Adult rats exposed to hyperoxia (>95 % O2) die within 60-72 h from respiratory failure. However, when preconditioned with either >95 % O2 for 48 h followed by 24 h in room air (H-T) or 60 % O2 for 7 days (H-S), they acquire tolerance or susceptibility to hyperoxia, respectively. The aim was to quantify H2O2 production rate and identify sources in isolated lung mitochondria and isolated perfused lungs (IPLs) of normoxia, H-T, and H-S rats. Mitochondria were isolated from lungs, and H2O2 production rates were quantified in the presence of pyruvate-malate or succinate, with and without inhibitors of mitochondrial complex I (CI), complex II (CII), and/or H2O2 scavenging systems. Lung rate of H2O2 release was quantified in IPLs with and without CII inhibitor. Results from isolated mitochondria show that CII is the main H2O2 source, and that both H2O2 production rate and scavenging capacity were ~48 % lower in H-S mitochondria compared to normoxia. Results from IPLs show that CII is also the dominant H2O2 source from lung tissue, and that H2O2 release rate was lower in H-T lungs compared to normoxia and H-S lungs. These results suggest that for H-S rats, both mitochondrial rate of H2O2 production and scavenging capacity were significantly lower than those in normoxia mitochondria and may contribute to their increased hyperoxia susceptibility. The lower H2O2 release rate from H-T IPLs, along with no change in mitochondrial H2O2 production rate, is consistent with higher antioxidant capacity in the lungs of H-T rats, which may contribute to their hyperoxia tolerance.

Rationale: The renal nephron actively reabsorbs nearly 99% of Na+ from the glomerular filtrate to maintain fluid and solute homeostasis, roughly 70% of which occurs in the proximal tubules (PT), where mitochondria consume a great amount of O2 for ATP production to meet the energy demand. However, the effect of a high salt diet upon the PT substrate metabolism and respiratory activity towards energy production and associated cellular acidification is not well-known. Method: To determine alterations in the PT substrate metabolism, respiratory activity, and acidification with a high salt diet, the PT of adult Dahl salt-sensitive (SS) rats were isolated by collagenase digestion and sieving with the rats fed either a 0.4% (LS) or a 4.0% (HS) NaCl diet for 7, 14 and 21 days (age-matched). Responses of the PT O2 consumption rate (OCR) and extracellular acidification rate (ECAR) were determined using a high-throughput Agilent Seahorse XF96 Extracellular Flux Analyzer and a modified mitochondrial stress test protocol, which combined a substrate addition step to the mitochondrial stress reagent addition steps. Basal OCR and ECAR were assessed with only amino acids (basic Seahorse medium) used as fuel for respiration. Subsequently, OCR and ECAR responses were determined by adding different circulating substrates followed by perturbations to the electron transport chain (ETC) in sequential order with oligomycin to inhibit ATP synthase, FCCP to uncouple oxidative phosphorylation, and rotenone + antimycin A to inhibit complexes I and III of the ETC. From these measurements, different OCR and ECAR parameters were derived for each substrate and each salt load condition. Results: The OCR data show that the PT of SS rats preferred to use lactate, glutamine, and palmitate for ATP production under the LS diet. However, the HS diet resulted in significantly reduced OCR when supplied with the same substrates. Interestingly, the basal OCR which occurred with amino acids as metabolic substrates was increased in the PT obtained from HS fed SS rats starting on day 7. These alterations in substrate metabolism were also apparent from the same parametric analysis of the ECAR data. An increased mitochondrial proton leak induced respiration was also deduced form both OCR and ECAR data under the HS diet. Since it is known that uncoupling proteins (UCP) and ADP/ATP translocase (ANT) enhance proton leak, gene expression was quantified from the isolated PT segments. Increased Ucp2 gene expression was found in response to the HS diet (days 7, 14, 21) compared to the LS fed SS rats but no changes were observed in the expression of Slc25A4 (ANT1) or Slc25A5 (ANT2). Summary: HS diet resulted in significant metabolic changes in the PT segments, including substrate metabolism, respiratory activity, and cellular acidification. HS diet also increased PT basal respiration and proton leak, which was associated with an increase of Ucp2 gene expression. Considering the increased ATP demand in the PT segments with a HS diet, these changes would result in increased O2 consumption and increased reactive oxygen species production. Together with the physiological changes on renal hemodynamics that we have observed, we propose that the observed metabolomic changes on the PT upon HS diet contribute to the onset of associated regional ischemia, tissue inflammation, and renal injury observed in hypertensive SS rats. NIH R01-HL151587. This is the full abstract presented at the American Physiology Summit 2024 meeting and is only available in HTML format. There are no additional versions or additional content available for this abstract. Physiology was not involved in the peer review process.

