Minocyclin (MC) had been considered a neuroprotectant possibly by inhibiting the permeability transition pore of the inner mitochondrial membrane (Zhu, 2002, Nature 417, 74). Doubts on this view, however, were raised when a multicentre, randomised placebo-controlled phase III trial with ALS patients recently showed that MC has harmful effects. This observation has implications for treatment of patients with other neurological disorders as well (Gordon et al., 2007, Lancet Neurol. 6, 1045). In order to cast some light on these contradictory observations we studied the effects of MC on freshly prepared rat liver mitochondria suspended either in a KCl-based medium (125 mM KCl, 20 mM Tris, 1µM EGTA, 5 mM glutamate, 5 mM malate, and 1 mM Pi; pH 7.2) or in a sucrose-based medium (200 mM sucrose, 10 mM Tris, 1 mM KH2PO4, 10µM EGTA, 5 mM glutamate and 5 mM malate; pH 7.2). It turned out that MC exerts strong detrimental effects on Ca2+-retention, membrane potential and ADP-/FCCP-stimulated respiration of RLM incubated in KCl-based medium. Additionally, we observed cytochrome c release and swelling of the mitochondria. Most of these effects were weaker or absent when the mitochondria were bathed in a sucrose-based medium. We conclude that the inner membrane becomes permeable to ions of low molecular weight like NADH, Mg2+, and KCl as their flow can be inhibited by dicyclocarbodiimide and tributyltin. We will present an explanation for the adverse effect of MC on mitochondrial function.
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