitochondria (1 mgÆmL)1) were subjected to 5 min hypoxia and 10 min reoxy-genation with and without 2 l M CSA in the presence of various

Ca 2+ concentrations at 30 C Afterwards, respiration was deter-mined in the presence of 5 m M glutamate, 5 m M malate either without (state 4) or with 200 l M ADP (state 3) Subsequently 5 m M

NADH and 10 l M cytochrome c were added to demonstrate per-meabilization of the mitochondrial membrane The rates of respir-ation (A), RCR (B) and the ratio of the rates of state 3 respirrespir-ation before and after the addition of NADH and cytochrome c (C) are presented The rate of state 3 respiration of freshly isolated mito-chondria was 82.3 ± 6.8 nmol O 2 Æmg)1Æmin)1 Data are presented

as mean ± SEM of five mitochondrial preparations.

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Ca2+and hypoxia⁄ reoxygenation regulate

antioxidative activity in liver mitochondria

In our previous work we have shown that hypoxia⁄

reoxygenation induces oxidative stress indicated by the

formation of protein carbonyls (marker of oxidative

protein modification) which depends on the Ca2+

concentration [10] To investigate how Ca2+modulates

oxidative stress during hypoxia⁄ reoxygenation, we

measured the activity of the Mn-SOD in normoxic

incu-bation and after hypoxia⁄ reoxygenation The enzyme

activity in the normoxic incubation was maximal in the

presence of 2 lm extramitochondrial Ca2+(Fig 2) At

0.2 lm Ca2+, lower activity of Mn-SOD was found (73

at 0.2 lm Ca2+vs 118 unitsÆmg)1at 2 lm Ca2+)

Sim-ilar results were obtained with Mn-SOD from bovine

erythrocytes In the presence of 2 lm Ca2+, the enzyme

activity was increased from 0.134 ± 0.021 unitsÆmg)1

(at 0.2 lm Ca2+) to 1.851 ± 0.056 unitsÆmg)1 This

sti-mulation could be reversed by the addition of 2 mm

EGTA The activity of the enzyme determined after

hypoxia⁄ reoxygenation also reached a maximum value

in the presence of 2 lm Ca2+, but was significantly

higher than in a normoxic incubation (157 unitsÆmg)1 after hypoxia⁄ reoxygenation vs 118 unitsÆmg)1without hypoxia⁄ reoxygenation) Increase in the extramito-chondrial Ca2+concentration from 0.2 to 2 lm resulted

in a 2.6-fold increase in the activity of Mn-SOD, whereas in normoxic incubations the elevation was only 1.6-fold Thus, the combination of hypoxia⁄ reoxygena-tion and 2 lm extramitochondrial Ca2+caused a con-siderable increase in the activity of this antioxidative defence enzyme

In a further series of experiments we investigated whether the activity of a second antioxidative enzyme, that is GPx, is sensitive to hypoxia⁄ reoxygenation and extramitochondrial Ca2+ The activity of this enzyme didnotdependontheextramitochondrial Ca2+ concentra-tion in the low micromolar range under normoxic con-ditions (Fig 3, lower part) In Ca2+-free incubations, the activity of GPx was double after 5 min hypoxia fol-lowed by 10 min reoxygenation (819 vs 405 unitsÆmg)1

at 0.2 lm extramitochondrial Ca2+) The activity determined after hypoxia⁄ reoxygenation was slightly

Fig 3 Influence of hypoxia ⁄ reoxygenation and Ca 2+ on the activity

of glutathione peroxidase (GPx) Rat liver mitochondria (1 mgÆmL)1) were either incubated at various Ca 2+ concentrations and 5 m M glu-tamate plus 5 m M malate in the incubation medium or were subjec-ted to 5 min hypoxia and 10 min reoxygenation in the presence of various Ca2+concentrations at 30 C After the reoxygenation period

5 m M glutamate and 5 m M malate were added For the determin-ation of GPx activity, 500 lL samples were withdrawn from the incubations The data are presented as mean ± SEM from five preparations of mitochondria The differences between GPx activities

of incubations with and without hypoxia ⁄ reoxygenation in the pres-ence of similar Ca2+concentrations were significant with P < 0.01.