Rationale: Ischemia-reperfusion injury (IRI) is inevitable in liver transplantation (LT) which can be mitigated by normothermic machine perfusion (NMP) before LT. The current NMP liver viability criteria for LT mainly rely on bile production and perfusate lactate levels, factors that can also be affected by external variables such as NMP conditions and perfusate additives. Incorporating mitochondrial bioenergetic data could improve the predictive value of current NMP viability criteria for LT. Thus, the goal of this study was to evaluate mitochondrial oxygen consumption rate (OCR), membrane potential (Δψ), and H2O2 oxidant emission in control livers and in livers with IRI and to explore underlying mechanisms responsible for any observed differences. Methods: Healthy control livers and livers exposed to 60 minutes warm ischemia time (WIT) through in situ clamping of the portal vein and hepatic artery followed by 60 minutes reperfusion (IRI) were harvested from adult male Sprague-Dawley rats. Mitochondria from control and IRI livers were isolated using established protocols and assessed for their bioenergetics responses. Three different substrate combinations, namely, pyruvate+malate (PM), glutamate+malate (GM), and succinate were used, followed by addition(s) of ADP and the uncoupler FCCP. Two different ADP addition protocols were designed to determine how different substrates influence mitochondrial OCR, Δψ, and H2O2 emission during oxidative phosphorylation (OxPhos) between control and IRI conditions. In one protocol, a single saturated dose of ADP addition, and in the other, sequentially increasing doses of ADP additions were made following substrate addition. The OCR and Δψ were measured simultaneously using a dual chamber Oroboros Oxygraph-2k Instrument coupled to a fluorometer using the TMRM dye. The H2O2 emission was measured spectrofluorometrically using the amplex red and horseradish peroxidase assay. Results: The measured data show that the kinetics and effciency of OxPhos defining mitochondrial OCR and Δψ responses in the liver are negatively affected by IRI, characterized by enhanced H2O2 emission, in a substrate-dependent manner. Interestingly, the respiratory rates are higher when GM and succinate are utilized as substrates, whereas the use of PM shows comparatively lower respiration in both conditions. Control mitochondria exhibited higher respiratory rates than IRI mitochondria irrespective of the substrate utilized. The ADP-induced state 3 OCR in IRI mitochondria was 50% lower than that in control mitochondria resulting in doubling the duration of state 3 OCR. Similar differences were observed in Δψ for both ADP addition protocols. Compromised mitochondrial bioenergetics during IRI was observed using both single and sequentially increasing doses of ADP and was concomitant with a higher rate of H2O2 emission. Conclusion: This study provided novel quantitative data demonstrating the substrate specific changes in mitochondrial bioenergetics in hepatic IRI, which can be used to improve the NMP viability criteria for LT. The obtained bioenergetics and H2O2 emission data indicate that, during IRI, mitochondrial function is highly affected which may critically impact energy dependent metabolism and lactate/pyruvate ratio. NIH R01-HL151587. This is the full abstract presented at the American Physiology Summit 2024 meeting and is only available in HTML format. There are no additional versions or additional content available for this abstract. Physiology was not involved in the peer review process.

