Effects of excess succinate on cardiomyocyte mitochondrial H2O2 production and cell death

Abstract

IntroductionDuring myocardial infarction injury, reactive oxygen species (ROS) generation in the first few minutes of reperfusion has been shown to cause significant cellular dysfunction and death of the myocardium. Recent studies suggest ROS generation during reperfusion is due to accumulation of intermediate citric acid cycle metabolites, specifically succinate accumulation. Additionally, previous studies suggest that an increase in fumarate accompanied by an increase in succinate is cardioprotective. In this study, we examined the effect of excess succinate on H2O2 production and cell death. We hypothesized that excess succinate increases H2O2 production through reverse electron transport in mitochondria isolated from Sprague‐Dawley rat hearts and increases cell death in induced pluripotent stem cell‐derived cardiomyocytes (iPSC‐CMs) and that addition of fumarate would abolish this phenotype.MethodsThe left ventricles of Sprague Dawley male rats were collected and minced. Mitochondria were isolated using differential centrifugation. Mitochondria were exposed to 5 mM succinate with or without 1μM rotenone (a complex I inhibitor). H2O2 production was measured using an Amplex Red assay. Human iPSCs were cultured to confluency and differentiated into CMs. Contracting cells were immunostained for cardiac specific markers to confirm >90% purity of CMs. CMs were exposed to 5 mM dimethyl succinate with or without 5 mM dimethyl fumarate for 1 hour followed by 24 hours of reperfusion in basal media. Cell viability was measured using propidium iodide staining.ResultsExcess succinate caused a significant increase in H2O2 production in mitochondria isolated from Sprague Dawley rat hearts. This effect was abolished with addition of rotenone, showing that H2O2 production was occurring through reverse electron transport. Dimethyl succinate also caused significant cell death in iPSC‐derived CMs. Dimethyl fumarate with dimethyl succinate did not abolish increased cell death.ConclusionsWe have confirmed that excess succinate causes a significant increase in H2O2 production through reverse electron transport in mitochondria isolated from Sprague Dawley rat hearts and a significant increase in cell death in iPSC‐derived CMs. Fumarate in addition to excess succinate did not have a cardioprotective effect in iPSC‐CMs. However, this may be a toxic effect rather than a metabolic effect. Further experiments detailing the mechanism by which this occurs may reveal new therapeutic targets to reduce the detriment of ROS production from ischemia/reperfusion injury.Support or Funding InformationNIH/NIGMS Program Project Grant 2P01GM066730‐11Program Director: Zeljko J. Bosnjak “Mechanisms of Anesthetic Cardioprotection”Project II: “MicroRNA in Anesthetic Cardioprotection”