Fig 2 Change of Ca 2+ -sensitivity of Mn-SOD activity by hypoxia ⁄

reoxygenation Rat liver mitochondria (1 mgÆmL)1) were either

incu-bated at various Ca 2+ concentrations and 5 m M glutamate plus

5 m M malate in the incubation medium or were subjected to 5 min

hypoxia and 10 min reoxygenation in the presence of various Ca2+

concentrations at 30 C After the reoxygenation period 5 m M

glutamate and 5 m M malate were added For the determination of

Mn-SOD activity, 500 lL samples were withdrawn from the

incuba-tions The data are presented as mean ± SEM from five

prepara-tions of mitochondria Additional student’s t-test analysis gave a

significant difference in Mn-SOD activities between the values at

0.1 and 2.0 l M Ca2+ (P < 0.01), both without and with hypoxia ⁄

reoxygenation *Differences in Mn-SOD activities of incubations

with and without hypoxia ⁄ reoxygenation were significant with

P < 0.05.

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sensitive to Ca2+with the tendency to reach the highest

levels between 1 and 2 lm extramitochondrial Ca2+

Alternatively to the formation of H2O2 by the

Mn-SOD reaction, superoxide anion radicals produced

within the respiratory chain can react with

mitochond-rially generated NO to form the highly reactive

per-oxynitrite In order to estimate the involvement of NO

and⁄ or peroxynitrite in the impairment of

mitochond-rial function by hypoxia⁄ reoxygenation and

extra-mitochondrial Ca2+, we studied to what degree the

inhibition of NO synthesis by l-NAME affects

respir-ation measured after 5 min hypoxia followed by

10 min reoxygenation We could not find any

signifi-cant difference in state 4 respiration by comparing

incubations without and with l-NAME Therefore,

only the rates of state 3 respiration are depicted in

Fig 4 The continuous presence of l-NAME during

hypoxia⁄ reoxygenation performed in the presence of

0.2 lm extramitochondrial Ca2+(low Ca2+

concentra-tion) partially protected rat liver mitochondria against

decrease in state 3 respiration (72 ± 4.4 vs

39 ± 3.1 nmol O2Æmin)1Æmg)1) At this Ca2+

concen-tration, the continuous presence of 50 lm haemoglobin

was also protective (78 ± 3.9 vs 39 ± 3.1 nmol O2Æ

min)1Æmg)1) When mitochondria were subjected to

hypoxia⁄ reoxygenation in the presence of 2 lm

extra-mitochondrial Ca2+ (protective Ca2+ concentration),

l-NAME did not affect respiration Likewise, at

4.4 lm Ca2+, inhibition of enzymatic NO synthesis

during hypoxia⁄ reoxygenation did not lead to a change

in state 3 respiration (high Ca2+concentration)

Discussion

Extramitochondrial Ca2+can amplify or attenuate the impairment of liver mitochondria by

hypoxia⁄ reoxygenation Isolated mitochondria have been successfully used to study the effect of distinct factors impairing mitochon-dria which are relevant in pathophysiological situations such as ischaemia⁄ reperfusion [24–26] Both the in vivo studies of ischaemia and the cell culture investigation

on hypoxia⁄ reoxygenation require a relatively long period of hypoxia to achieve significant injury How-ever, in isolated mitochondria a few minutes of hypoxia are sufficient to cause dramatic damage Differences in local oxygen concentration may be the reason for this different time required to reach injury either in vivo or in isolated mitochondria We have found that at elevated extramitochondrial Ca2+ con-centrations, ADP at physiological concentration protects mitochondria from hypoxia⁄ reoxygenation-induced damage [27,28] Only when all the ADP is converted into AMP, mitochondrial damage occurs This finding may contribute to the fact that longer periods of ischaemia are required to achieve damage in tissue, in comparison with results obtained with iso-lated mitochondria, which have to be exposed only for