Rationale: Mitochondrial bioenergetics of different tissues have been studied widely, but their sex-specific differences have not been systematically studied. The goal of this study was therefore to investigate the sex-specific differences in mitochondrial respiration (oxygen consumption rate; OCR) and membrane potential (Δψ) in the heart and kidney cortex and to explore underlying mechanisms responsible for any observed differences. Methods: Mitochondria were isolated from adult male and female Sprague-Dawley rat heart and kidney cortex and were used to study their bioenergetics responses. Three different substrate combinations, namely, pyruvate+malate (PM), glutamate+malate (GM), and succinate in the presence of complex I inhibitor rotenone (SR) were used. This was followed by two different ADP addition protocols to determine how different substrates influence mitochondrial OCR and Δψ to ADP perturbations during oxidative phosphorylation (OxPhos) in male and female heart and kidney cortex. In one, a single saturated dose of ADP, while in the other, sequentially increasing doses of ADP were added to mitochondria in the presence of different substrates. Mitochondrial OCR was measured using a dual chamber Oroboros Oxygraph-2k Instrument and Δψ was measured using a spectrofluorometer and rhodamine-123 dye. From these measurements, OCR and Δψ alterations under different respiratory states and as functions of added ADP concentration were determined for different substrates and for both male and female rats. Results: Male and female mitochondria exhibited distinct respiratory patterns in the kidney cortex and heart with different substrates. In the kidney cortex, male mitochondria showed significantly higher OCR than female mitochondria when fueled with PM or SR. However, no significant sex differences in the OCR were observed when GM were used as substrates. In contrast, heart mitochondria exhibited negligible sex differences in the OCR for PM and SR, but significant differences emerged with GM, where female mitochondria displayed higher OCR than their male counterparts. Interestingly, sex-specific variations of Δψ in ADP-stimulated respiration were not apparent for either tissue or substrate when a single saturated dose of ADP was used. Instead, a trend similar to the OCR emerged when ADP was administered in gradually increasing concentrations. Conclusion: Heart and kidney cortex mitochondrial Δψ for males and females did not differ conclusively with the two ADP addition protocols. However, there were significant differences in the OCR of mitochondria from the heart and kidney cortex of males and females, depending on the respiratory substrate utilized. Males were found to have enhanced OCR in the kidney cortex, whereas females exhibited higher OCR in the heart. These observed sex-specific differences in the OCR could be attributed to differential regulation of mitochondrial metabolic pathways by respiratory substrates and sex hormones. NIH R01-HL151587. This is the full abstract presented at the American Physiology Summit 2024 meeting and is only available in HTML format. There are no additional versions or additional content available for this abstract. Physiology was not involved in the peer review process.

Objective: Rat exposure to hyperoxia is a well-established model of human ARDS. Adult rats exposed to hyperoxia (100% O2) die from respiratory failure within 60-72 hours. However, rats preconditioned by exposure to >95% O2 for 48 hrs followed by a 24-hr “rest period” in room air (H-T) acquire tolerance of the otherwise lethal effects of exposure to 100% O2. In contrast, rats preconditioned by exposure to 60% O2 for 7 days (H-S) become more susceptible to 100% O2. The objective was to evaluate lung tissue mitochondrial bioenergetics in H-T and H-S rats. Methods: Adult rats were exposed to room air (normoxia), >95% O2 for 48 hrs followed by exposure to room air for 24 hrs (H-T), or 60% O2 for 7 days (H-S). Mitochondria were isolated from lung tissue and used to assess mitochondrial bioenergetics. Expressions of electron transport chain complexes were measured in lung tissue homogenate using western blot. Isolated perfused lungs (IPL) were used to determine pulmonary vascular endothelial filtration coeffcient ( Kf) as a measure of pulmonary vascular permeability, and lung tissue mitochondrial membrane potential (ΔΨm). Results: Western blot shows decreased (38%) complex I expression, but increased (70%) complex V expression in H-T lung tissue homogenate compared to normoxia. Complex I expression decreased (43%) in H-S lung tissue homogenate. State 3 oxidative phosphorylation (OxPhos) capacity (Vmax) and respiratory control ratio decreased in mitochondria isolated from H-S lungs. Vmax increased in mitochondria of H-T lungs. Time for ΔΨm repolarization following ADP-stimulated depolarization increased in mitochondria isolated from H-S lungs. IPL studies revealed that tissue ΔΨm is unchanged in H-S and H-T lungs compared to normoxics. Furthermore, complex I plays the dominant role in ΔΨm in H-T and normoxia lungs with no contribution from complex II, whereas complex II has a larger contribution to ΔΨm in H-S lungs than in H-T or normoxia. Kf increased (+178%) in H-S, but not H-T lungs. Discussion: For H-T lungs, decreased complex I expression is countered by increased complex V expression, which could also account for increased Vmax. This along with high tissue glutathione content protects mitochondria from stress such as exposure to 100% O2. For H-S lungs, the effect of decreased complex I expression on lung tissue ΔΨm is countered by a larger contribution from complex II. However, higher dependency of ΔΨm on complex II could lead to higher mitochondrial oxidant production since complex II is the main source of oxidants in rat lungs. This along with decreased Vmax and increased Kf make H-S rats more susceptible to stress such as exposure to 100% O2. These results are clinically relevant since exposure to hyperoxia is a primary therapy for patients with ARDS, and ventilation with 60% O2 is often required for prolonged periods of time, particularly with COVID-19. This study was funded by NHLBI grant 2R15HL129209-03, Department of Veterans Affairs Merit Review Award BX001681, and NSF grant DMS 2153387. This is the full abstract presented at the American Physiology Summit 2024 meeting and is only available in HTML format. There are no additional versions or additional content available for this abstract. Physiology was not involved in the peer review process.

