Key result
DTT boosts mitochondrial complex I activity by ~230% without altering respiration.
Why the study?
The impact of reversible thiol oxidation on myocardial mitochondrial function in patients with end-stage HFrEF had not been investigated.
Does dithiothreitol (DTT) improve mitochondrial respiration in ventricular biopsies from patients with end-stage HFrEF?
Does dithiothreitol (DTT) improve mitochondrial respiration in ventricular biopsies from patients with end-stage HFrEF?
Reversing thiol oxidation improves mitochondrial complex I and III activity but does not rescue overall mitochondrial respiration in end-stage HFrEF, suggesting other rate-limiting defects exist.
Suggests thiol oxidation is not sole limiter of respiration in end-stage HFrEF biopsies; leaves open other rate-limiting defects for study.
Cardiomyocyte dysfunction in patients with end-stage heart failure with reduced ejection fraction (HFrEF) stems from mitochondrial dysfunction, which contributes to an energetic crisis. Mitochondrial dysfunction reportedly relates to increased markers of oxidative stress, but the impact of reversible thiol oxidation on myocardial mitochondrial function in patients with HFrEF has not been investigated. In the present study, we assessed mitochondrial function in ventricular biopsies from patients with end-stage HFrEF in the presence and absence of the thiol-reducing agent dithiothreitol (DTT). Isolated mitochondria exposed to DTT had increased enzyme activity of complexes I (p = 0.009) and III (p = 0.018) of the electron transport system, while complexes II (p = 0.630) and IV (p = 0.926) showed no changes. However, increased enzyme activity did not carry over to measurements of mitochondrial respiration in permeabilized bundles. Oxidative phosphorylation conductance (p = 0.439), maximal respiration (p = 0.312), and ADP sensitivity (p = 0.514) were unchanged by 5 mM DTT treatment. These results indicate that mitochondrial function can be modulated through reversible thiol oxidation, but other components of mitochondrial energy transfer are rate limiting in end-stage HFrEF. Optimal therapies to normalize cardiac mitochondrial respiration in patients with end-stage HFrEF may benefit from interventions to reverse thiol oxidation, which limits complex I and III activities.
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Kumar et al. (2022) studied End-stage heart failure with reduced ejection fraction (HFrEF) (n=9). Dithiothreitol (DTT) vs. Untreated control condition was evaluated on Mitochondrial electron transport system complex I enzyme activity (230% increase, p=0.009). In vitro treatment with 5 mM dithiothreitol acutely increased mitochondrial complex I and III enzyme activities by 230% and 86% respectively, but did not alter mitochondrial respiration.
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