a short period of time to hypoxia in order to induce damage

In previous papers we reported that hypoxia⁄ reoxy-genation reduces state 3 respiration in isolated rat liver mitochondria [22] and that extramitochondrial Ca2+in the low micromolar range modulates mitochondrial damage and oxidative stress [10] Now, by testing the action of CSA and measuring RCR we show that open-ing of the MPTP is not significantly involved in func-tional impairment of liver mitochondria exposed to hypoxia⁄ reoxygenation and Ca2+ This is surprising as increases in extramitochondrial Ca2+ concentration and oxidative stress are known to be major factors for increasing the probability for pore opening [29–33] Reasons for the CSA-independent injury of mitochond-rial function might be the increase in oxidative stress below and above 2 lm Ca2+ as demonstrated earlier [10], possibly causing damage to respiratory chain com-plexes, and⁄ or CSA-insensitive permeabilization of the mitochondrial membrane In fact, CSA-insensitive per-meabilization of the mitochondrial membrane was found after hypoxia⁄ reoxygenation in the presence of

Ca2+concentrations higher than 2 lm (Fig 1C)

Fig 4 Modulation of the effect of NO on state 3 respiration after

hypoxia ⁄ reoxygenation by extramitochondrial Ca 2+ Rat liver

mito-chondria (1 mgÆmL)1) were subjected to 5 min hypoxia and 10 min

reoxygenation with and without 10 m M L -NAME in the continuous

presence of either 0.2 l M , 2 l M or 4.4 l M extramitochondrial Ca 2+

at 30 C Afterwards, 5 m M glutamate, 5 m M malate and 200 l M

ADP were added to stimulate state 3 respiration Data are

presen-ted as mean ± SEM of five preparations of mitochondria *State 3

respiration with and without L -NAME is different with P < 0.05

according to Student’s t-test.

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Ca2+affects the balance between oxidative and

antioxidative processes during hypoxia⁄

reoxygenation

As we have demonstrated earlier, hydrogen peroxide

which is formed from superoxide anion radicals

accu-mulates during reoxygenation in the presence of high

Ca2+ concentration [28] However, the protection

of mitochondria from hypoxia⁄ reoxygenation-induced

damage and the low amount of protein carbonyls [10]

