Key result
RV cardiomyocytes exhibit ~33% greater maximal respiratory capacity than LV cardiomyocytes.
Why the study?
Although the right and left ventricles have distinct developmental origins and pathological responses, it remained unclear whether bioenergetics differ between the two ventricles.
Absolute Event Rate: 5.3% vs 4%
p-value: p=0.0002
Cardiomyocytes isolated from the right ventricle exhibit a greater maximal capacity for respiration and enhanced glycolytic rate compared to those from the left ventricle, driven by increased fatty acid oxidation.
RV cardiomyocyte respiratory advantage may inform ventricular failure models; hypothesis-generating without clinical translation data.
The right and left ventricle of the heart have distinctly different developmental origins and are affected differently by similar pathological stimuli. Though it is well established that the heart relies almost entirely on mitochondrial function to sustain energy production, it remains unclear whether bioenergetics differ in the two ventricles. Herein, we define a novel methodology to optimize the isolation of intact cardiomyocytes from the right versus the left ventricle. We demonstrate that this segmental Langendorff-free methodology yields viable cardiomyocytes with intact mitochondrial function. Further, we compare bioenergetics in right versus left ventricle cardiomyocytes and show that cardiomyocytes from the right ventricle have a greater maximal capacity for respiration and enhanced glycolytic rate. This increase in respiration was concomitant with increased fatty acid oxidation and levels of fatty acid oxidation proteins, but no change in mitochondrial electron transport complex expression. These data validate a potentially powerful tool to evaluate differences in right and left ventricular function and advance the understanding of cardiac bioenergetic differences. These data will be discussed in the context of differential responses by the right versus ventricle in pathology.
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Nguyen et al. (2020) studied this question. Right ventricle origin vs. Left ventricle origin was evaluated on Maximal uncoupled oxygen consumption rate (OCR) (p=0.0002). Cardiomyocytes from the right ventricle demonstrated a significantly greater maximal capacity for respiration (5.3 vs 4.0 nmol O2/min/mg protein) compared to left ventricle cardiomyocytes.
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