ABSTRACT Ketone bodies are an alternate fuel source generated by the liver in response to low carbohydrate availability in neonates and after starvation and exhausting exercise in adulthood. The postnatal alternative splicing generates a highly conserved muscle-specific MEF2Dα2 protein isoform of the transcription factor MEF2D. Here, we discovered that compared to WT mice, MEF2Dα2 exon knockout (Eko) mice displayed reduced running capacity and muscle expression of all three ketolytic genes, BDH1, OXCT1, and ACAT1. Consistent with reduced muscle utilization of ketone bodies, MEF2Dα2 Eko mice also showed increased ketone body levels in a tolerance test, after exercise, and upon feeding a ketogenic diet. Lastly, using mitochondria isolated from skeletal muscle, we showed reduced ketone body utilization and respiration in Eko compared to WT mice. Thus, we identified a new role of MEF2Dα2 protein isoform in regulating skeletal muscle ketone body oxidation, exercise capacity, and its effect on systemic ketone body levels.

Objective: ARDS carries a mortality rate >30% due to lack of early detection tools, inability to identify patients at risk for progression, and limited therapies. Exposure of adult rats to hyperoxia (100% O2) is a well-established model of human ARDS, with the first clinical evidence of lung injury after >40 hours and death by 72 hours. Yet, adult rats exposed to 60% O2 for 7 days (H-S) show no clinical signs of injury. However, when pre-exposed to H-S, rats become more susceptible to lung injury as evidenced by a decrease in their subsequent survival time in 100% O2. The objective of this study was to assess mitochondrial function and vascular permeability in lungs of H-S rats to elucidate their role in hyperoxia susceptibility. Methods: Adult Sprague-Dawley rats were exposed to 60% O2 (H-S) or room air (normoxia) for 7 days. Lungs were isolated and the pulmonary vascular endothelial filtration coefficient ( Kf ) was determined as a measure of pulmonary vascular permeability, and lung tissue mitochondrial membrane potential (Δψm) was determined using the cationic dye rhodamine 6G. Expression of the electron transport chain complexes was measured in lung tissue homogenate using western blotting. Finally, mitochondria were isolated from lung tissue and Δψm was probed using the cationic dye rhodamine 123. Results: H-S rats gained body weight at the same rate as normoxic rats, with no difference in lung wet weight or wet/dry weight ratio. Kf was 178% larger in H-S lungs compared to normoxics. Lung tissue homogenate studies showed decreased complex I (-81%) and II (-23%) expression, but increased complex IV (+31%) expression, with no change in complex III or V expression. Isolated mitochondria studies showed that H-S resulted in an increase in the time needed for Δψm repolarization following ADP-stimulated depolarization in the presence of complex I (+64%) or complex II (+23%) substrates, consistent with decreased complex I and II activity. In contrast, Δψm in isolated perfused lungs was relatively unchanged in lungs of H-S rats. Discussion: Increase in complex IV expression along with an excess of complex I, which is the case in health, might be sufficient to overcome the effect of a decrease in complex I expression and maintain Δψm in lungs of H-S rats. However, after sensitization, complex I expression is low enough that additional stress (e.g., exposure to 100% O2) which further decreases complex I expression and deteriorates lung tissue mitochondrial bioenergetics, may have significant effect on lung tissue cellular functions. These observations suggest a potential role for mitochondrial dysfunction and vascular permeability in the susceptibility of H-S rats to hyperoxia-induced ARDS, which is clinically relevant since ventilation with 60% O2 is often required for prolonged periods of time, particularly with COVID-19. We thank Sushma Kaul for her help with the experiments. This work was supported by NIH 2R15HL129209-02 (Audi, Clough, Jacobs), NSF DMS 2153387 (Dash), and VA Merit Review Award BX001681 (Jacobs, Audi, Clough). This is the full abstract presented at the American Physiology Summit 2023 meeting and is only available in HTML format. There are no additional versions or additional content available for this abstract. Physiology was not involved in the peer review process.