at 2 lm Ca2+suggest relatively low superoxide radical

concentration This is consistent with our finding of

considerably increased activity of the Mn-SOD at this

Ca2+ concentration At 2 lm Ca2+, no protection of

state 3 respiration was seen during hypoxia⁄

reoxygena-tion in the presence of ruthenium red (data not

shown) Therefore, it can be concluded that Ca2+ has

to enter the mitochondrial matrix in order to cause

increase in Mn-SOD activity Both Ca2+ and

hypox-ia⁄ reoxygenation synergistically contribute to this

effect Under these conditions, protein levels of the

Mn-SOD remained unchanged as determined by

west-ern blot analysis (data not shown) This is not

surpri-sing, as protein synthesis of this enzyme takes place

within the cytosolic compartment [34] Thus chemical

modification is responsible for the change in the

activ-ity of the enzyme It has been shown that inactivation

of the enzyme may result from tyrosine nitration by

peroxynitrite [35] In the in vitro model of

isch-aemia⁄ reperfusion applied here we did not observe

decrease in the activity of Mn-SOD Instead, increase

in activity was found The mechanism by which Ca2+

in combination with hypoxia⁄ reoxygenation mediates

this antioxidant effect still remains unclear It might be

speculated that interaction of Ca2+ with components

of the active site as well as oxidation of certain amino

acids in the catalytic domain may modulate enzymatic

activity It has been shown that replacement of His30

with Asn30 resulted in dramatic decrease of enzyme

activity, because it did not participate in the hydrogen

bond network of the active site [36] Therefore, it is

reasonable to assume that metal ions and ROS may

modify the active site of the enzyme leading to changes

in enzyme activity

Similarly, the activity of glutathione peroxidase was

affected by hypoxia⁄ reoxygenation However, only a

slight Ca2+ dependence was observed As the enzyme

is synthesized within the cytosolic compartment,

modi-fication of the enzyme should be responsible for

increase in the activity caused by hypoxia⁄

reoxygena-tion The mechanism by which hypoxia⁄ reoxygenation

causes increase in the activity of mitochondrial

gluta-thione peroxidase still has to be elucidated

In our previous study [10] we have demonstrated that increasing the extramitochondrial Ca2+ concen-tration above 2 lm caused high levels of protein car-bonyls indicating a high degree of oxidative stress On the other hand, we here report high activities of Mn-SOD and GPx in this range of Ca2+ concentra-tion The CSA-insensitive permeabilization of the mito-chondrial membrane occurring under this condition (Fig 1C) may explain the apparent discrepancy Per-meabilization of the membrane is known to be associ-ated with energetic failure and efflux of mitochondrial constituents such as glutathione Consequently, the antioxidative defence decreases

At Ca2+ concentrations lower than 2 lm, impair-ment of oxidative phosphorylation by hypoxia⁄ reoxy-genation was caused by oxidative stress as high amounts of protein carbonyls were determined [10] This fits well with our observation that in this range

of Ca2+ concentration relatively low activities of Mn-SOD and GPx were determined (Figs 2 and 3) Thereby, the mitochondrial respiratory chain is the source of reactive superoxide anion radicals generated within the complexes I and III

In experiments with isolated rat liver mitochondria,

we have earlier demonstrated that NO accumulates during hypoxia⁄ reoxygenation [23] Subsequently, the highly reactive peroxynitrite can be formed which is known to injure components of the respiratory chain

It has been demonstrated that peroxynitrite is involved in Ca2+-induced impairment of liver mito-chondria [31,33] Thus, the protective effect of the inhi-bition of NO synthesis at 0.2 lm Ca2+ demonstrated here (Fig 4) could be mainly attributed to the dimin-ished peroxynitrite formation In contrast, at 2 lm

Ca2+, superoxide anion radical concentration, but not

NO production, is reduced, as the increase in Ca2+ concentration stimulates NO synthesis Here, no effect

of l-NAME on state 3 respiration was seen

Conclusions

We used an in vitro model of ischaemia⁄ reperfusion of liver to study the effect of hypoxia⁄ reoxygenation in combination with elevated extramitochondrial Ca2+ concentration into the nonphysiological concentration range up to 4.4 lm In this model we were able to clarify how mitochondrially generated ROS, NO and permea-bilization of the mitochondrial membrane are involved

in mitochondrial damage Our data demonstrate that hypoxia⁄ reoxygenation and extramitochondrial Ca2+ cause functional damage of isolated rat liver mitochon-dria Essential steps involved in the cascade of mito-chondrial injury are CSA-insensitive permeabilization

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of the mitochondrial membrane, production of ROS,

generation of NO and peroxynitrite by mitochondria

We have found a distinct extramitochondrial Ca2+

con-centration range around 2 lm, in which isolated rat liver

mitochondria are almost completely protected against

decrease in oxidative phosphorylation Similar effects

were also found in brain and heart mitochondria (data

not shown) There was a clear correlation of increase in

the activities of Mn-SOD, GPx, and insensitivity of

inhi-bition of NO-synthesis at the 2 lm Ca2+concentration

Thus, we conclude that superoxide anion radicals and

peroxynitrite play a pivotal role in damaging

mitochon-dria upon hypoxia⁄ reoxygenation at Ca2+

concentra-tions up to about 2 lm At higher Ca2+concentrations,

the mechanism underlying the mitochondrial injury is

the permeabilization of the membrane As elevation of

extramitochondrial Ca2+ concentration into the low

micromolar range appears to have protective effects,

further investigations on the role of Ca2+ in hypoxia⁄

reoxygenation at the cellular level and in in vivo studies

of ischaemia should be performed

Experimental procedures

Reagents

Cyclosporin A, l-NAME and xanthin oxidase were

pur-chased from Sigma (Deisenhofen, Germany) All other

chemicals were of analytical grade

Preparation of mitochondria

Liver mitochondria were prepared from 220 to 240 g male

Wistar rats in ice-cold medium containing 25 mm sucrose,

20 mm Tris (pH 7.4), 2 mm EGTA, and 1% (w⁄ v) bovine

serum albumin using a standard procedure [37] After the

initial isolation, Percoll was used for purification of

mito-chondria from a fraction containing some endoplasmatic

reticulum, Golgi apparatus and plasma membranes [38]

This work was conducted in accordance with the

regula-tions of the National Act for the use of Experimental

Animals (Germany)

Incubation of mitochondria

Mitochondria (1–2 mg proteinÆmL)1) were incubated in a

medium containing 10 mm sucrose, 120 mm KCl, 20 mm

Tris, 15 mm potassium phosphate, 0.5 mm EGTA and

1 mm free Mg2+at pH 7.4 Extramitochondrial Ca2+

con-centrations were adjusted by using Ca2+⁄ EGTA buffers

After preparation of the buffers, the free Ca2+

concentra-tion was checked by means of a Ca2+-selective electrode

The actual concentration of Ca2+ in the incubations was

calculated considering the complex formation with other constituents of the medium such as Mg2+ and adenine nucleotides For the calculation, the complexing constants were used according to Fabioto et al [39] Hypoxia was produced by bubbling 2 mL of incubation medium with N2

until an oxygen content of less than 1% of air saturation was reached Afterwards, mitochondria were added to this oxygen-free medium and the incubation chamber was closed The mitochondria themselves consumed most of the remaining oxygen resulting in very low oxygen concentra-tions reflected by collapse of the mitochondrial membrane potential (not shown) Reoxygenation was achieved by add-ing another 2 mL of incubation medium, which was air sat-urated, to the incubation tube [22]

Determination of mitochondrial respiration Oxygen consumption of mitochondria was measured in an incubation chamber equipped with a Clark-type electrode The experimental approach was calibrated using the oxygen content of air saturated medium of 435 ng atomsÆmL)1 at

30C [40]

Determination of the mitochondrial membrane potential

The mitochondrial membrane potential was calculated from the distribution of the lipophilic cation tetraphenyl phos-phonium (TPP+) according to [41] The extramitochondrial TPP+concentration was determined by means of a TPP+ -sensitive electrode in the presence of 1 lm extramitochond-rial TPP+ For the calculation of the membrane potential

a matrix volume of 1 lLÆmg)1 mitochondrial protein was assumed The TPP+-sensitive electrode was calibrated by applying standard TPP+solutions

Determination of Mn-SOD activity The determination of Mn-SOD activity was based on the consumption of superoxide anion radicals generated by the xathine⁄ xanthine oxidase system [42] The reduction

of cytochrome c was spectrophotometrically followed at

550 nm 500 lL samples were withdrawn from mitochond-rial incubations and stored in liquid nitrogen Before use samples were subjected to a threefold cycle of freezing and thawing

Determination of glutathione peroxidase activity Five-hundred microlitre samples were withdrawn from the mitochondrial incubations and stored in fluid nitrogen After threefold freezing and thawing, samples were used for the determination of glutathione peroxidase activity The

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assay is based on the oxidation of glutathione and the

sub-sequent oxidation of NADPH [43] which was followed

photometrically at 340 nm

Determination of protein

The protein content of the mitochondrial suspension was

measured according to the Bradford method [44] using

bovine serum albumin as the standard

Statistics

Statistical analysis was performed by the Student’s t-test

Actual P-values are given in the legends of the figures Data

are presented as mean ± SEM

Acknowledgements

This work was supported by Deutsche

Forschungs-gemeinschaft (Project Re 847⁄ 3–1)

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